- |||||||||| Review, Journal: Bispecific Antibodies in Hematologic Malignancies: Attacking the Frontline. (Pubmed Central) - Aug 2, 2025
Since blinatumomab's approval as the first bispecific antibody (BsAb) in cancer therapy, these immunomodulatory agents have achieved substantial success in lymphoid malignancies...In lymphoma, epcoritamab, glofitamab, and mosunetuzumab show proof-of-principle for complete remission (CR) without chemotherapy or cell-based treatment...In MM, teclistamab, talquetamab, and elranatamab achieve impressive CR rates in the relapsed setting and similarly, are being investigated in earlier line combinations and in precursor entities such as smoldering myeloma and monoclonal gammopathy of undetermined significance (MGUS). With a unique mechanism of action and continued testing in earlier lines, BsAbs are poised to be among the winners in the race to the frontline treatment of hematologic malignancies.
- |||||||||| Journal, Adverse events: Comprehensive assessment of adverse event profiles associated with bispecific antibodies in multiple myeloma. (Pubmed Central) - Aug 2, 2025
Among these, 1276 patients received BCMA BsAbs, 841 treated with GPRC5D/FcRH5 BsAbs, 157 received teclistamab + talquetamab, and 65 patients received a talquetamab + daratumumab, and 35 patients received talquetamab + pomalidomide...CRS and the need for tocilizumab were significantly less frequent with BCMA BsAbs vs GPRC5D/FcRH5 BsAbs, (P?<?0.002)...GPRC5D/FcRH5 are associated with less grade 3/4 hematologic toxicity whereas BCMA BsAbs were associated with lower grade 3/4 CRS rates, compared to GPRC5D/FcRH5. These insights are crucial for guiding treatment decisions and developing strategies to improve patient outcomes.
- |||||||||| Empliciti (elotuzumab) / AbbVie, BMS
Multiple Myeloma Unpacked () - Jun 16, 2025 - Abstract #ICML2025ICML_1265; P3 Abbreviations: DRd, daratumumab-lenalidomide-dexamethasone; DVMP, daratumumab-bortezomib-melphalan-prednisone; DVRd, daratumumab-bortezomib-lenalidomide-dexamethasone; DVTd, daratumumab-bortezomib-thalidomide-dexamethasone; IsaKRd, isatuximab-carfilzomib-lenalidomide-dexamethasone; IsaVRd, isatuximab-bortzezomib-lenalidomide-dexamethasone; KRd, carfilzomib-lenalidomide-dexamethasone; Rd, lenalidomide-dexamethasone; VMP, bortezomib-melphalan-prednisone; VRd, bortezomib-lenalidomide-dexamethasone; VTd, bortezomib-talidomide-dexamethasone...Abbreviations: Bela-Vd, belantamab mafodotin-bortezomib-dexamethasone; Cilta-cel, ciltacabtagene autoleucel; DKd, daratumumab-carfilzomib-dexamethasone; DPd, daratumumab-pomalidomide-dexamethasone; DVd, daratumumab-bortezomib-dexamethasone; Erd, elotuzumab-lenalidomide-dexamethasone; Ide-cel, idecabtagene vicleucel; IV, intravenously; Kd, carfilzomib-dexamethasone; MRD, minimal residual disease; NA, not available; ORR, overall response rate; Pd, pomalidomide dexamethasone; PFS, progression-free survival; PO, by mouth; PVd, pomalidomide-bortezomib-dexamethasone; Q2W, every 2 weeks; Q4W, every 4 weeks; QW, every week; RP2D, recommended phase 2 dose; SC, subcutaneously; SVd, selinexor-bortezomib-dexamethasone; TCR, triple class refractory; Vd, bortezomib-dexamethasone; XRd, ixazomib-lenalidomide-dexamethasone...Over the past year, two recent Phase III studies, DREAMM-7 [74] and DREAMM-8 [75], have shown a significant PFS benefit of belantamab in combination with either bortezomib or pomalidomide, respectively, as a second-line or later treatment...Two BCMA-targeting bispecific antibodies, teclistamab [82] and elranatamab [78], and a bispecific antibody targeting G protein-coupled receptor class C group 5 member D (GPRC5D), Talquetamab [83] have been approved for patients triple class exposed RRMM patients from fourth line...For example, anitocabtagene autoleucel (anito-cel) is a BCMA-directed CAR-T therapy that incorporates a D-domain binding motif, setting it apart from traditional BCMA CAR-T therapies, which rely on single-chain variable fragments for antigen recognition...Conversely, arlocabtagene autoleucel (arlo-cel) is an anti-GPC5RD CAR-T therapy that showed an ORR of 87% and a PFS of 18.3 months [89]...A phase I/II trial of Linvoseltamab showed promising efficacy, with a 71% overall response rate (ORR) and 50% achieving complete response at the 200 mg dose...With a different target, Cevostamab, an FcRH5/CD3 bispecific antibody, has demonstrated clinical activity in heavily treated MM patients in a phase I trial [93]. Additionally, trispecific antibodies (ISB 2001
- |||||||||| Talvey (talquetamab-tgvs) / J&J
Journal: EDE and EDE-Q: A Call for Field Wide International Collaboration When Revisiting a Classic, Commentary on Reilly et (Pubmed Central) - Jun 5, 2025 Trial completion date: Dec 2030 --> Oct 2025 In their 2025 article in the International Journal of Eating Disorders, Reilly, Gorrell, Chapa, Drury, Stalvey, Goldschmidt, and le Grange examine the widespread use of the Eating Disorder Examination (EDE) and its self-report version, the Eating Disorder Examination-Questionnaire (EDE-Q), in assessing eating disorder symptoms...Reilly et
- |||||||||| Talvey (talquetamab-tgvs) / J&J
OUTPATIENT STEP-UP DOSING AND SAFETY WITH TALQUETAMAB: A REAL-WORLD MAYO CLINIC STUDY (Poster Hall) - May 15, 2025 - Abstract #EHA2025EHA_3166; Patients receiving talquetamab SUD in the outpatient setting had few admissions on average with a short total LOS while maintaining a similar CRS profile to that previously shown for talquetamab. While further real-world research will provide additional insights into long-term talquetamab dosing in various settings, data from this study support the feasibility of outpatient talquetamab SUD administration.
- |||||||||| Tecvayli (teclistamab-cqyv) / Genmab, J&J, Talvey (talquetamab-tgvs) / J&J
IMAGE-BASED EX-VIVO IMMUNOTHERAPY SCREENING ASSAY PREDICTS RESPONSE TO BISPECIFIC T CELL ENGAGERS IN MULTIPLE MYELOMA PATIENTS (Poster Hall) - May 15, 2025 - Abstract #EHA2025EHA_3096; Mononuclear bone marrow cells were freshly isolated from MM patients (n = 31) followed by ex vivo treatment with Teclistamab and Talquetamab. Our findings highlight the value of an image-based immunotherapy screening assay by capturing the heterogeneity of T cell-mediated responses to BiTE therapy in MM and suggest that variations in T cell response dynamics may serve as a functional biomarker for clinical response, paving the way for improved patient stratification and treatment optimization.
- |||||||||| Talvey (talquetamab-tgvs) / J&J
TALQUETAMAB IMMUNOGENICITY AND IMPACT ON EXPOSURE, EFFICACY, AND SAFETY: ANALYSES FROM PATIENTS WITH RELAPSED/REFRACTORY MULTIPLE MYELOMA IN MONUMENTAL-1 (Poster Hall) - May 15, 2025 - Abstract #EHA2025EHA_2150; This abstract is embargoed until May 22, 2025 (23:00 CEST), until publication by the American Society of Clinical Oncology, Inc. for their 2025 ASCO Annual Meeting.This abstract is embargoed until Thursday, June 12, 2025, 08:00 CEST.Presentation during EHA2025: All (e)Poster presentations will be made available as of Thursday, June 12, 2025 (08:00 CEST) will be accessible for on-demand viewing from June 18 to August 15, 2025 on the Congress platform.
- |||||||||| Journal: Using bispecific antibodies in a patient with peritoneal dialysis for relapsed multiple myeloma. (Pubmed Central) - May 13, 2025
Following relapse, she was transitioned to elotuzumab, pomalidomide, and dexamethasone, then selinexor as a bridge to chimeric antigen receptor T-cell (CAR-T) therapy.DiscussionThis case demonstrates that BsAbs may be effective in RRMM patients on PD, though responses were transient. Further research is needed to explore BsAbs' pharmacokinetics, optimal dosing, and long-term outcomes in dialysis-dependent MM patients.
- |||||||||| Tecvayli (teclistamab-cqyv) / Genmab, J&J, Talvey (talquetamab-tgvs) / J&J
Trial completion date, Trial primary completion date: OPTec: Outpatient Administration of Teclistamab or Talquetamab for Multiple Myeloma (clinicaltrials.gov) - May 12, 2025 P2, N=75, Recruiting, Further research is needed to explore BsAbs' pharmacokinetics, optimal dosing, and long-term outcomes in dialysis-dependent MM patients. Trial completion date: Aug 2025 --> Mar 2026 | Trial primary completion date: Jul 2025 --> Feb 2026
- |||||||||| COMBINING BISPECIFICS AND RADIATION FOR REL/REF HEMATOLOGIC MALIGNANCIES: FRIEND OR FOE? (Exhibition Area) - May 4, 2025 - Abstract #ICML2025ICML_833;
We report our early experience using RT in combination with BsAbs, highlighting its safety, feasibility, and excellent local control rates, even in bulky sites. Longer follow-up with larger cohorts is needed to assess the durability of response and the dose-response relationship.
- |||||||||| Talvey (talquetamab-tgvs) / J&J
Recurrence of Multiple Myeloma Presenting as a Thyroid Plasmacytoma in a Patient with Long-standing Thyroid Nodules (ENDOExpo: Poster Area) - Apr 27, 2025 - Abstract #ENDO2025ENDO_2696; She then underwent interval treatment with Talquetamab, with resolution of metabolic activity in the thyroid.Discussion MM accounts for 80% of plasma cell malignancies, characterized by deposition of neoplastic plasma cells in the bone marrow as well as extramedullary sites (plasmacytoma)...A combination of both local disease control and systemic treatment of MM is required for remission. Our case highlights a rare endocrine complication of a well-known malignancy.
- |||||||||| Elrexfio (elranatamab-bcmm) / Pfizer, Tecvayli (teclistamab-cqyv) / Genmab, J&J, Talvey (talquetamab-tgvs) / J&J
Infectious complications in relapsed/refractory multiple myeloma patients treated with bispecific antibodies: Meta-analysis. () - Apr 23, 2025 - Abstract #ASCO2025ASCO_6266; While these therapeutic modalities demonstrate promising efficacy, oncologists, infectious disease physicians, and pharmacists need awareness of potential toxicities to establish strategies for infectious disease prevention and management to provide quality care. Infection related complications of teclistamab, talquetamab, and elranatamab, abridged.
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