Developing a System-Wide Protocol for Talquetamab Toxicity Management
Panelists discuss how health care providers can develop comprehensive management protocols for talquetamab-related toxicities by consulting with specialists, gathering patient feedback, and creating detailed handouts that empower patients to proactively manage adverse effects before they begin treatment.
EP: 1.Alan's Multiple Myeloma Journey: Facing a New Diagnosis
EP: 2.Connecting With Multiple Myeloma Support Groups and Online Resources
EP: 3.Alan's Treatment Course and Quality-of-Life Goals
EP: 4.Coordinated Health Care Teams and Caregiver Support
EP: 5.Extending Talquetamab Education Beyond the Hospital
EP: 6.Addressing Early Talquetamab Toxicity Concerns
EP: 7.Developing a System-Wide Protocol for Talquetamab Toxicity Management
EP: 8.Practical Tips for Managing Nail and Skin Changes While Receiving Talquetamab
EP: 9.Managing Taste Changes and Weight Loss During Talquetamab Treatment
EP: 10.Advice for the Patient Starting Treatment With Talquetamab
EP: 11.Advice for the Caregiver: Be a Patient Advocate
EP: 12.Addressing Common Talquetamab Misunderstandings
Samantha Shenoy, NP, MSN, developed a comprehensive toxicity management protocol based on 5 years of clinical experience with patients on talquetamab, beginning with clinical trial participants. The protocol evolved through consultation with dermatologists, dietitians, colleagues at other institutions, and direct patient feedback about effective management strategies. This collaborative approach resulted in a 3- to 4-page handout covering taste changes, dry mouth, skin changes, nail changes, and weight loss management.
The handout provides practical, actionable recommendations organized by toxicity type, including specific product recommendations for managing each adverse effect category. For skin toxicities, recommendations include using emollients, ammonium lactate cream, and topical steroids for palmar-plantar peeling, along with lukewarm showers and immediate post-shower moisturizing. Nail care strategies involve nail hardeners, vitamin E cuticle oil, protective coverings such as finger cots, and trauma prevention through proper footwear and activity modifications.
The proactive distribution of educational materials before treatment initiation empowers patients to prepare by purchasing recommended products and understanding what to expect during therapy. The protocol emphasizes patient empowerment through preparation, suggesting patients keep materials accessible for ongoing reference rather than attempting to absorb all information at once. This systematic approach to toxicity management represents a scalable model for other institutions implementing bispecific antibody programs.
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