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Home / Education And Resources / Clinical Practice Treatment / Treatment / Bispecific Antibodies
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BISPECIFIC ANTIBODIES

In the rapidly advancing field of immuno-oncology, T-cell redirecting bispecific antibodies—engineered to simultaneously bind 2 different antigens—are an innovative and emerging platform in cancer immunotherapy.¹ The application of bispecific antibodies may soon expand beyond hematologic malignancies to treat solid tumors, including small cell lung, prostate, and gastrointestinal cancers. As the use of bispecific antibodies continues to expand, addressing barriers such as treatment-related toxicities, including cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), and other practical considerations is essential for their successful implementation in community cancer care.

Implementation Package

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Bispecific Antibody CRS and ICANS Protocol Development for the Outpatient Setting

Build an outpatient protocol for managing CRS and ICANS in patients receiving T-cell–engaging bispecific antibody therapies. Use this checklist to address clinical management, operations, patient education, and electronic health record considerations.

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Bispecific Antibody CRS and ICANS Protocol Development for the Outpatient Setting

Featured Resources

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Blueprint for Successful Integration of Bispecific Antibodies

Explore a quick guide developed to support the operationalization of bispecific antibodies (BsAbs) in the community oncology setting. Receive suggestions for how each member of the multidisciplinary care team can be involved in building organizational capacity to treat eligible patients with BsAbs.

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Blueprint for Successful Integration of Bispecific Antibodies

On-Demand Webinars

Office Hours | “One BiTE at a Time”

Successful implementation of bispecific therapies requires teams to understand and manage treatment-related toxicities. In this webinar, explore practical strategies for CRS management, review evolving dosing and response patterns, and receive guidance for safely integrating BsAbs into clinical practice.

Expanding Access to Cellular and Bispecific Therapies: Considerations and Recommendations

ACCC and SITC gathered experts Allison Betof Warner, MD, PhD, of Stanford University School of Medicine; Syed Haider, MD, of Aurora St. Luke's Medical Center; and Robert Richards, MS, MBA, of Penn Medicine, to review the 3 areas of focus: Education, Coordination, and Facilitation in the Expanding Access to Cellular and Bispecific Therapies Report.

Foundations of Bispecific Antibodies (BsAbs)

This educational recording reviews the basics of bispecific antibodies, their clinical applications, and FDA-approved treatments. It also provides practical strategies for managing adverse events, patient education and the financial and operational factors essential for successful integration into clinical practice.

Breaking Barriers: How Cancer Programs Implemented Bispecific Antibodies

September 28, 2026

Explore how two community oncology programs built the infrastructure, staff education, patient support, and cross-disciplinary collaboration needed to safely implement bispecific T-cell engagers.

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From the ACCCBuzz Blog

Bispecific Antibodies Are Moving Forward; So Are the Implementation Questions

Bispecific Antibodies Are Moving Forward; So Are the Implementation Questions

Rifeta Kajdić Hodžić
April 17, 2026

During the HOPA 2026 annual conference, ACCC brought together a small group of oncology pharmacists for a practical, candid conversation about challenges with the implementation of bispecific antibodies that was deeply grounded in real-world experience and what it takes to operationalize care.

From Blueprint to Bedside: How One Community Cancer Program Used ACCC’s Resources to Accelerate Bispecific Antibody Adoption

From Blueprint to Bedside: How One Community Cancer Program Used ACCC’s Resources to Accelerate Bispecific Antibody Adoption

Nicole A. Colwell, MD
November 19, 2025

For many community sites, the question is not whether to offer BsAbs but how to implement them safely and sustainably. Recognizing these needs, ACCC developed 2 practical, implementation-focused tools to support programs at every stage of readiness.

Delivering Bispecific Antibodies in a Complex Reimbursement Landscape

Delivering Bispecific Antibodies in a Complex Reimbursement Landscape

September 25, 2025

A recent ACCC virtual office hours session unpacked the real-world challenges of Bispecific Antibodies—from reimbursement roadblocks to operational logistics—and offered strategies to navigate them more effectively.

Oncology Pharmacy Virtual Office Hours Highlight Emerging Strategies for Implementing Bispecific Antibodies

Oncology Pharmacy Virtual Office Hours Highlight Emerging Strategies for Implementing Bispecific Antibodies

Rachel Morrison Brown, MPH, MS
June 30, 2025

This spring, ACCC hosted 2 virtual office hours sessions featuring oncology pharmacists with expertise in using bispecific antibodies. Participants shared practical insights, challenges, and strategies for implementing BsAb care models.

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Supporting Patient Information and Resource Needs for Bispecific Antibody Treatments

November 5, 2024

ACCC is committed to helping cancer care team members, patients, and caregivers understand how bispecific antibody treatments fit within the cancer care continuum, how they differ from CAR T-cell therapy, and the education and resources available to patients and their families.

CANCER BUZZ Podcasts

Between the Orders and the Infusion: The Patient Experience of Bispecific Antibodies - [Podcast] Ep. 237

August 4, 2026

In this episode, CANCER BUZZ explores how it feels physically and emotionally for patients to begin and continue BsAb therapy. Grounded in real-world insights, this discussion highlights the logistical and emotional challenges that arise during the step-up period and early treatment phases and identifies opportunities for care teams to better support patients throughout their journey.

BsAbs: Moving from Curiosity to Confidence – [Podcast] Ep. 226

April 21, 2026

In this episode, CANCER BUZZ speaks with Laura Kuzma, MSW, admin administrative director of FirstHealth Cancer Center and Oncology Services at FirstHealth Moore Regional Hospital, about the real-world lessons she has learned about governance considerations, ramp-up strategies, and workflows. She shares the importance of proactively building workflows, readiness plans, and cross-team communication pathways to safely operationalize BsAb therapy.

[PODCAST] Ep 44: The Promise of Bispecific Antibodies

November 24, 2020

Learn about the latest promising breakthroughs in immunotherapy, the challenges facing their widespread use, and what your cancer team needs to know about the future of cancer treatment.

From Oncology Issues

Readiness for Bispecific Antibody Therapy: Initiation and Maintenance Phases

Readiness for Bispecific Antibody Therapy: Initiation and Maintenance Phases

Explore insights gained from a landscape analysis and focus group discussions detailing how community oncology programs can address barriers, build capacity, raise awareness, and embrace collaboration to integrate BsAb therapy into clinical practice.

Publications

Using Bispecific Antibodies in Community Practice: Challenge and Opportunities

Using Bispecific Antibodies in Community Practice: Challenge and Opportunities

Read an overview of bispecific antibodies (BsAbs) and the results of an ACCC survey of multidisciplinary providers which assessed their understanding of—and readiness for—using BsAbs in the treatment of patients with cancer.

Considerations and Recommendations for Expanding Access to Cellular Bispecific Therapies

Considerations and Recommendations for Expanding Access to Cellular Bispecific Therapies

Read this comprehensive guide developed between the Society for Immunotherapy of Cancer (SITC) and the ACCC for best practices and strategies to implement a sustainable immunotherapy program.

Bispecific Antibodies Checklist for Community Providers

Bispecific Antibodies Checklist for Community Providers

Community cancer providers may use this checklist whether their program is referring patients to academic centers or treating patients in-house. Refer to the section of the checklist that is pertinent to your situation.

References

  1. National Cancer Institute. Bispecific antibodies. Definition of Cancer Terms. Last accessed May 20, 2020.