Second Primary Malignant Neoplasms After T-Cell–Engaging Bispecific Antibody Therapy
JAMA Oncology 10.1001/jamaoncol.2026.1859June 18, 2026 at 11:00 AM EDT
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.
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