Clinical tumor lysis syndrome associated with elranatamab in relapsed multiple myeloma: a case report

Introduction: Multiple Myeloma (MM) is currently an incurable disease, with constant relapses and the need for multiple lines of treatment. Immune therapies, which include bispecific antibodies such as elranatamab, are a new option for the treatment of patients with relapsed/refractory MM (R/R MM),...

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Autores principales: Milanesio, Martín, Olmedo, Julieta, Caeiro, Gastón, Basquiera, Ana Lisa
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2026
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/49234
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Sumario:Introduction: Multiple Myeloma (MM) is currently an incurable disease, with constant relapses and the need for multiple lines of treatment. Immune therapies, which include bispecific antibodies such as elranatamab, are a new option for the treatment of patients with relapsed/refractory MM (R/R MM), with high effectiveness, but not free of adverse reactions. Tumor lysis syndrome (TLS) is a rare complication of MM treatment and has not been reported after application of elranatamab. Case Presentation: We report the case of a man with R/R MM who presented TLS after application of the first dose of elranatamab. The TLS resolved after supportive measures without subsequent recurrence. Conclusion: TLS is an uncommon complication of MM treatment and could be triggered by bispecific antibodies.