N Engl J Med | Dr. Jun Shi’s Team Reports First Successful Use of BCMA-Targeted Bispecific T-Cell Engager to Rescue Relapsed Autoimmune Hemolytic Anemia After CD19 CAR T-Cell Therapy
Autoimmune hemolytic anemia (AIHA) has a relatively high incidence (1.8–3.0 per 100,000 person-years) and prevalence (17 per 100,000), with a substantial proportion of patients experiencing refractory or relapsed disease. Nearly 50% of patients relapse multiple times despite receiving first-line glucocorticoids, second-line CD20 monoclonal antibodies, and multiple conventional immunosuppressants, often becoming dependent on long-term drug therapy. As a result, patients with this otherwise benign disease frequently face a poor quality of life, complicated by thrombotic events, severe infections, and avascular necrosis of the femoral head, with disability or death occurring in 10–30% of cases. There is an urgent clinical need for innovative therapies capable of achieving durable, drug-free remissions.









