Evidence map›Paper›PMID 42499150›Full record

ArticleAmerican journal of hematology2026

Cardiovascular Toxicity Associated With Bispecific Antibodies in Hematological Malignancies: A Comprehensive Pharmacovigilance Analysis.

Malak Munir, Ahmed Sayed, Dae Hyun Lee, Sanam Ghazi, Mustafa M Houmsse, Saad Badat, Abdul Moeed, Avirup Guha, Daniel Addison, Narendranath Epperla

Abstract read
In one paragraph

Article in American journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Malak MunirDepartment of Medicine, Rochester General Hospital, Rochester, New York, USA.ORCID https://orcid.org/0000-0002-7306-8677
Ahmed SayedDepartment of Medicine, Rochester General Hospital, Rochester, New York, USA.
Dae Hyun LeeDivision of Cardiovascular Medicine, Thalheimer Center for Cardio-Oncology, University of Pennsylvania Medicine, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-8141-0404
Sanam GhaziCardio-Oncology Program, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-7205-1427
Mustafa M HoumsseCardio-Oncology Program, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-9014-8978
Saad BadatCardio-Oncology Program, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0009-0003-9876-8703
Abdul MoeedCardio-Oncology Program, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Avirup GuhaDivision of Cardiology, Department of Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.ORCID https://orcid.org/0000-0003-0253-1174
Daniel AddisonCardio-Oncology Program, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Narendranath EpperlaDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-8216-3457

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular adverse events (CVAEs) associated with bispecific T-cell engaging antibodies (BsAbs) have not been systematically investigated across approved agents. In this disproportionality analysis of FAERS (December 2014-September 2025), reports listing BsAbs as the primary suspected drug (n = 7647) were compared with all other drugs in the database (N = 7 289 316) and appropriate active comparators. Adjusted reporting odds ratios (aRORs) were estimated using multivariable logistic regression, adjusting for age, sex, cardiovascular comorbidity, disease, and concomitant cardiotoxic medications. Among 7647 BsAb-associated reports (median age: 60 [36-71] years; 44.6% female), 1408 (18.4%) involved a CVAE and 447 (5.8%) were fatal. BsAbs showed increased reporting of DIC (aROR: 4.35 [3.18-5.96]; n = 49), hypotension (1.61 [1.38-1.89]; n = 181), and fatal CVAEs (1.63 [1.47-1.80]; n = 447). MM-directed BsAbs were associated with shock (2.09 [1.65-2.66]) and myocarditis (3.68 [1.49-9.10]). Blinatumomab was associated with DIC (4.41 [3.05-6.37]) and hypotension (1.46 [1.18-1.81]). Teclistamab showed the strongest myocarditis signal (5.95 [2.16-16.43]; n = 4). Mosunetuzumab showed increased reporting of atrial fibrillation (2.25 [1.15-4.38]) and supraventricular tachycardia (2.21 [1.17-4.15]). CVAEs occurred earlier than non-CVAEs (median 7 vs. 15 days; p < 0.001). The majority of hypotension (56.4%) and heart failure (44.2%) reports occurred independently of both CRS and infection. Case fatality proportions for shock (60.1%), DIC (51.0%), and heart failure (48.1%) exceeded those for CRS (24.3%). BsAb-associated cardiovascular signals, particularly DIC, hemodynamic events, and fatal CVAEs, varied by agent and target antigen. These findings support the need for cardiovascular-specific monitoring during therapy.

Indexed as

Antibodies, BispecificAntineoplastic Agents, ImmunologicalCardiovascular DiseasesHematologic NeoplasmsAdultAgedCardiotoxicityFemaleHumansMaleMiddle AgedPharmacovigilanceAntibodies, BispecificAntineoplastic Agents, Immunologicalbispecific antibodiescardiovascular toxicitycytokine release syndromeFAERShematologic malignanciespharmacovigilance

Identifiers

PMID42499150
PMCPMC13540327

What Socratic holds

Textmetadata
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.