Multi-specific binding proteins that bind to and kill human cancer cells expressing CD33 (Siglec-3) are described, as well as pharmaceutical compositions and therapeutic methods useful for the treatment of CD33 expressing cancer. The invention relates to multi-specific binding proteins that bind to human cancer cells expressing CD33, and exhibit high potency and maximum lysis of target cells compared to anti-CD33 monoclonal antibodies.本發明提供結合至且殺死表現CD33 (唾液酸結合免疫球蛋白樣凝集素-3 (Siglec-3))之人類癌細胞的多特異性結合蛋白,以及可用於治療表現CD33之癌症的醫藥組合物及治療方法。本發明係關於結合至表現CD33之人類癌細胞,且相較於抗CD33單株抗體展現對靶細胞之高效力及最大溶解的多特異性結合蛋白。