Table 3.

Bispecific antibodies vs CAR T-cell therapy

Bispecific antibodyCAR T-cell
Approved product Teclistimab Ide-cel and Cilta-cel 
Efficacy +++ ++++ 
CRS ++ +++ 
Neurotoxicity ++ 
Infections +++ +++ 
How given IC/SC every 1-4 weeks continuous Only once 
Availability Off-the-shelf Limited 
Need for bridging No Often 
Where given Specialized center, Community possible Specialized center 
Unfit patient Possible Challenging 
Bispecific antibodyCAR T-cell
Approved product Teclistimab Ide-cel and Cilta-cel 
Efficacy +++ ++++ 
CRS ++ +++ 
Neurotoxicity ++ 
Infections +++ +++ 
How given IC/SC every 1-4 weeks continuous Only once 
Availability Off-the-shelf Limited 
Need for bridging No Often 
Where given Specialized center, Community possible Specialized center 
Unfit patient Possible Challenging 

CAR, chimeric antigen receptor; CRS, cytokine release syndrome; IV, intravenous; SQ, subcutaneous.

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