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Peer-Reviewed Publication
Leuk Lymphoma2026;1-10.July 28, 2026Journal Article

Real-world analyses of bispecific antibodies and CAR-T cell therapy in relapsed or refractory multiple myeloma: a global TriNetX discovery and contemporary validation cohort.

Theo Leitner1, Lorenz Oelschläger1,2,3, Francisco Henriquez Mosquera4, Christoph Schaefers5, Lisa Leypoldt5,6, Katja Weisel5, Nikolas von Bubnoff1, Markus Rückert4, Christoph Kimmich2,3, Helal Ahmed1,2,3,7, Jan Vorwerk1,8, Cyrus Khandanpour1,2,3
1Department of Hematology and Oncology, University Cancer Center Schleswig-Holstein (UCCSH), University Hospital Schleswig-Holstein (UKSH) and University of Luebeck, Luebeck, Germany.
2Department of Oncology and Hematology, Klinikum Oldenburg, Oldenburg, Germany.
3University Medicine Oldenburg, Carl von Ossietzky University, Oldenburg, Germany.
4TriNetX Oncology GmbH, Freiburg, Germany.
5Department of Hematology, Oncology, and Bone Marrow Transplantation with Section of Pneumology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
6Mildred Scheel Early Career Center, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
7Faculty of Medicine and Health Sciences, Amran University, Amran, Yemen.
8Detlef Zillikens Clinician Scientist Academy, University of Luebeck, Luebeck, Germany.

Abstract

Bispecific antibodies (BsAbs) and BCMA-directed CAR-T cell therapies have transformed late-line relapsed/refractory multiple myeloma (RRMM), yet real-world comparisons are confounded by treatment selection, line of therapy, and supportive care. We combined a global propensity-matched TriNetX discovery analysis with a contemporary, treatment-line-aware validation cohort. In TriNetX, 223,703 myeloma…

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