Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma

In the past few years, a new promising therapy, called bispecific T-cell engager (TCE), has been developed and is now available in many countries for patients with relapsed or refractory multiple myeloma. T-cell engagers are associated with sustained efficacy and progression-free survival benefits i...

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Main Authors: Andrée-Anne Pelland, Mathilde Dumas, Émilie Lemieux-Blanchard, Richard LeBlanc, Julie Côté, Jean-Samuel Boudreault, Dominic Duquette, Rayan Kaedbey, Marc Lalancette, Frédéric Larose, Anna Nikonova, Michel Pavic, April Shamy, Jean Roy, Michael Sebag, Sabrina Trudel, Jean-Sébastien Claveau
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Current Oncology
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Online Access:https://www.mdpi.com/1718-7729/32/4/238
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author Andrée-Anne Pelland
Mathilde Dumas
Émilie Lemieux-Blanchard
Richard LeBlanc
Julie Côté
Jean-Samuel Boudreault
Dominic Duquette
Rayan Kaedbey
Marc Lalancette
Frédéric Larose
Anna Nikonova
Michel Pavic
April Shamy
Jean Roy
Michael Sebag
Sabrina Trudel
Jean-Sébastien Claveau
author_facet Andrée-Anne Pelland
Mathilde Dumas
Émilie Lemieux-Blanchard
Richard LeBlanc
Julie Côté
Jean-Samuel Boudreault
Dominic Duquette
Rayan Kaedbey
Marc Lalancette
Frédéric Larose
Anna Nikonova
Michel Pavic
April Shamy
Jean Roy
Michael Sebag
Sabrina Trudel
Jean-Sébastien Claveau
author_sort Andrée-Anne Pelland
collection DOAJ
description In the past few years, a new promising therapy, called bispecific T-cell engager (TCE), has been developed and is now available in many countries for patients with relapsed or refractory multiple myeloma. T-cell engagers are associated with sustained efficacy and progression-free survival benefits in patients with heavily treated myeloma. However, complications such as cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and infections complicate their administration, particularly in remote centers. This review discusses the key requirements for delivering TCEs therapies, focusing on outpatient delivery. We also outline the primary acute and chronic complications of TCE therapy and their management.
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publishDate 2025-04-01
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series Current Oncology
spelling doaj-art-4c76ab4e0be840e3ba1aac8204a01ebe2025-08-20T03:13:49ZengMDPI AGCurrent Oncology1198-00521718-77292025-04-0132423810.3390/curroncol32040238Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple MyelomaAndrée-Anne Pelland0Mathilde Dumas1Émilie Lemieux-Blanchard2Richard LeBlanc3Julie Côté4Jean-Samuel Boudreault5Dominic Duquette6Rayan Kaedbey7Marc Lalancette8Frédéric Larose9Anna Nikonova10Michel Pavic11April Shamy12Jean Roy13Michael Sebag14Sabrina Trudel15Jean-Sébastien Claveau16BC Cancer, Vancouver, BC V5Z 4E6, CanadaHôpital Maisonneuve-Rosemont, Montréal, QC H1T 2M4, CanadaCentre Hospitalier de l’Université de Montréal (CHUM), Montréal, QC H2X 3E4, CanadaHôpital Maisonneuve-Rosemont, Montréal, QC H1T 2M4, CanadaCentre Hospitalier Universitaire de Québec (CHU), Québec, QC G1V 0E8, CanadaHôpital du Sacré-Cœur de Montréal, Montréal, QC H4J 1C5, CanadaCentre Hospitalier Universitaire de Québec (CHU), Québec, QC G1V 0E8, CanadaJewish General Hospital, Montréal, QC H3T 1E2, CanadaCentre Hospitalier Universitaire de Québec (CHU), Québec, QC G1V 0E8, CanadaHôpital Hôtel-Dieu de Lévis, Lévis, QC G6V 3Z1, CanadaMcGill University Health Center (CUSM), Montréal, QC H3A 0G4, CanadaCentre Hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC J1H 5H3, CanadaJewish General Hospital, Montréal, QC H3T 1E2, CanadaHôpital Maisonneuve-Rosemont, Montréal, QC H1T 2M4, CanadaMcGill University Health Center (CUSM), Montréal, QC H3A 0G4, CanadaHôpital Charles-Le Moyne, Greenfield Park, QC J4V 2H1, CanadaHôpital Maisonneuve-Rosemont, Montréal, QC H1T 2M4, CanadaIn the past few years, a new promising therapy, called bispecific T-cell engager (TCE), has been developed and is now available in many countries for patients with relapsed or refractory multiple myeloma. T-cell engagers are associated with sustained efficacy and progression-free survival benefits in patients with heavily treated myeloma. However, complications such as cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and infections complicate their administration, particularly in remote centers. This review discusses the key requirements for delivering TCEs therapies, focusing on outpatient delivery. We also outline the primary acute and chronic complications of TCE therapy and their management.https://www.mdpi.com/1718-7729/32/4/238bispecific antibodiesmultiple myelomatargeted immunotherapytoxicity
spellingShingle Andrée-Anne Pelland
Mathilde Dumas
Émilie Lemieux-Blanchard
Richard LeBlanc
Julie Côté
Jean-Samuel Boudreault
Dominic Duquette
Rayan Kaedbey
Marc Lalancette
Frédéric Larose
Anna Nikonova
Michel Pavic
April Shamy
Jean Roy
Michael Sebag
Sabrina Trudel
Jean-Sébastien Claveau
Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma
Current Oncology
bispecific antibodies
multiple myeloma
targeted immunotherapy
toxicity
title Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma
title_full Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma
title_fullStr Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma
title_full_unstemmed Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma
title_short Perspectives on Outpatient Delivery of Bispecific T-Cell Engager Therapies for Multiple Myeloma
title_sort perspectives on outpatient delivery of bispecific t cell engager therapies for multiple myeloma
topic bispecific antibodies
multiple myeloma
targeted immunotherapy
toxicity
url https://www.mdpi.com/1718-7729/32/4/238
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