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August 14, 2026Experimental Hematology and OncologyOpen Access

Long-term extended-interval teclistamab and talquetamab dosing without step-up dosing in previously treated multiple myeloma

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Authors

CBCallee BrooksLMLeslie MaderKKKathryn Kennedy

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Overview

Case series demonstrates safe extended-interval teclistamab and talquetamab without repeat step-up dosing in multiple myeloma, suggesting prolonged schedules remain feasible.

Key Points

  • To evaluate the safety and clinical outcomes of extending dosing intervals of teclistamab or talquetamab without repeating step-up dosing in patients with relapsed/refractory multiple myeloma.
  • Analyzed a clinical series of N=6 patients with relapsed/refractory multiple myeloma transitioned to extended dosing intervals (8–12 weeks) of teclistamab or talquetamab without step-up dosing re-escalation.
  • All patients had achieved at least a complete response prior to interval extension, which was initiated to manage late toxicities or maintain deep disease control.
  • Zero cases of cytokine release syndrome or neurotoxicity occurred across 23 extended-interval doses with a median duration of 77 days between doses, despite initial step-up toxicity rates of 83% for cytokine release syndrome and 17% for neurotoxicity.
  • All 6 patients maintained sustained, deep treatment responses and remained active on bispecific antibody therapy at the time of reporting.

Cite This Study

Brooks et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec71db70b84ec8b91338dhttps://doi.org/10.1186/s40164-026-00816-x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Optec/Optal: A phase 2 study to evaluate outpatient (OP), step-up administration of teclistamab (Tec) or talquetamab (Tal) with prophylactic tocilizumab (prophyToci) in patients (pts) with relapsed/refractory multiple myeloma (RRMM).2026 · 1 citations
  2. 2P38 | SAFETY AND EFFICACY OF TALQUETAMAB + TECLISTAMAB IN PATIENTS WITH RELAPSED/REFRACTORY MULTIPLE MYELOMA FROM PHASE 1b OF REDIRECTT-1: RESULTS WITH AN EXTENDED MEDIAN FOLLOW-UP OF 3 YEARS2026
  3. 3Bispecific antibodies in real-world care of multiple myeloma: Patient characteristics and healthcare resource utilization2025
  4. 4Ambulatory teclistamab administration in patients with relapsed/refractory multiple myeloma.2024 · 4 citations
  5. 5Sequential BCMA- and GPRC5D-targeted bispecific antibody therapy in multiple myeloma: Real-world outcomes and first report of dual bispecific antibody-refractory patients2025