BioCentury
ARTICLE | Product Development

Autoimmune T cell engagers diverge from their oncology roots

As the pipeline expands, developers are splitting between modified cancer assets and autoimmune-first formats

April 16, 2026 11:54 PM UTC
Updated on Apr 17, 2026 at 5:26 AM UTC

A burst of deals last month gave T cell engagers new credibility as a potential modality for B cell depletion in autoimmune diseases, with the promise of greater efficacy than mAbs and less manufacturing complexity than CAR Ts. But clinical evidence for that proposition is still sparse.

As biopharmas reposition T cell-engaging multispecifics from cancer to autoimmunity, the question is whether modified dosing strategies and other safety measures will be enough, or whether fit-for-purpose therapies will be needed...