Explore the safety considerations and unique toxicities of bispecific antibodies, including cytokine release syndrome and neurotoxicity management.
In this episode, experts outline key safety considerations and practical workflows for administering bispecific antibodies in clinical practice. Panelists emphasize that cytokine release syndrome and neurotoxicity associated with bispecific therapies are generally less severe than what is seen with CAR T cells. They stress the importance of educating clinicians and caregivers so that common symptoms, such as fever, are managed promptly using established pathways similar to those used for sepsis or febrile neutropenia. Infection risk is described as a major ongoing concern, with experts highlighting the need for early IVIG use and coordinated handoffs between academic centers and community practices to avoid gaps in monitoring. They also discuss the challenges community clinics face when initiating bispecific therapy, noting that once patients complete step-up dosing, toxicity risk decreases significantly, making transition of care more feasible. Overall, the discussion focuses on building systems that support safe, widespread use of these therapies.