Real-world evaluation of teclistamab for the treatment of relapsed/refractory multiple myeloma (RRMM): an International Myeloma Working Group Study - Summary - MDSpire

Real-world evaluation of teclistamab for the treatment of relapsed/refractory multiple myeloma (RRMM): an International Myeloma Working Group Study

  • By

  • Carlyn Rose Tan

  • Sireesha Asoori

  • Chiung-Yu Huang

  • Larissa Brunaldi

  • Rakesh Popat

  • Efstathios Kastritis

  • Joaquin Martinez-Lopez

  • Radhika Bansal

  • Andre De Menezes Silva Corraes

  • Saurabh Chhabra

  • Ricardo Parrondo

  • Sikander Ailawadhi

  • Despina Fotiou

  • Meletios A. Dimopoulos

  • Kwee Yong

  • Catriona Mactier

  • Chris Lau

  • Magdalena Corona

  • Adolfo Jesús Sáez Marin

  • Hira Mian

  • Brian GM. Durie

  • Saad Z. Usmani

  • Thomas G. Martin

  • Yi Lin

  • April 3, 2025

  • 0 min

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Objective:

To evaluate the real-world safety and efficacy of teclistamab in patients with relapsed/refractory multiple myeloma (RRMM) treated outside of clinical trials, highlighting the importance of understanding outcomes in routine clinical practice.

Key Findings:
  • Overall response rate (ORR) was 67%, with 34% achieving very good partial response (VGPR) and 21% achieving complete response (CR), indicating significant efficacy.
  • 72.1% of patients experienced cytokine release syndrome (CRS), primarily grade ≤2, with no treatment discontinuations, highlighting manageable safety.
  • Infections occurred in 80% of patients, with 55.2% experiencing grade 3/4 infections, underscoring the need for vigilant monitoring.
Interpretation:

Teclistamab demonstrates promising efficacy in a real-world setting for heavily pretreated RRMM patients, although safety concerns, particularly regarding infections and CRS, remain significant and warrant careful monitoring.

Limitations:
  • The study is retrospective and may be subject to bias, potentially affecting the reliability of the findings.
  • A significant portion of patients did not meet eligibility criteria from the pivotal MajesTEC-1 study, which may limit generalizability.
Conclusion:

Teclistamab is effective in a diverse real-world population of RRMM patients, but careful monitoring for adverse events is essential, and further research is needed to validate these findings.

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