Cytokine Release Syndrome (CRS) is a side effect that can occur after certain myeloma treatments, particularly CAR T-cell therapy and bispecific antibodies. It happens when activated T cells release large amounts of immune chemicals, which can cause inflammation and potentially damage tissues.
Symptoms to watch for Show Full Answer
Cytokine Release Syndrome (CRS) is a side effect that can occur after certain myeloma treatments, particularly CAR T-cell therapy and bispecific antibodies. It happens when activated T cells release large amounts of immune chemicals, which can cause inflammation and potentially damage tissues.
Symptoms to watch for include:
- Fever and chills
- Low blood pressure
- Difficulty breathing
- Confusion or disorientation
- Impaired organ function The good news is that most cases of CRS are mild and manageable. Treatments are available to help control it, and medical teams at specialized centers are specifically trained to recognize and respond to CRS quickly.
Because of this risk, CAR T-cell therapy is only offered at certified treatment centers where staff are equipped to handle these reactions. Close monitoring is also required during the first few doses of bispecific antibodies for the same reason.
It's really important to discuss the risks and benefits of these therapies thoroughly with a doctor before starting treatment, so there are no surprises along the way.
August 24
It is no longer done here. It may be because there are better drug options. They will do 2, but very close together. I didn't produce enough to save any - only enough for 1 and a bit - so they gave it all to me. My brother had enough saved for 2, but he developed leukemia and it was not a consideration. His was a very unusual case. Perhaps they save them to test for others who need a donor? I'm not sure. I had my SCT the one time with no relapse since - 6.5 yrs - so, if I ever relapse, my doc will use a drug cocktail. Relapse is no longer inevitable and my doc doubts that I will. He is calling me "functionally cured".
We never know for certain, though!
September 1 (edited)