Table 7.

Infections reported during treatment with BsAb therapy ([A] data from within clinical trials; [B] real-world data with more than 100 patients included) (Continued)

7B
Infection parameters (%) BCMA-directed BsAb—teclistamab and elranatamab (n = 200)56  GPRC5D-directed BsAb—talquetamab (n = 29)56  BCMA-directed BsAb—teclistamab (n = 123)70  BCMA-directed BsAb—teclistamab (n = 110)71  BCMA-directed BsAb—teclistamab (n = 106)72  
All grade 73 51 54 40 31 
Grades 3-4   29 26 14 
Infectious death 9a a NR   
Bacterial 56a a NR 48 41 
Viral 38a a NR 45 51 
Fungal 5a a NR 7 (3/5 patients PJPc
Parasites 1a a    
IVIG replacement NRb b NR 43d 41 
7B
Infection parameters (%) BCMA-directed BsAb—teclistamab and elranatamab (n = 200)56  GPRC5D-directed BsAb—talquetamab (n = 29)56  BCMA-directed BsAb—teclistamab (n = 123)70  BCMA-directed BsAb—teclistamab (n = 110)71  BCMA-directed BsAb—teclistamab (n = 106)72  
All grade 73 51 54 40 31 
Grades 3-4   29 26 14 
Infectious death 9a a NR   
Bacterial 56a a NR 48 41 
Viral 38a a NR 45 51 
Fungal 5a a NR 7 (3/5 patients PJPc
Parasites 1a a    
IVIG replacement NRb b NR 43d 41 

Of note, only reports with more than 100 patients are reported.

a

Not reported separately for BCMA- vs GPRC5D-targeting BsAbs.

b

Sixty-one percent of infections occurred in patients with HGG and 21% while receiving IVIG; not reported separately for BCMA- vs GPRC5D-targeting BsAbs.

c

All PJP cases occurred without primary PJP prophylaxis.

d

The cumulative incidence of infections of grade 3 and higher at 3 and 6 months was 17% in patients receiving IVIG prophylaxis vs 31% and 43%, respectively, without IVIG prophylaxis.

IVIG, intravenous immunoglobulins.

Adapted with permission from Kampouri et al.59 

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