Cytomegalovirus reactivation during treatment with bispecific antibodies for relapsed/refractory multiple myeloma - Takeaways - MDSpire

Cytomegalovirus reactivation during treatment with bispecific antibodies for relapsed/refractory multiple myeloma

  • By

  • Eric Jurgens

  • Tala Shekarkhand

  • Colin Rueda

  • David Nemirovsky

  • Andriy Derkach

  • Ross S. Firestone

  • Kevin Miller

  • Bruno Almeida Costa

  • Sridevi Rajeeve

  • Alexander M. Lesokhin

  • Neha Korde

  • Carlyn R. Tan

  • Hamza Hashmi

  • Hani Hassoun

  • Kylee Maclachlan

  • Urvi A. Shah

  • Malin Hultcrantz

  • Issam Hamadeh

  • Sergio A. Giralt

  • Gunjan L. Shah

  • Heather J. Landau

  • Michael Scordo

  • Saad Z. Usmani

  • Sham Mailankody

  • Zainab Shahid

  • November 1, 2025

  • 0 min

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  • 1

    Bispecific antibodies (BsAbs) show significant efficacy in treating relapsed/refractory multiple myeloma, but infectious complications are common.

  • 2

    Cytomegalovirus (CMV) reactivation occurs in 8% of patients receiving BsAbs, with some studies reporting rates as high as 49%.

  • 3

    In a study of 85 CMV seropositive patients, the cumulative incidence of CMV reactivation was 36% by Day 180 of BsAb therapy.

  • 4

    Four patients developed clinically significant CMV infections, with treatment initiated a median of 85.5 days after starting BsAb therapy.

  • 5

    Steroid treatment for cytokine release syndrome increased the risk of CMV detection, but baseline characteristics did not predict CMV reactivation.

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