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Linvoseltamab

Published: July 26, 2026Updated: July 26, 2026

Linvoseltamab is a bispecific T-cell engaging antibody designed to treat relapsed or refractory multiple myeloma. It works by binding to both CD3 on T-cells and BCMA on myeloma cells, bringing them together to enable T-cell mediated killing of cancer cells.

Quick summary

A bispecific antibody that redirects T-cells to attack multiple myeloma cells expressing BCMA.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
L01FX37
RxNorm
2719416
Generic
Linvoseltamab
Class
atc-l01
Brands
Lynozyfic
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose significantly exceeding recommended therapeutic dose that may cause serious toxicity
Chronic overdose: cumulative dose exceeding recommended weekly or monthly exposure leading to increased risk of immune-mediated adverse effects
Immediate actions
discontinue infusion immediately, monitor vital signs, provide supportive care including fluids and vasopressors if needed, administer corticosteroids as prescribed
Antidote
no specific antidote available(supportive care is primary management as no specific antidote exists for monoclonal antibody overdose)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; discontinue if pregnancy occurs

Monitor

regular fetal monitoring recommended

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring including ultrasound assessments

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use near term; consider risks of maternal disease flare vs fetal exposure

Monitor

close fetal monitoring; assess for neonatal complications at delivery

Use with caution and monitor for adverse effects.

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

no recommendation

Key Recommendations

discontinue breastfeeding or discontinue drug; decide whether to discontinue breastfeeding or discontinue linvoseltamab based on importance of drug to mother

Monitor

monitor infant for signs of infection or immunosuppression

⚠

geriatric

elderly 65 and older
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution; increased risk of infections observed in clinical trials

Monitor

monitor for signs of infection; regular blood counts recommended

Use with caution and monitor for adverse effects.

✗

pediatric_age

children adolescents
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not approved for use in pediatric patients; safety and efficacy not established

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no dose adjustment required

Key Recommendations

no dose adjustment needed for mild to moderate renal impairment; monitor closely

Monitor

routine renal function monitoring

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

limited data for severe renal impairment; use only if benefits outweigh risks

Monitor

close monitoring of renal function and for adverse reactions

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution; limited clinical data available

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate to severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

not studied in moderate to severe hepatic impairment; use only if benefits outweigh risks

Monitor

close monitoring of liver function tests and for adverse reactions

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classFDA
2024

Drug class

Value:Bispecific monoclonal antibody

Immunotherapy agent classification

mechanismClinicalTrials.gov
2024

Mechanism of action

Value:BCMA/CD3 bispecific T-cell engager

Therapeutic mechanism information

development_statusNIH
2024

Development status

Value:Clinical trials phase 2

Current development phase

indicationMedical literature
2024

Target indication

Value:Relapsed/refractory multiple myeloma

Primary therapeutic indication under investigation

Treatment of adult patients with relapsed or refractory multiple myeloma who have received prior therapies.

Linvoseltamab is a bispecific antibody that binds to the CD3 receptor on T-cells and the B-cell maturation antigen (BCMA) on multiple myeloma cells, forming a bridge that redirects T-cells to recognize and destroy BCMA-expressing cells.

As an immunotherapeutic agent, linvoseltamab may cause cytokine release syndrome and other immune-related adverse effects. Treatment should be administered by healthcare professionals experienced in managing such reactions. Patient selection should be based on confirmed BCMA expression on tumor cells.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy