
Antibody–drug conjugates (ADCs) targeting B-cell maturation antigen (BCMA) mark a new era in tackling multiple myeloma, a challenging blood cancer. These “smart missiles” unite the precision of monoclonal antibodies with the power of cytotoxic drugs, aiming to eliminate malignant plasma cells while sparing healthy tissue. Our systematic review brings together evidence from clinical and preclinical studies, highlighting both promising efficacy and important safety considerations, such as eye-related toxicity. The cover image captures this concept: an ADC locks onto BCMA-expressing cells to deliver its lethal payload, while icons emphasise the balance between treatment success and careful safety oversight.
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