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Often used for: Treatment of cytokine release syndrome during CAR T-cell therapy

About siltuximab

Siltuximab blocks interleukin-6 (IL-6) to manage severe cytokine release syndrome. Patients receive regular lab monitoring and vital sign checks during infusions.

Possible side effects

  • Swelling or edema
  • Weight gain
  • Cold-like symptoms (runny nose, sneezing, throat irritation)
  • Rash or itching
  • Increased infection risk
  • Headache
  • Constipation
  • Joint, mouth, or throat pain
  • Dry skin
  • Low blood counts
  • Liver problems
  • High cholesterol or triglycerides
  • Tears in the stomach or intestines
  • Infusion reactions (chills, shortness of breath, coughing, dizziness, low blood pressure, facial swelling)
  • Not all patients experience these effects. Report all symptoms.

Tips for families

  • Discuss all recommendations with the care team.
  • Ensure vaccinations are up to date before treatment and avoid live vaccines for 3 months after therapy.
  • Use additional birth control as hormone-based methods may be less effective.
  • Inform the care team if sexually active, pregnant, or breastfeeding.