Evidence map›Paper›PMID 40187754›Full record

ArticleJournal for immunotherapy of cancer2025

Characteristics of second primary malignancies following bispecific antibodies therapy.

Xiaojie Liang, Baiwei Luo, Bingyu Lin, Dan Liu, Jia Guo, Weixiang Lu, Shengyu Tian, Zihong Cai, Xinyu Zhou, Zhihao Jin and 4 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
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

14 authors.

Xiaojie Liang *Department of Hematology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0003-4135-3155
Baiwei Luo *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-0374-5724
Bingyu Lin *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0002-3284-5887
Dan LiuDepartment of Radiology, Shunde Hospital, Southern Medical University, Foshan, China.ORCID http://orcid.org/0009-0004-0858-0561
Jia GuoDepartment of Hematology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0009-0000-6770-7359
Weixiang LuDepartment of Hematology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0009-0001-1034-7425
Shengyu TianDepartment of Hematology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0009-0009-6374-1096
Zihong CaiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0005-4848-9508
Xinyu ZhouThe First School of Clinical Medicine, Guangdong Medical University, Zhanjiang, China.ORCID http://orcid.org/0009-0004-5342-4664
Zhihao JinThe First School of Clinical Medicine, Guangdong Medical University, Zhanjiang, China.ORCID http://orcid.org/0009-0003-9804-9549
Tong LiStomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0009-0003-8963-405X
Keren ChenDepartment of General Medicine, Maoming People's Hospital, Maoming, China.ORCID http://orcid.org/0000-0002-2386-3541
Hongsheng ZhouDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China wangliangtrhos@126.com hanson_tcm@126.com.ORCID http://orcid.org/0000-0002-4888-7021
Liang WangDepartment of Hematology, Beijing Tongren Hospital, Capital Medical University, Beijing, China wangliangtrhos@126.com hanson_tcm@126.com.ORCID http://orcid.org/0000-0001-6140-914X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of secondary primary malignancies (SPMs) associated with bispecific antibody (BsAb)-a promising alternative to chimeric antigen receptor (CAR)-T therapy-remains insufficiently explored.

methodsUsing large-scale, real-world data from the US Food and Drug Administration's Adverse Event Reporting System, we identified the relative frequency and characteristics of SPMs following BsAbs therapy and conducted a comprehensive comparison of treatment-related SPM profiles between BsAbs and CAR-T therapies.

resultsWe identified 108 cases among 10,280 BsAb-treated patients. The incidence risk of SPMs was stable over the past 8 years, accounting for 1-2% of all adverse events, with a case fatality rate of 29.63% among the SPM cases. Myeloid leukemias and non-Hodgkin's lymphoma were more frequent in blinatumomab recipients, while solid malignancies predominated in those treated with teclistamab. Time-to-onset (TTO) was significantly shorter in BsAb recipients compared with non-recipients, with weight and treatment duration influencing TTO, while no significant differences in TTO were observed across different BsAb products, ages, and genders. Our findings highlight the first year of BsAbs as a critical window for early detection and intervention. Although the overall risk of SPMs was lower with BsAbs than with CAR-T, the outcomes of SPMs were comparable in both groups. TTO and SPM patterns were statistically similar between the two therapies.

conclusionOur study provides the first detailed characterization of SPMs post-BsAb, underscoring the need for continued pharmacovigilance and individualized risk management to mitigate SPM risks in patients undergoing BsAb therapy.

Indexed as

Antibodies, BispecificNeoplasms, Second PrimaryAdultAgedFemaleHumansMaleMiddle AgedYoung AdultAntibodies, BispecificBispecific T cell engager - BiTEChimeric antigen receptor - CARImmunotherapySecondary malignancyTreatment related adverse event - trAE

Identifiers

PMID40187754
PMCPMC11973794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.