Evidence map›Paper›PMID 40346049›Full record

ArticleBlood cancer journal2025

Outcomes of elderly patients with relapsed refractory multiple myeloma (RRMM) treated with teclistamab: a multicenter study from the U.S. Multiple Myeloma Immunotherapy Consortium.

Oren Pasvolsky, Danai Dima, Lei Feng, Wenli Dong, Tiffany Richards, James A Davis, Aimaz Afrough, Mariola Vazquez-Martinez, Aishwarya Sannareddy, Utkarsh Goel and 41 more

Abstract readMulticenter Study
In one paragraph

Article in Blood cancer journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Observational
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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

51 authors.

Oren Pasvolsky *MD Anderson Cancer Center, Houston, TX, USA. opasvolsky@mdanderson.org.ORCID http://orcid.org/0000-0001-9193-0059
Danai Dima *Fred Hutchinson Cancer Center, Seattle, WA, USA.
Lei Feng *MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-1165-8046
Wenli DongMD Anderson Cancer Center, Houston, TX, USA.
Tiffany RichardsMD Anderson Cancer Center, Houston, TX, USA.
James A DavisMedical University of South Carolina, Charleston, SC, USA.ORCID http://orcid.org/0000-0001-7978-1652
Aimaz AfroughMyeloma, Waldenstrom's, and Amyloidosis Program, Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0003-2645-8557
Mariola Vazquez-MartinezMoffitt Cancer Center, Tampa, FL, USA.ORCID http://orcid.org/0009-0007-2643-7840
Aishwarya SannareddyMyeloma, Waldenstrom's, and Amyloidosis Program, Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.
Utkarsh GoelCleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID http://orcid.org/0000-0003-1663-0325
Rahul BanerjeeFred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-3781-5441
Jack KhouriCleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-2473-6528
Frances CervoniMD Anderson Cancer Center, Houston, TX, USA.
Mahmoud R GaballaMD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-3928-6590
Alex Lieberman-CribbinMount Sinai School of Medicine, New York, NY, USA.
Masooma Shifa RanaStanford University, Palo Alto, CA, USA.
Kelley JulianHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0002-2111-2461
Christopher J FerreriAtrium Health Levine Cancer Institute, Wake Forest University School of Medicine, Charlotte, NC, USA.ORCID http://orcid.org/0000-0003-2997-4856
Leyla ShuneUniversity of Kansas Medical Center, Kansas City, KS, USA.
Shaun DeJarnetteUniversity of Kansas Medical Center, Kansas City, KS, USA.
Evguenia BhurtelUniversity of Kansas Medical Center, Kansas City, KS, USA.
Sandra Susanibar AdaniyaAbramson Cancer Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-0703-2518
Andrew PortugueseFred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-1010-4578
Hitomi HosoyaStanford University, Palo Alto, CA, USA.
Lekha MikkilineniStanford University, Palo Alto, CA, USA.
Gurbakhash KaurMyeloma, Waldenstrom's, and Amyloidosis Program, Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-2510-6536
Adriana RossiMount Sinai School of Medicine, New York, NY, USA.
Megan M HerrRoswell Park Comprehensive Cancer Center, Buffalo, NY, USA.ORCID http://orcid.org/0000-0001-5768-9396
Daniel SchrumDuke University Cancer Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0002-9779-2723
Chenyu LinDuke University Cancer Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0002-4542-4232
Shahzad RazaCleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-2739-2265
Yi LinDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-1556-6416
Shonali MidhaDana-Farber Cancer Institute, Boston, MA, USA.
Nadeem OmarDana-Farber Cancer Institute, Boston, MA, USA.
Shebli AtarshAtrium Health Levine Cancer Institute, Wake Forest University School of Medicine, Charlotte, NC, USA.ORCID http://orcid.org/0000-0003-4547-7534
Joseph McGuirkUniversity of Kansas Medical Center, Kansas City, KS, USA.ORCID http://orcid.org/0000-0002-0539-4796
Douglas SborovHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Peter VoorheesAtrium Health Levine Cancer Institute, Wake Forest University School of Medicine, Charlotte, NC, USA.ORCID http://orcid.org/0000-0003-1661-718X
Faiz AnwerCleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID http://orcid.org/0000-0001-6914-7439
Melissa AlsinaMoffitt Cancer Center, Tampa, FL, USA.
Ciara FreemanMoffitt Cancer Center, Tampa, FL, USA.
Alfred L GarfallAbramson Cancer Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2791-5748
Beatrice M RazzoAbramson Cancer Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Surbhi SidanaStanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-3288-7614
Andrew J CowanFred Hutchinson Cancer Center, Seattle, WA, USA.
Larry D AndersonMyeloma, Waldenstrom's, and Amyloidosis Program, Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-6531-9595
Doris K HansenMoffitt Cancer Center, Tampa, FL, USA.ORCID http://orcid.org/0000-0002-9813-3578
Shambavi RichardMount Sinai School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0003-0274-4292
Krina K PatelMD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-8894-027X
Hans C LeeMD Anderson Cancer Center, Houston, TX, USA. hclee@mdanderson.org.ORCID http://orcid.org/0000-0001-8545-3292
Ariel Grajales-CruzMoffitt Cancer Center, Tampa, FL, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
Survivorship in Patients with Multiple Myeloma Treated with Chimeric Antigen Receptor T-cell TherapyR01CA281756 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI Doris K Hansen, Laura B. Oswald · 2024 to 2026
$3.4M
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA281756U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) NCI Grant P30 CA016672U.S. Department of Health & Human Services | NIH | NIH Clinical Center (Clinical Center) NCI (R01CA281756-01A1)
6 · The paper itself

Abstract

Teclistamab, a BCMA-directed bispecific antibody, received regulatory approval for relapsed/refractory multiple myeloma (RRMM) based on the MajesTEC-1 study. Despite the fact that myeloma is primarily a cancer of elderly adults, only 15% of MajesTEC-1 participants (n = 24) were ≥75 years old. In this multicenter retrospective study, we report real-world outcomes of a large cohort of older RRMM patients treated with teclistamab. Of 385 analyzed patients, 83 (22%) were in the older group (age ≥75) and 302 (78%) in the younger group (age <75). Compared to the younger group, the older group had less adverse baseline disease characteristics, including a lower incidence of high-risk cytogenetics (44.6% vs. 57.9%, p = 0.03) and extramedullary disease (22% vs. 40%, p = 0.02). There were no significant differences in rates of any-grade CRS (52% vs. 59%, p = 0.27), any-grade ICANS (19% vs. 13%, p = 0.12), and overall response rate (62% vs. 53%, p = 0.17) between the older and younger groups. In multivariable analysis, age was not significantly associated with survival outcomes. Our findings suggest that teclistamab is safe and efficacious in well-selected patients ≥75 years old, and advanced age alone should not preclude teclistamab administration.

Indexed as

Antibodies, BispecificAntineoplastic Agents, ImmunologicalMultiple MyelomaAdultAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeUnited StatesAntibodies, BispecificAntineoplastic Agents, Immunological

Identifiers

PMID40346049
PMCPMC12064690

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Registered trials

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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.