• A real-world study comparing CAR T-cell therapies (ide-cel and cilta-cel) to the bispecific antibody teclistamab in multiple myeloma patients showed improved overall survival with CAR T.
• The CAR T cohort experienced a lower mortality rate (20%) compared to the teclistamab cohort (30%) after one year of follow-up, with a hazard ratio of 0.62 (95% CI, 0.38-0.99).
• While CAR T therapy was associated with a higher risk of cytokine release syndrome (CRS), no significant differences in neurotoxicity were observed between the two treatment approaches.
• The study suggests that upfront BCMA-targeted CAR T-cell therapy may improve survival outcomes, especially in older, transplant-ineligible patients with multiple myeloma.