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. 2023 Mar 1;14(2):163–171. doi: 10.6004/jadpro.2023.14.2.7

Table 4. Management of Neurologic Toxicity (Excluding ICANS).

Adverse reaction Severity Actions
Neurologic toxicity (excluding ICANS) Grade 1
  • Withhold teclistamab-cqyv until neurologic toxicity symptoms resolve or stabilize.

Grade 2
Grade 3 (first occurrence)
  • Withhold teclistamab-cqyv until neurologic toxicity symptoms improve to grade 1 or less.

  • Provide supportive therapy.

Grade 3 (recurrent)
Grade 4
  • Permanently discontinue teclistamab-cqyv.

  • Provide supportive therapy, which may include intensive care.

Note. Adverse events grading according to the National Cancer Institute Common Terminology Criteria for Adverse Events (version 4.03). ICANS = immune effector cell–associated neurotoxicity syndrome. Information from Janssen Biotech, Inc. (2022).