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Does ciltacabtagene autoleucel have a future in multiple myeloma?
Nature Reviews Clinical Oncology, Published online: 08 June 2026; doi:10.1038/s41571-026-01159-6Ciltacabtagene autoleucel (cilta-cel) has transformed the outcomes of patients with relapsed or refractory multiple myeloma, yet its toxicity profile — spanning acute and delayed-onset neurotoxicity, secondary malignancies, immune effector-cell colitis, infections and prolonged cytopenias — has emerged slowly. As safer alternatives become available, the risk–benefit calculus for cilta-cel demands urgent reassessment, particularly in earlier lines of therapy.