06/19/2026
Systematic review and meta-analysis evaluated the frequency of second primary malignant neoplasms (SPMs) in patients receiving T-cell–engaging bispecific antibodies for B-cell non-Hodgkin lymphoma or multiple myeloma.
Across 20 studies including 2551 adults (median follow-up, 17.4 months), the pooled estimated frequency of reported SPMs was 3.5%, while frequencies of SPMs leading to treatment discontinuation and death were 2.2% and 1.4%, respectively. Most SPMs were nonmelanoma skin cancers or hematologic malignant neoplasms, and frequency did not differ significantly by underlying disease, follow-up duration, or baseline clinical features.
Heterogeneous definitions and inconsistent study reporting complicated risk estimation, highlighting the need for strengthened, standardized long-term surveillance of T-cell–engaging bispecific antibody therapies.
https://ja.ma/4ewzWrD