May 8, 2026 · Blood · DOI: 10.1182/blood.2025030891

Ikaros degradation by mezigdomide reduces T-cell dysfunction and improves the efficacy of antimyeloma T-cell therapies

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The authors investigate how Mezigdomide, an immunomodulatory drug, can reduce T cell dysfunction in multiple myeloma (MM) patients and enhance the efficacy of anti-myeloma therapies. They find that Mezigdomide decreases populations of dysfunctional T cells by targeting the transcription factor Ikaros, which regulates exhaustion markers like TIGIT, ultimately improving T cell function and survival outcomes in CAR-T therapy. This study highlights the potential of Mezigdomide to improve treatment responses in MM by mitigating T cell exhaustion.

Lucia Y Chen, Adolfo Aleman, Marta Larrayoz, Hsiling Chiu, Junfei Zhao, Oliver Van Oekelen, Geoffrey Kelly, Seunghee Kim-Schulze, Alessandro Lagana, Sundar Jagannath, Tracy T Chow, Teresa Lozano, Juan J Lasarte, Joseph C Hamley, Warren Baker, Benjamin L Ebert, Udo Oppermann, Michael D Amatangelo, Anita Krithivas Gandhi, Patrick Ryan Hagner, Jose A Martínez-Climent, Sarah Gooding, Thomas A Milne, Samir Parekh

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