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A Glimpse into Trispecific Therapies in Oncology: ASCO 2025 in Focus

Trispecific Therapies in Oncology Abstracts | ASCO 2025

In oncology, small molecules, CAR-T therapies, antibody therapies, dominate the current clinical development landscape but innovation continues to push boundaries. When discussing antibody therapeutics, monoclonal and bispecific antibodies often come to the forefront. At ASCO 2025, there will be a spotlight on the next frontier of oncology treatment, i.e., trispecific antibodies. 

At present, several trispecific antibody candidates are in preclinical and clinical development for indications such as cancer, infectious diseases, and ophthalmic conditions. Looking ahead, the clinical pipeline for trispecific therapies is expected to grow and extend into new therapeutic areas, including autoimmune disorders. 

The conference will highlight clinical data of drug candidates designed to target cancers such as Relapsed/Refractory Multiple Myeloma (RRMM), neuroendocrine carcinoma (NEC), and Small Cell Lung Cancer (SCLC), marking a significant step forward in cancer therapeutic innovation. While trispecific antibodies have not yet garnered the same level of attention as bispecifics, companies such as Suzhou Zelgen Biopharmaceuticals (ZG006), Ichnos Sciences (ISB 2001), Janssen Research & Development (JNJ-79635322), and others are actively advancing their development. While early studies of trispecific antibodies [for example; SAR442257 (CD38 x CD28 x CD3 T-Cell engager)] in RRMM have encountered significant challenges, research in myeloma continues to push forward. Despite setbacks, therapies such as ISB 2001 offer renewed optimism for future advancements. 

Key Abstracts of Trispecific Drug Candidates

Company Name

Drug Name

Target

Trial ID/ Acronym

Phase

Abstract ID

Patient Segment

Abstract Title

Suzhou Zelgen Biopharmaceuticals

ZG006

CD3 x DLL3 x DLL3

NCT06440057

I/II

#e16341 (Publication)

Advanced NEC

A Phase II dose expansion study of ZG006, a trispecific T cell engager targeting CD3/DLL3/DLL3, as monotherapy in patients with advanced neuroendocrine carcinoma

NCT06283719

I/II

#8007 

(Oral)

Advanced SCLC

A Phase II dose expansion study of ZG006, a trispecific T cell engager targeting CD3/DLL3/DLL3, as monotherapy in patients with advanced small cell lung cancer

NCT05978284

I

#8089 

(Poster)

Refractory SCLC or NEC

A Phase I dose escalation and expansion study of ZG006, a trispecific T cell engager targeting CD3/DLL3/DLL3, as monotherapy in patients with refractory small cell lung cancer or neuroendocrine carcinoma

Ichnos Sciences SA

ISB 2001

BCMA x CD38 x CD3

NCT05862012

I

#7514

(Rapid Oral)

RRMM

Phase 1, first-in-human study of ISB 2001: A BCMAxCD38xCD3-targeting trispecific antibody for patients with relapsed/refractory multiple myeloma (RRMM)—Dose escalation (DE) results

Janssen Research & Development

JNJ-79635322 (JNJ-5322)

BCMA x GPRC5D x CD3

NCT05652335

I

#7505

(Oral)

RRMM

First-in-human study of JNJ-79635322 (JNJ-5322), a novel, next-generation trispecific antibody (TsAb), in patients (pts) with relapsed/refractory multiple myeloma (RRMM): Initial Phase I results

 

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Executive Summary

In oncology, small molecules, CAR-T therapies, antibody therapies, dominate the current clinical development landscape but innovation continues to push boundaries.

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