Prophylactic tocilizumab to prevent cytokine release syndrome (CRS) with teclistamab: A single-center experience - Takeaways - MDSpire

Prophylactic tocilizumab to prevent cytokine release syndrome (CRS) with teclistamab: A single-center experience

  • By

  • Sara A. Scott

  • Ellen M. Marin

  • Kathryn T. Maples

  • Nisha S. Joseph

  • Craig C. Hofmeister

  • Vikas A. Gupta

  • Madhav V. Dhodapkar

  • Jonathan L. Kaufman

  • Sagar Lonial

  • Ajay K. Nooka

  • December 20, 2023

  • 0 min

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  • 1

    Teclistamab is a bispecific antibody approved for relapsed/refractory multiple myeloma, showing a 63% overall response rate in clinical trials.

  • 2

    Prophylactic tocilizumab reduced the incidence of cytokine release syndrome (CRS) from 73.3% to 26.3% in patients receiving teclistamab.

  • 3

    The median duration of CRS in the prophylactic cohort was 1 day, with most events being grade 1, indicating reduced severity.

  • 4

    Prophylactic tocilizumab did not increase the incidence of grade 3 or 4 neutropenia compared to the MajesTEC-1 trial.

  • 5

    These findings support the safe outpatient administration of teclistamab while effectively managing CRS in heavily pre-treated patients.

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