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September 17, 2026HematologyOpen Access

Teclistamab-associated adverse events: a disproportionality analysis of the FDA adverse event reporting system

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Authors

XHXiaoyu HeGCGang ChenZZZhengyu Zhan

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Overview

Pharmacovigilance study reveals high rates of serious infections and neurotoxicity with teclistamab, highlighting severe sepsis risks.

Key Points

  • To evaluate adverse event signals, onset timelines, and clinical priorities associated with teclistamab using post-marketing surveillance data.
  • Retrospective disproportionality analysis of FDA Adverse Event Reporting System (FAERS) reports from 2022 to 2025.
  • Calculated reporting odds ratio, proportional reporting ratio, Bayesian confidence propagation neural network, and multi-item gamma Poisson shrinker metrics alongside time-to-onset analyses.
  • Analyzed 2,631 teclistamab reports, finding serious outcomes in 85.2% and fatal outcomes in 21.7% of cases.
  • Identified 70 significant preferred-term signals (52 known, 18 novel), most frequently involving cytokine release syndrome, neurotoxicity syndrome, infection, pneumonia, pyrexia, and neutropenia.
  • Sepsis emerged as the single high-priority signal with a 58.57% fatality rate among sepsis-related reports, showing delayed onset relative to early immune-mediated toxicities.

Cite This Study

He et al. (2026) studied this question.

synapsesocial.com/papers/6aabb6725f706d05830e4ef5https://doi.org/10.1080/16078454.2026.2730041
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