Biotle Announces First Patient Dosed with BTL-101, Marking Formal Entry into Clinical Development
HANGZHOU, China — June 22, 2026 — Biotle today announced that BTL-101, the company’s in-house developed fully human BCMA × GPRC5D × CD3 trispecific T-cell engager, has completed dosing of the first patient with relapsed or refractory multiple myeloma (RRMM).
This milestone follows the oral presentation of BTL-101 preclinical data at the European Hematology Association Annual Congress (EHA 2026), marking the molecule’s formal transition from laboratory research into clinical evaluation in humans.
From EHA Oral Presentation to First Patient Dosing
Multiple myeloma (MM) is a common hematologic malignancy. In recent years, BCMA-targeted CAR-T therapies and bispecific antibodies have significantly reshaped the treatment landscape for RRMM. However, single-target approaches continue to face challenges including tumor antigen heterogeneity, low BCMA expression, antigen escape, competitive binding from soluble BCMA (sBCMA), and limited activity in extramedullary disease.
BTL-101 was designed to address these clinical challenges. Built on Biotle’s proprietary TriMETM platform and using a fully human, internally developed CD3 antibody backbone, BTL-101 simultaneously targets the two myeloma-associated antigens BCMA and GPRC5D. The molecule is intended to improve tumor-recognition precision while optimizing CD3-mediated T-cell activation to achieve more durable and controllable antitumor activity with lower cytokine release.
In the EHA 2026 oral presentation, Biotle presented a comprehensive preclinical data package for BTL-101, including molecular design, binding kinetics, in vitro killing activity and cytokine-release profile, activity under sBCMA challenge, in vivo efficacy, and strong CMC attributes. The full data package provides a solid foundation for the subsequent Phase I/II clinical study.
Differentiated Design to Address Next-Generation Relapse and Resistance Challenges
BTL-101 adopts an IgG-like, Fab-based 2+1 trispecific antibody structure and a common-light-chain design to reduce light-chain mispairing risk. The design supports molecular stability, developability, and CMC manufacturability, laying a strong foundation for future clinical development and scale-up manufacturing.
The core design concept can be summarized across four dimensions:
- Dual-antigen anchoring: Simultaneous binding to BCMA and GPRC5D is designed to address tumor antigen heterogeneity and single-target escape.
- Fine-tuned CD3ε affinity: Through optimization of affinity and dissociation kinetics, the CD3 antibody is designed for “fast-on, fast-off” binding to enhance tumor-directed T-cell redirection while reducing the CRS risk associated with excessive activation.
- Resistance to sBCMA interference: Preclinical studies showed that BTL-101 maintains killing activity even in the presence of high concentrations of soluble BCMA.
- IgG-like and common-light-chain developability design: Favorable CMC characteristics support development of high-concentration formulations and subcutaneous administration.
First Patient Dosing Marks a Key Step Forward
The first patient dosing of BTL-101 marks substantial progress in Biotle’s clinical development of a next-generation trispecific T-cell engager. The Phase I/II study will comprehensively evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity of BTL-101 in patients with RRMM.
“From the EHA oral presentation to the first patient dosing, this is an important achievement made possible by the collective efforts of our team. Through the clinical development of BTL-101, we aim to explore the therapeutic potential of next-generation trispecific TCEs in relapsed or refractory multiple myeloma, particularly for real-world clinical challenges such as antigen heterogeneity, relapse after BCMA-targeted therapy, sBCMA competitive binding, and extramedullary disease. We sincerely thank the investigators, clinical centers, partners, and team members for their contributions, and we are especially grateful to the patients and their families for their trust in participating in this study. We look forward to BTL-101 potentially bringing a new treatment option to patients with relapsed or refractory multiple myeloma as early as possible.”
— Dr. Jiansong Yang, Founder and Chief Executive Officer of Biotle
About BTL-101
BTL-101 is Biotle’s in-house developed fully human BCMA × GPRC5D × CD3 trispecific T-cell engager for the treatment exploration of relapsed or refractory multiple myeloma. By simultaneously binding BCMA and GPRC5D on tumor cells and CD3ε on T cells, BTL-101 mediates targeted tumor-cell killing. BTL-101 is currently in clinical development, and its safety and efficacy remain to be further validated.
About Biotle
Biotle is an innovative biopharmaceutical company focused on next-generation antibody medicines and clinical translation. Its core TriMETM platform focuses on the modular design of trispecific T-cell engagers and aims to achieve improved targeting, developability, and translational efficiency through fully human, IgG-like molecular structures, covering oncology and autoimmune diseases.
Website: www.biotle.com