
Opinion|Videos|February 4, 2025
Strategic Use of Bispecific Antibodies in R/R MM
Panelists discuss at what line of therapy bispecific antibodies are considered in treatment decision-making, whether they are used earlier or later in the sequence, and the factors influencing that choice, including weighing bispecifics against other options like chimeric antigen receptor (chimeric antigen receptor) T or standard therapies. They also address the clinical and molecular factors that guide the selection between B-cell maturation antigen (BCMA)– and GPRC5D-targeting bispecifics and comment on the study exploring talquetamab as a bridging strategy before BCMA CAR T therapy, highlighting the potential impact of bispecifics in this treatment paradigm.
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Video content above is prompted by the following:
- At what line of therapy do you consider bispecific antibodies in your treatment decision-making? Are you using them earlier or later in the treatment sequence, and what factors influence that decision?
- How do you weigh bispecific antibodies against other treatment options like CAR T or other standard therapies?
- What clinical and molecular factors do you prioritize when choosing between BCMA- and GPRC5D-targeting bispecifics?
- Please comment on this study looking at talquetamab as a bridging strategy before BCMA CAR T-cell therapy, and the potential impact of bispecifics in this treatment paradigm
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Ralph V. Boccia, MD, FACP, discussed educating hospital teams and using tocilizumab to manage bispecific toxicities when patients need admission.

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Ralph V. Boccia, MD, FACP, noted how designated hospitals and a 24/7 on-call team support emergencies during bispecific step-up dosing.

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Ralph V. Boccia, MD, FACP, explained the caregiver’s role in monitoring and reporting during bispecific antibody step-up dosing.
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