Evidence map›Paper›PMID 40590849›Full record

ArticleBlood advances2025

Tocilizumab prophylaxis for patients with multiple myeloma treated with bispecific antibodies.

Andrew Kowalski, Jill Lykon, Benjamin Diamond, David Coffey, Marcella Kaddoura, Francesco Maura, James Hoffman, Abhishek Pandey, Dickran Kazandjian, Ola Landgren

Abstract read
In one paragraph

Article in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Elranatamab: A novel B-cell maturation T-cell engager.Human vaccines & immunotherapeutics · 2026
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  17. CAR T cell engineering approaches to minimise toxicities.Experimental biology and medicine (Maywood, N.J.) · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andrew KowalskiMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
Jill LykonMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0009-0007-2298-7829
Benjamin DiamondMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0002-8638-9365
David CoffeyMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0003-3544-8836
Marcella KaddouraMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
Francesco MauraMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
James HoffmanMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
Abhishek PandeyMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0009-0001-7766-5831
Dickran KazandjianMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.
Ola LandgrenMyeloma Division, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL.ORCID 0000-0001-6485-4839

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractBispecific antibodies for treatment for multiple myeloma are highly effective but commonly cause cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). Emerging data indicate that prophylactic tocilizumab may reduce CRS, without impacting efficacy. We administered a single dose of tocilizumab before the first dose of bispecific antibodies to 119 patients to determine the impact on CRS in a real-world setting including B-cell maturation antigen × CD3- and G-protein-coupled receptor class C group 5 member D × CD3-targeted antibodies. The best overall response rate was 65.7% (binomial 95% confidence interval [CI], 55.8-74.7). We observed a low overall rate of CRS (10.1%; 95% CI, 5.3-17). For teclistamab, elranatamab, linvoseltamab, and talquetamab individually, the CRS rate was 8.9%, 12.5%, 0%, and 13%, respectively. The overall rate of ICANS (5.9%; 95% CI, 2.4-11.7) was low but similar to rates without prophylactic tocilizumab. CRS was limited to grade 1 for 10 of 12 events. There were no grade 3 CRS events, and no additional doses of tocilizumab or corticosteroids were given for CRS. Our real-world evidence results suggest that tocilizumab may be effective as a preventive, rather than reactive, measure to prevent CRS without compromising efficacy.

Indexed as

Antibodies, BispecificAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalMultiple MyelomaAdultAgedAged, 80 and overCytokine Release SyndromeFemaleHumansMaleMiddle AgedTreatment OutcomeAntibodies, BispecificAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunologicaltocilizumab

Identifiers

PMID40590849
PMCPMC12514479

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.