Original Investigation

Second Primary Malignant Neoplasms After T-Cell–Engaging Bispecific Antibody Therapy

JAMA Oncology 10.1001/jamaoncol.2026.1859

June 18, 2026 at 11:00 AM EDT

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What is the frequency of second primary malignant neoplasms (SPMs) in patients receiving T-cell–engaging bispecific antibodies for B-cell lymphoma or multiple myeloma?In this systematic review and meta-analysis of 20 studies (26 cohorts; 2551 patients) with a median follow-up of 17.4 months, pooled SPM frequencies were 3.5% for total SPMs reported, 2.2% for SPMs leading to treatment discontinuation, and 1.4% for SPMs reported as causes of death.SPMs are a measurable complication in patients with lymphoma or myeloma receiving bispecific antibodies, but their frequency is challenging to estimate due to heterogeneous outcome definitions and inconsistent reporting, supporting the need for standardized long-term safety surveillance.

Corresponding Author: Roni Shouval, MD, PhD, Precision Cellular Therapy Laboratory, Adult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY 10065 (shouvalr@mskcc.org).

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