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Conference Wrapped  ·  Final Recap

IMS 2026 Conference Intelligence

A full recap of KOL buzz, top themes, and trial signals from the International Myeloma Society Annual Meeting — Glasgow, UK · September 23–26, 2026. CERVINO plenary, bispecifics, CAR-T, and smoldering myeloma take center stage.

Sep 23 (Day 1) Day 4 of 4 Sep 26 (Day 4)
819
Tweets Captured
133
Unique KOLs
579.3K
Total Impressions
Wrapped
Conference Status
Last updated: October 01, 2026 16:26 UTC

Top Themes at IMS 2026

Most-discussed topics across 819 curated tweets from 133 myeloma researchers and hematologists. Tap any card to see the tweets.

🎯
138
Bispecific T-Cell Engagers
123.2K impressions
tap to see tweets
🔴
129
CAR-T Therapy
116.5K impressions
tap to see tweets
📊
70
MRD & Response Depth
71.1K impressions
tap to see tweets
🏥
63
Transplant & Maintenance
51.3K impressions
tap to see tweets
🧱
55
Frontline NDMM & Quadruplets
35.4K impressions
tap to see tweets
🔩
44
CELMoDs & IMiDs
34.6K impressions
tap to see tweets
🛡️
41
Safety: CRS, ICANS & Infections
40.0K impressions
tap to see tweets
⚠️
24
High-Risk Disease
9.3K impressions
tap to see tweets
⏳
11
Smoldering MM & Early Intervention
8.3K impressions
tap to see tweets
💉
11
BCMA ADCs (Belantamab)
9.7K impressions
tap to see tweets
🧬
11
Disease Monitoring & Mass Spec
2.0K impressions
tap to see tweets
⚖️
3
FDA & Regulatory
1.8K impressions
tap to see tweets
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Top Voices by Impressions

Ranked by total impressions across all IMS 2026 tweets captured. Switch tabs to view physicians, institutions, and media separately.

#1 @vincentrk
Vincent Rajkumar @vincentrk
96.3K 15 tweets
#2 @rahulbanerjeemd
Rahul Banerjee, MD, FACP @rahulbanerjeemd
71.1K 40 tweets
#3 @hadidisamer
35.1K 46 tweets
#4 @mehak_trehan
Mehak Trehan @mehak_trehan
17.5K 31 tweets
#5 @mohty_ebmt
Mohamad Mohty @mohty_ebmt
15.0K 8 tweets
#6 @hhashmi87
Hamza Hashmi @hhashmi87
14.2K 35 tweets
#7 @auclairdan
Daniel Auclair @auclairdan
12.1K 17 tweets
#8 @onc_ce
@onc_ce @onc_ce
11.3K 15 tweets
#9 @joshuarichtermd
Joshua Richter, MD, FACP @joshuarichtermd
10.9K 13 tweets
#10 @hirasmian
Hira Mian @hirasmian
10.6K 9 tweets
#11 @henrychihangfu1
8.5K 8 tweets
#12 @abdallah81md
7.9K 7 tweets
#1 @myeloma_society
Myeloma Society @myeloma_society
44.0K 116 tweets
#2 @mskcancercenter
10.2K 4 tweets
#3 @abcellerabio
AbCellera @abcellerabio
9.3K 1 tweet
#4 @themmrf
4.0K 8 tweets
#5 @theiach
IACH @theiach
3.1K 6 tweets
#6 @abbvie
AbbVie @abbvie
3.0K 2 tweets
#7 @myelomaeurope
Myeloma Patients Europe @myelomaeurope
1.3K 10 tweets
#8 @legendbiotech
Legend Biotech @legendbiotech
1.2K 5 tweets
#1 @onclive
OncLive.com @onclive
23.4K 22 tweets
#2 @mm_hub
20.1K 56 tweets
#3 @targetedonc
Targeted Oncology @targetedonc
12.9K 19 tweets
#4 @vjhemonc
VJHemOnc @vjhemonc
9.7K 24 tweets
#5 @bcd_aacr
7.3K 19 tweets
#6 @larvol
LARVOL @larvol
5.9K 8 tweets
#7 @doepke_michel
Michel Doepke @doepke_michel
1.7K 1 tweet
#8 @peerview
PeerView @peerview
535 3 tweets

Key Takeaways from IMS 2026

In their own words — physicians and clinicians reflecting on what the meeting means for practice, days after the closing ceremony.

Mohamad Mohty, MD, PhD
Mohamad Mohty, MD, PhD Professor of Hematology · Past-President, EBMT · Chairman, IACH

So, what should we take home from #IMS2026 in Glasgow? This meeting illustrates a remarkable convergence. Basic science is revealing new vulnerabilities. Translational research is teaching us how to recognize pts with durable disease control. And clinical trials are showing that we can achieve unprecedented depth of response while beginning to ask a very different question: not only how much treatment can we give, but how intelligently can we use it, and when can we safely stop? The word “CURE” was heard repeatedly. We should, of course, use that word carefully. In some settings, cure remains a statistical construct based on modeling. In others, it is beginning to emerge clinically as years of treatment-free survival in patients with sustained, deep MRD negativity. But what is no longer in doubt is that the ambition has changed. We are no longer discussing only how to prolong survival. We are beginning to discuss how to achieve extremely durable disease control, and perhaps, for an increasing number of them, how to cure myeloma.

@Mohty_EBMT · 2.1K impr →
Murali Janakiram, MD
Murali Janakiram, MD Cellular Therapy, MM & ATLL · City of Hope

Reflecting on the key themes of #IMS2026 - >5 yr remission for newly diagnosed and >3 yrs in relapse for most MM is becoming the standard - High Risk MM is still a challenge, immunotherapy is key. Paucity of data in EMD and PCL. Agree with @VincentRK in adding PCL to HR definition -Access is key- after meeting with several drug manufacturers, this is being thought of in the design, clinical trial, execution both for CART and BsAb. Can every patient get this within 60 miles of their home. - TRM is more important esp. in the first 6 months -Less is more- Newer CART's have lesser CRS, ICANS and newer BsAb's have less intense dosing schedule with lower CRS -Dual Ag targeting is A way forward, a/w how it compares against good single agent targets -There is a paucity and some progress in understanding rare toxicities- Colitis, cerebellar syndromes, oral toxicities, rare infections -if we are going to give subsequent immunotherapies, we need to be more precise, with sequencing and T cell fitness, both of which are still in its infancy in MM -Except celmods there are no other non targeted therapies [non BCMA, GPRC5, FCRH5]. Is this enough ? [I am aware of others but none in Ph 3] -Cure - covered by @Mohty_EBMT already Thx for the organizers @profghjackson @NikhilMunshiMD @NoopurRajeMD @IMFmyeloma for a wonderful meeting and looking forward to next year

@JanakiramMurali · 2.2K impr →
Al-Ola Abdallah, MD
Al-Ola Abdallah, MD Assoc. Professor & Plasma Cell Disorder Program Director · University of Kansas Medical Center

Two takeaways from #IMS26 #IMS2026: 1️⃣ Etentamig may be the BCMA bispecific to WIN: lower observed toxicity + monthly dosing could expand community use. 2️⃣ Dual targeting is where RRMM is headed. For now, trispecific antibodies appear ahead of dual-target CAR-T. Cross-trial caveats apply. #mmsm

@Abdallah81MD · 1.6K impr →
Henry Fung, MD
Henry Fung, MD Co-Chair, Hematology/Oncology & Cellular Therapy · Fox Chase Cancer Center

In case you got lost at #IMS26… Here is our summary of the five most-discussed studies—what the data showed, what they did not, and what may actually change practice. Tomorrow, we’ll cover the rest of the studies on our must-see roadmap. Because MRD is a path—not the destination. #MultipleMyeloma #mmsm #HemeTwitter

@HenrychihangFu1 · 1.2K impr →
Tracy King
Tracy King Hematology Nurse, Multiple Myeloma

Thats a wrap #IMS26 PERSEUS up front SOC- BsAB come forward-fixed duration therapies-looking forward to cure-InVivoCART ahead.

@MMKingT · 830 impr →
Mehak Trehan
Mehak Trehan Consultant, Hemato-Oncology & BMT · DM Clinical Hematology, AIIMS Delhi

1/8 📖 Turning Pages Tuesday | From Glasgow to the Indian OPD WHAT MAKES A MYELOMA ADVANCE PRACTISE CHANGING IN INDIA? The “survival benefit” of trials matters. So do AFFORDABILITY, AVAILABILITY and our ABILITY to deliver the treatment safely. The International Myeloma Society Annual Meeting 2026 in Glasgow, Scotland, offered plenty to reconsider. Here is a glimpse of the EVIDENCE AND THE INDIAN QUESTIONS I brought home: 1️⃣ Stronger frontline evidence; ASCT and meaningful access: a bigger question. PERSEUS reported 6-year PFS of 81.1% versus 56.1% with D-VRd/DR versus VRd/R in transplant-eligible NDMM patients, at 81.3 months’ median follow-up (HR 0.35). Both arms included ASCT, still IMPORTANT CONSOLIDATION in India. Meaningful access means “sustaining DARA for the appropriate duration.” Future biosimilars could help. (Full 8-part thread on X — bispecifics, CERVINO/etentamig, trispecifics, EXCALIBER-RRMM, DREAMM-8/belantamab, and the MRD-based functional-cure framework.)

@mehak_trehan · 90 impr →
Rahul Banerjee, MD, FACP
Rahul Banerjee, MD, FACP Multiple Myeloma & CAR-T · Fred Hutchinson Cancer Center / University of Washington

My #IMS26 Top 5 myeloma abstracts: 1️⃣ CARTITUDE-2 A: 50% CAR-T cure fraction 2️⃣ PERSEUS: 6-yr PFS 🤩, but HR need better 3️⃣ MajesTEC-3: 86% functional cure with BsAb/dara? 4️⃣ EXCALIBER-RRMM: CELMODs & MRD approvals! 5️⃣ CERVINO: Q4W is in, CRS is out 👋🏽 cancertherapyadvisor.com/features/ims-2…

@RahulBanerjeeMD · 583 impr →
Vincent Rajkumar, MD
Vincent Rajkumar, MD Editor-in-Chief, Blood Cancer Journal · Chairman, IMF Myeloma Board

We have a cure definition for myeloma. Requires: 1) Off all therapy and sustained MRD negative for 5 years 2) Negative imaging studies Presented by @NikhilMunshiMD #IMS26 @Myeloma_Society Note: 1) We need to see how this definition performs. Relapse rate for patients meeting these cure criteria must ideally be less than 5%. If not, we may have to adjust the criteria. 2) I hope the cure criteria will be the impetus to stop doing trials with endless therapy. You cannot claim cure with continuous therapy. I’m glad the field is mostly aligned on this. Cure for patients and public in any disease has a deep meaning. Cure means cure. We cannot dilute it.

@VincentRK · 29.1K impr →

IMS 2026 Daily Recap

A quick spoken recap of the top KOL discussion from IMS 2026.

IMS 2026 Flash Report — 6 Questions

Six questions, straight from myeloma's top KOLs — every quote verbatim.

Top Tweets & Trial Discussion

Highest-impact physician tweets from the myeloma community. Expand the Clinical Trials block to drill into trial-specific discussion — CERVINO, PERSEUS, EXCALIBER-RRMM, and more as the meeting unfolds.

🟣Multiple Myeloma537 tweets captured
@VincentRK
Vincent Rajkumar @VincentRK
We have a cure definition for myeloma. Requires: 1) Off all therapy and sustained MRD negative for 5 years 2) Negative imaging studies Presented by @NikhilMunshiMD #IMS26 @Myeloma_Society Note: 1) We need to see how this definition performs. Relapse rate for patients
👁 21.9K ❤ 241 🔁 77
@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
And with it, finally a new graphic to use for the different BCMA CAR-T therapies as opposed to the same one that all of you at #IMS26 can pick out from a mile away 👏 Congrats @MJFzeta et al on @NEJM paper and to @YiLinMDPhD for this very nice anito-cel editorial! https://t.co/isSV4RJL4D https://t.co/uPou1q22Cy
👁 8.4K ❤ 22 🔁 2
@rajshekharucms
Raj Chakraborty @rajshekharucms
Incredible 2-year PFS with Ramantamig in a ~95% CD38-refractory and 100% triple-class exposed population! These results are substantially superior compared to single-agent BCMA BsAbs and BCMA or GPRC5D CAR Ts in similar population. Based on these results, its plausible that we https://t.co/ee0o5VrzHW
👁 6.0K ❤ 97 🔁 32
@Rfonsi1
Rafael Fonseca MD 🦔🇺🇸🏜🇲🇽 @Rfonsi1
Congratulations to the @PericaKarlo lab! They identified why cilta-cel is superior to ide-cel, and it is not the binding but the promoter used (EF1α > MND). I think this is why toxicity may be higher. CARTs can be like a double-edged sword! The more active the CART (expansive https://t.co/iOHTnDuQbe
👁 4.0K ❤ 33 🔁 9
@HiraSMian
Hira Mian @HiraSMian
💯 ORR and 100% MRD negativity among evaluable pts in bcma naive pts, wow! With dual CarT presented by @DorisKHansen #IMS26 https://t.co/wlMjQftZqU
👁 3.5K ❤ 33 🔁 14
@HenrychihangFu1
Henry C Fung| MM, lymphoma, leukemia & CART @HenrychihangFu1
Don’t stop transplanting yet! 88% PFS at 6 years in standard-risk myeloma, reported at #IMS2026—remarkable. These results belong to the WHOLE package: Dara-VRd → high-dose melphalan/ASCT → consolidation → maintenance. We cannot remove transplant from the regimen and assume https://t.co/t6KQf5lcZA
👁 3.2K ❤ 26 🔁 5
Clinical Trials38 trials with discussion
CERVINO Etentamig (ABBV-383) vs SOC · Triple-class exposed R/R MM (Phase 3 — first RCT results presented at IMS26 Plenary) Full trial profile →
16.2K imp  ·  13 tweets ▼
@VincentRK
Vincent Rajkumar @VincentRK
First RCT results of Etentamig (BCMA bispecifc antibody) presented at Plenary Session #IMS26 @Myeloma_Society @PlasmaCellPete @myelomaMD 60 mg fixed dose every 4 weeks makes this the easiest bispecific to administer. Impressive PFS benefit in relapsed refractory myeloma with https://t.co/I7DNndvf3v
👁 6.4K ❤ 103 🔁 46
@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
#IMS26 CERVINO plenary (pronounced 🪑 + 🇪🇸 🍷) by @PlasmaCellPete - Part 2. PPx toci is very clearly the way to go with any BsAb, and here it works quite well. Etentamig has low CD3 affinity like Velcro for T cells (credit @myelomatips ), which may explain part of this. https://t.co/cwkTM8opZO
👁 1.7K ❤ 17 🔁 6
@Mohty_EBMT
Mohamad Mohty @Mohty_EBMT
CERVINO takes relapsed myeloma to new heights: etentamig delivers remarkable efficacy with a reassuring safety profile. A true peak performance! #IMS2026 @TheIACH https://t.co/XPkIvB5DpY
👁 1.6K ❤ 34 🔁 17
@Abdallah81MD
Al-Ola A Abdallah MD (USMIRC) @Abdallah81MD
1/🧵 Phase III CERVINO: Could etentamig redefine BCMA×CD3 bispecific therapy in RRMM? The results show impressive efficacy, deep responses, convenient monthly dosing—and a potentially differentiated CRS profile. Etentamig is a second-generation BCMA×CD3 bispecific with: https://t.co/MRWdTiBRnN
👁 1.5K ❤ 26 🔁 13
@HenrychihangFu1
Henry C Fung| MM, lymphoma, leukemia & CART @HenrychihangFu1
1/ Is etentamig replacing Tec/Elran? My take: no, but it adds a real option. Thoughts on #CERVINO from #IMS26👇 2/ Ph3, N=393, triple-class exposed, BCMA-naive, 2+ prior lines. Etentamig Q4W vs Kd/SVd/EPd. ORR 74 vs 46%, ≥CR 40 vs 7%, PFS HR 0.40. Median f/u 11.4 mo. 3/ The https://t.co/DmgXrddbeD
👁 967 ❤ 11 🔁 3
@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm Plenary CERVINO Etentamig: IV, given less often and with one SUD given prior to full dose Patients can stop therapy after 2 years The comparator arm is: Kd, SVd and EloPd (not used in the US nowadays) https://t.co/myXWsG2nnI
👁 898 ❤ 11 🔁 4
@ZanwarSaurabh
Saurabh Zanwar @ZanwarSaurabh
#IMS26 Plenary presentation for CERVINO demonstrates clear superiority of TCEs over SOC! 👏👏@PlasmaCellPete @myelomaMD et al. 12-mo PFS of 62.1% with Etentamig vs. 28.4% with control (Kd, SVd, EloPd) OS showing encouraging trend as well! Surely no more non TCE control arms https://t.co/uJfngfYOza
👁 724 ❤ 11 🔁 3
@HiraSMian
Hira Mian @HiraSMian
We see it again today, low low rates of CRS with etentamig #IMS26 https://t.co/8qj6L8RDBu
👁 689 ❤ 10 🔁 2
@kansagraMD
Ankit kansagra @kansagraMD
Impressive safety; tolerability while maintaining efficacy for BCMA directed bispecifics. Congratulations @PlasmaCellPete and the CERVINO team ! https://t.co/qKgIj04y92
👁 537 ❤ 5 🔁 2
@hhashmi87
Hamza Hashmi @hhashmi87
CERVINO (Etentamig Phase 3) @PlasmaCellPete on 🎯#IMS26: CERVINO Ph3: Etentamig superior to SAT (EPD, SVD, KD) in heavily pre-treated triple-class exposed RRMM 💡ORR 74% vs 45%, PFS at 12m NR (60%) vs 6m, OS benefit signal despite many SAT pts receiving TCRT at relapse 💡CRS 28% https://t.co/p9YDE8TJ7P
👁 400 ❤ 7 🔁 3
@morenodegusmao
Breno Moreno de Gusmão @morenodegusmao
#PA-181 Etentamig (BCMA×CD3 bispecific, no step-up dosing, Q4W from C1D1) in RRMM after prior BCMA therapy (MONVISO Ph1b, n=41). ORR 47% post-BCMA exposure; 64% if last line was CAR-T. mDoR 13mo, mPFS 9.4mo post-CAR-T. CRS 57% (low-grade), no new safety signals. #mmsm #IMS2026
👁 383 ❤ 3 🔁 1
@ptenfei
Pablo Tenorio Feixas @ptenfei
Dr Peter Voorhees presenting phase 3 CERVINO at #IMS26: etentamig, a monthly BCMA×CD3 bispecific, versus investigator’s choice of Kd, SVd or EloPd (n= 393) with triple-class-exposed, BCMA-naïve RRMM. Median 3 prior lines; over half triple-class refractory. 🧵 @Myeloma_Society https://t.co/Ww2j52yuCK
👁 269 ❤ 3 🔁 0
@TischCancer
Mount Sinai Tisch Cancer Center @TischCancer
.@myelomatips presents tomorrow at #IMS26: “Etentamig Combined With Pomalidomide Plus Dexamethasone in Relapsed/Refractory #MultipleMyeloma After 1-3 Prior Lines of Therapy: A Phase 1b Dose-Escalation and Safety Expansion Study” @IcahnMountSinai @Myeloma_Society https://t.co/eogEkouTp3
👁 120 ❤ 0 🔁 0
PERSEUS D-VRd · Transplant-eligible NDMM Full trial profile →
28.5K imp  ·  9 tweets ▼
@VincentRK
Vincent Rajkumar @VincentRK
PERSEUS is the gold standard benchmark outcome for Newly Diagnosed Myeloma 6 year overall survival: 86% 6 year PFS 81% with quad induction and Dara-Len maintenance. As we test bispecifics, ADCs, CARTs etc, any new approach should be better. A new therapy CANNOT have even 5% https://t.co/Z29oBm0ylR
👁 13.4K ❤ 200 🔁 60
@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
#IMS26 #pietersonneveld presenting 6-yr (!) follow-up for PERSEUS. In standard-risk myeloma, 6-year PFS 88% 🤩 For HR cytogenetics, adding dara basically converts into standard-risk prognosis. Great, but we need to do better: BsAbs or CAR-T will be the way to close this gap. https://t.co/v2p7p3z1L8
👁 6.1K ❤ 61 🔁 26
@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm Plenary Long term follow up PERSEUS ➡️Median follow up ~7 years Dara-RVD showed better PFS of 81% vs. 56% with better MRD negativity at both 10-5 and 10-6 sensitivity thresholds (lower numbers with high risk disease) ➡️~ 3 out of 4 DVRd-DR patients receiving https://t.co/iQOFSCDNYB
👁 2.6K ❤ 29 🔁 15
@HenrychihangFu1
Henry C Fung| MM, lymphoma, leukemia & CART @HenrychihangFu1
🚨 A model cannot fast-forward 15 years of follow-up. PERSEUS: projected median PFS 17.1 years. MajesTEC-3: projected median OS 18.5 years. These are extrapolations from approximately 4 and 3 years of median follow-up. Accuracy at the projected horizon remains unestablished. https://t.co/LWeCdf9hyo https://t.co/PPuqMJomFR
👁 2.4K ❤ 19 🔁 2
@Abdallah81MD
Al-Ola A Abdallah MD (USMIRC) @Abdallah81MD
1/ Impressive long-term PERSEUS update in transplant-eligible NDMM: DVRd induction → ASCT → DVRd consolidation → DR maintenance (n=355) vs VRd-R (n=354). Median follow-up: 81.3 months. Key findings 🧵 #mmsm The PFS benefit is striking and durable. Six-year PFS was 81.1% with https://t.co/EWYB7aZC4H
👁 2.0K ❤ 37 🔁 13
@MMKingT
Tracy King @MMKingT
Thats a wrap #IMS26 PERSEUS up front SOC- BsAB come forward-fixed duration therapies-looking forward to cure-InVivoCART ahead. https://t.co/ecfWfiFuHU
👁 805 ❤ 4 🔁 0
@AuclairDan
Daniel Auclair @AuclairDan
And @LucaBertamini et al (great #IMS26 talk!) looked at 451 cases from PERSEUS with baseline CTC data available. Higher burden CTC cases often harbor HR features. Not surprisingly these high-CTCs cases in PERSEUS did worst #mmsm https://t.co/hbhSUmV9fF https://t.co/vSehmNhuQ2
👁 643 ❤ 3 🔁 1
@kansagraMD
Ankit kansagra @kansagraMD
Heading to #IMS26 ! Going through all the amazing abstracts, A few things on my radar this year so far: — CERVINO: first phase 3 readout for a BCMA bispecific vs standard-of-care in triple-class exposed RRMM — PERSEUS at 6+ years — does the PFS advantage for quad induction hold up long-term, and is there finally an OS signal? — Two separate first-in-human reports of in vivo CAR-T generation — no apheresis, no lymphodepletion. If this works, it changes how we think about access to cellular therapy entirely. — CARTITUDE-2 5-year data on cilta-cel in earlier-line RRMM — EXCALIBER-RRMM: iberdomide's first phase President of IMS - Prof Phillip Moreau and his executive team, @myelomaMD @mvmateos @NoopurRajeMD @NikhilMunshiMD have put together an amazing meeting with 669 abstracts and many amazing talks ! I will be tweeting important practice changing abstract through rest of week; excited for busy week :) #Myeloma #HemOnc #IMS2026 #glasgow
👁 404 ❤ 10 🔁 5
@hhashmi87
Hamza Hashmi @hhashmi87
PERSEUS long-term follow-up at #IMS26: D-VRd → DR vs VRd → R in transplant-eligible NDMM (median follow-up >80 mo) 💡72-mo PFS: 81% vs 56% 💡Median PFS: not reached vs 80 mo 💡The benefit held across risk groups: 🟢 Standard risk: 88% vs 63% (HR 0.27) 🔴 High risk: 55.0% vs 33% (HR 0.55) 💡MRDneg ~60-65% at 2 yr and 3 yr Exceptional outcomes with QUADs, highlighting potential to stop maintenance for standard risk at 2yrs. High-risk MM still needs better options #IMS26 @Myeloma_Society
👁 103 ❤ 1 🔁 1
MajesTEC-3 Tec-Dara (teclistamab + daratumumab) · R/R MM — statistical cure-fraction analysis Full trial profile →
14.0K imp  ·  9 tweets ▼
@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
#IMS26 Worth highlighting since pts with MM often aged 70+. We don't need OS plateau if myeloma remains in remission & no excess long-term mortality versus general population. Excellent 'functional cure' MajesTEC-3 data for tec-dara - I hope time-limited BsAb can replicate! https://t.co/uXn3UHkYPd
👁 4.2K ❤ 38 🔁 15
@Mohty_EBMT
Mohamad Mohty @Mohty_EBMT
The myeloma treatment landscape is shifting fast. Phase III data are now firmly moving immune therapies into earlier relapse, with striking PFS benefits across CAR-T, bispecific antibodies and antibody–drug conjugates. From CARTITUDE-4 and MajesTEC-3 to MonumenTAL-6 and CERVINO, https://t.co/qnCXriYNKf
👁 2.8K ❤ 51 🔁 28
@HenrychihangFu1
Henry C Fung| MM, lymphoma, leukemia & CART @HenrychihangFu1
🚨 A model cannot fast-forward 15 years of follow-up. PERSEUS: projected median PFS 17.1 years. MajesTEC-3: projected median OS 18.5 years. These are extrapolations from approximately 4 and 3 years of median follow-up. Accuracy at the projected horizon remains unestablished. https://t.co/LWeCdf9hyo https://t.co/PPuqMJomFR
👁 2.4K ❤ 19 🔁 2
@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm Oral- % of functional cure with the use of Tec-Dara @Myeloma_Society Estimated functional cure of 87% with Tec-Dara showing excellent promise of such therapy. ➡️Future will need time limited therapy (Stop and see what will happen) ➡️Assess cumulative toxicity https://t.co/A9wwWJ8UC4
👁 1.9K ❤ 45 🔁 14
@ZanwarSaurabh
Saurabh Zanwar @ZanwarSaurabh
It’s quite remarkable the numbers we are looking at in relapsed MM! These modeled data from the landmark MajesTEC-3 trial showing projected relative survival of >85% with Tec-Dara. While very provocative, followup is still short for longterm projections. Fingers crossed 🤞 https://t.co/zPPu1ED85X
👁 738 ❤ 8 🔁 3
@AuclairDan
Daniel Auclair @AuclairDan
Very interesting Competing-Risk analysis of MajesTEC-3 presented by @End_myeloma at #IMS26 . Tec-Dara OS benefit driven by suppression of disease progression while NRM remains comparable over time. https://t.co/nxIZ0GDYk6
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@hhashmi87
Hamza Hashmi @hhashmi87
@End_myeloma on MajesTEC-3 competing-risk analysis at #IMS26: Tec-Dara vs DPd/DVd in RRMM, 1–3 prior LOTs • Progression sHR 0.10 • NRM similar (28 vs 26) • OS HR 0.22 after 10 mo Early infection deaths → IgRT + antimicrobial prophylaxis is a must. #mmsm @Myeloma_Society https://t.co/J9QwgmmdCZ
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@mbeksac56
Meral Beksac @mbeksac56
#IMS2026 How to approach first relapse by @DrRakeshPopat https://t.co/3uXrSIgjY7
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@morenodegusmao
Breno Moreno de Gusmão @morenodegusmao
#OA-49 MajesTEC-3 post hoc: Tec-Dara's OS benefit vs Dara-triplets (HR 0.46; 36-mo OS 83.3% vs 65.0%) is driven by a sharp cut in progression (36-mo CIP 8.7% vs 62.1%), not less non-relapse mortality (~10% both). Reinforces Tec-Dara as SOC from 2L RRMM. #mmsm #IMS2026
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EXCALIBER-RRMM Iberdomide (Zenbexus) + Dara/hyal + Dex · R/R MM (FDA accelerated approval Aug 2026) Full trial profile →
6.7K imp  ·  9 tweets ▼
@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
#IMS26 @SagarLonialMD presenting EXCALIBER-RRMM. Finally, the Iber-Dd CELMoD data we've been eagerly awaiting! Rationale for presenting now, he just explained: Request from 🇺🇸 FDA not to release MRD-CR-based data before their formal approval. This is why I attend conferences! https://t.co/ub3NWs6xtH
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@onc_ce
@onc_ce @onc_ce
@SagarLonialMD @US_FDA 32) THE HEADLINE: MRD-negative #CR at any time was 41.1% with #IberDd vs 20.7% with #DVd. This is a proportion difference of 20.1% (95% CI 11.5–28.6; P<0.0001), odds ratio 2.75 (95% CI 1.77–4.30). The dual primary MRD endpoint was met. #EXCALIBER_RRMM #IMS2026 https://t.co/uPFbuypCzn
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@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm Plenary EXCALIBER-RRMM with also publication 🧵 Important initial observations Study schema - note Len refractory was 1 out of 3 in IberDd ( 2 out of 3 were not refractory to Len) Dara-VD (control arm) was per CASTOR trial (i.e: the arms are asymmetric) https://t.co/HkcW5Sw82l
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@thanosdimop
Thanos Dimopoulos @thanosdimop
Excaliber rrmm manuscript is now published https://t.co/OiXxtVtfUK
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@hhashmi87
Hamza Hashmi @hhashmi87
EXCALIBER-RRMM (Iberdomide-Dd vs DVd) by @SagarLonialMD 🏆#IMS26: EXCALIBER-RRMM: IberDd doubles MRD-neg CR vs DVd in 420 pts (40% vs 20%, P<0.0001). 💡Non-Heme AE: Diarrhea 30%, fatigue 25%, rash 10%, mostly G1, seemingly better than Len based combinations 💡Gr3+ neutropenia https://t.co/vjD9YDbW5G
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@MalinHultcrantz
Malin Hultcrantz MD PhD @MalinHultcrantz
IberDd vs DVD in EXCALIBER-RRMM CR 46% vs 25% MRD neg 41% vs 21 % Initial neutropenia can be overcome with G-CSF #IMS2026 #mmsm https://t.co/jCVNNHouUQ https://t.co/9M4KLxNoQQ
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@kansagraMD
Ankit kansagra @kansagraMD
Heading to #IMS26 ! Going through all the amazing abstracts, A few things on my radar this year so far: — CERVINO: first phase 3 readout for a BCMA bispecific vs standard-of-care in triple-class exposed RRMM — PERSEUS at 6+ years — does the PFS advantage for quad induction hold up long-term, and is there finally an OS signal? — Two separate first-in-human reports of in vivo CAR-T generation — no apheresis, no lymphodepletion. If this works, it changes how we think about access to cellular therapy entirely. — CARTITUDE-2 5-year data on cilta-cel in earlier-line RRMM — EXCALIBER-RRMM: iberdomide's first phase President of IMS - Prof Phillip Moreau and his executive team, @myelomaMD @mvmateos @NoopurRajeMD @NikhilMunshiMD have put together an amazing meeting with 669 abstracts and many amazing talks ! I will be tweeting important practice changing abstract through rest of week; excited for busy week :) #Myeloma #HemOnc #IMS2026 #glasgow
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@HenrychihangFu1
Henry C Fung| MM, lymphoma, leukemia & CART @HenrychihangFu1
Have fun in Glasgow! 🇬🇧🏴󠁧󠁢󠁳󠁣󠁴󠁿 Don’t get lost at #IMS2026—too much great science, too many simultaneous sessions! Follow the roadmap. Don’t miss the practice-changing data. And don’t forget your single malt…after the final session! 🥃😆 #MultipleMyeloma #mmsm #Medtwitter https://t.co/eCVPDMHoDu
👁 109 ❤ 3 🔁 0
@OpenMedInsights
Open Medicine Insights @OpenMedInsights
EXCALIBER-RRMM ! Online full paper https://t.co/WLF2qpFYP4 @TheLancetOncol @COMyCongress @OpenMedicineHQ #IMS26 #IMS2026 #myeloma #mmsm
👁 88 ❤ 2 🔁 1
TRIlogy-1 Ramantamig (BCMAxGPRC5DxCD3 trispecific), Q8W outpatient · R/R MM (OA-70 — 2-yr PFS >80%)
7.0K imp  ·  7 tweets ▼
@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm Oral - TRIlogy-1 safety and efficacy with focus on SUD outpatient Patient characteristics and study schema Nice dosing schema with Q4 then Q 8 weeks dosing schema https://t.co/L9E3TADb5C
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@AuclairDan
Daniel Auclair @AuclairDan
TRIlogy trial presented at #IMS26 by @MileHighMyeloma . Continued impressive results for ramantamig with good safety profile with low rate of CRS and severe infections, 2 year PFS > 80%, high MRD negativity rate. Outpatient dosing implemented. Few subjects previously exposed to https://t.co/Qe1T0Zqbha
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@Rfonsi1
Rafael Fonseca MD 🦔🇺🇸🏜🇲🇽 @Rfonsi1
TRIlogy-1 study of trispecific antibody shows high levels of activity. Median prior LOT3 #IMS26 #mmsm https://t.co/obbViPdfvp
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@ZanwarSaurabh
Saurabh Zanwar @ZanwarSaurabh
Phenomenal results with TRIlogy-1 presented at #IMS26 by @MileHighMyeloma 93% MRD neg at 10(-6), CR rates of 79%, VGPR rates ≥ 90% and 2-year PFS rates of 81.3%!! Favorable dosing schedule, skin/nail toxicities seem much more manageable than the GPRC5D and minimal treatment https://t.co/S9btK3kenP
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@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
When it comes to BsAbs (and now trispecific) T-cell engagers in myeloma, less is often more once response is obtained! Excellent to see ramantimig holding the #IMS26 line with Q8W dosing, i.e. only ~6x 💉 per year. Probably lower IVIG needs at this dose frequency as well! https://t.co/hgyuifFewt https://t.co/N2gIqocSyb
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@mehak_trehan
Mehak Trehan @mehak_trehan
Exciting to see these results from TRIlogy-1, even more meaningful as we’re actively enrolling patients on the TRIlogy 5 trial with ramantamig at our centre. @fortis_hospital @RahulDoc2 #IMS2026 #mmsm https://t.co/vqPJupiric
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@morenodegusmao
Breno Moreno de Gusmão @morenodegusmao
#OA-70 Ramantamig (BCMA×GPRC5D×CD3 trispecific) at RP2D: 2-yr PFS >80% in TCE-naïve RRMM, ~79% ≥CR, >90% MRD-neg. New outpatient cohort showed safe, feasible SUD + first-dose outpatient administration with prophylactic tocilizumab — no ICANS, low-grade CRS. #mmsm #IMS2026 https://t.co/oHGAboWXQ1
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CARTITUDE-4 Cilta-cel · Lenalidomide-refractory R/R MM Full trial profile →
5.2K imp  ·  6 tweets ▼
@RahulBanerjeeMD
Rahul Banerjee, MD, FACP @RahulBanerjeeMD
#IMS26 Woohoo!! CARTITUDE-2 A: single-arm prelude to CARTITUDE-4, e.g. cilta-cel in 1-3 prior lines. 5-year PFS 54%, meaning CAR-T cured over half of myeloma pts (n=20) by IMWG/IMS criteria 👏👏 Of course CARTITUDE-4 with longer follow-up will be imperative to prove this. https://t.co/Q9LJ33jffW
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@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm @SurbhiSidanaMD Management of rare AE associated with CAR-T in myeloma https://t.co/VAiw0VwE2Q
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@hhashmi87
Hamza Hashmi @hhashmi87
How to treat myeloma at 1st relapse (#IMS26): 💡move BCMA CAR-T early 💡CARTITUDE-4: cilta-cel PFS 37.1 vs 10mo with SOC in high risk 💡German RWE: better PFS/CR, less neurotox at 1–3 vs >3 lines. 💡Earlier = more immune-fit marrow. 💡Goal: MRD-neg, off therapy → cure. #mmsm @Myeloma_Society
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@ZanwarSaurabh
Saurabh Zanwar @ZanwarSaurabh
Never a good time to be a myeloma patient but this is the best it has ever been! Remarkable results in early relapse setting! @mvmateos #IMS26 https://t.co/rNUviKkXc5
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@mbeksac56
Meral Beksac @mbeksac56
#IMS2026 how to approach at first relapse by @DrKrinaPatel https://t.co/2v1m6XsspR
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@myelomadoctor
Prerna Mewawalla @myelomadoctor
Great panel at #IMS26 on treatment at first relapse in multiple myeloma. Excellent discussion from @DrKrinaPatel on why CAR-T belongs earlier - deep responses, treatment-free time, and an evolving landscape with GPRC5D, dual-targeting and even in vivo CAR-T approaches. #mmsm https://t.co/4f9iCzXK0Y
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MELT-MM Mezigdomide + elranatamab · R/R MM (Ph1/2 Part 1 — 100% ORR, n=13)
3.9K imp  ·  5 tweets ▼
@TrialAndThesis
Trial & Thesis @TrialAndThesis
These are not $CCCC data, but they definitely matter. Mezigdomide + elranatamab delivered 100% ORR, 92.3% sCR and 90.9% MRD-negative CR in 13 patients at #IMS26. Hard not to be impressed. Safety is the caveat: 84.6% grade 3/4 neutropenia, 30.8% severe infections and a https://t.co/5bRNBZnwFl
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@Abdallah81MD
Al-Ola A Abdallah MD (USMIRC) @Abdallah81MD
1/🚀 #IMS2026: Can a CELMoD deepen and sustain responses to a BCMA bispecific in RRMM? Dr. Ja Min Byun presented updated Part 1 results from MELT-MM, evaluating mezigdomide + elranatamab. The early efficacy signal is striking—but needs context. 🧵 #mmsm MELT-MM enrolled https://t.co/0vuxo9zNzQ
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@mbeksac56
Meral Beksac @mbeksac56
#IMS2026 How to approach first relapse by @DrRakeshPopat https://t.co/3uXrSIgjY7
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@hhashmi87
Hamza Hashmi @hhashmi87
MELT-MM (Mezigdomide + Elranatamab) 🚀 #IMS26: Mezigdomide + elranatamab (MELT-MM): 💡100% ORR, 90% ≥CR! Striking numbers, but 💡n=13 evaluable pts and 10mo follow up-early days. 💡CRS in 77% (all low-grade) and CMV reactivation in 2/13, infection in 45% w IVIG use 💡worth watching as this combo augments responses in T-cell exhausted RRMM. #MultipleMyeloma #MMsm #Bispecific @Myeloma_Society
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@HadidiSamer
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#IMS26 #mmsm Oral- Elra+Mezi data -part 1 safety data ➡️Small n of pts ➡️very limited data on safety presented ~ 25% with G3/4 transaminitis 4/13 pts with G3 or higher infection Early efficacy looks good https://t.co/vCRYFW2A6s
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IBEX Iberdomide + daratumumab (SC) · Post-ASCT maintenance (feasibility/safety — manageable neutropenia, MRD conversion in 6/9 evaluable pts at 12mo)
2.3K imp  ·  4 tweets ▼
MIDAS MRD-adapted consolidation · Transplant-Eligible NDMM (IFM) Full trial profile →
2.2K imp  ·  4 tweets ▼
@Mohty_EBMT
Mohamad Mohty @Mohty_EBMT
More exciting data from the IFM MIDAS trial at #IMS2026! Following Isa-KRd induction and ASCT, isatux + iber maintenance drove substantial MRD conversion during the 1st year, including at the deep 10⁻⁶ level. Another step toward MRD-driven maintenance in high-risk NDMM. https://t.co/qtHMAnshr2
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@hhashmi87
Hamza Hashmi @hhashmi87
MIDAS (Isa-Iberdomide maintenance) 🧬 #IMS26: MIDAS: Isatuximab + iberdomide maintenance drives MRD conversion in MRD-positive TE-NDMM pts post Isa-KRd: 💡MRD-neg (10⁻⁶) rates rising 40%→58%. 💡Encouraging depth, but only 1-yr data so far 💡will conversions translate into https://t.co/wbs0wW3grk
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@HenrychihangFu1
Henry C Fung| MM, lymphoma, leukemia & CART @HenrychihangFu1
Have fun in Glasgow! 🇬🇧🏴󠁧󠁢󠁳󠁣󠁴󠁿 Don’t get lost at #IMS2026—too much great science, too many simultaneous sessions! Follow the roadmap. Don’t miss the practice-changing data. And don’t forget your single malt…after the final session! 🥃😆 #MultipleMyeloma #mmsm #Medtwitter https://t.co/eCVPDMHoDu
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@kansagraMD
Ankit kansagra @kansagraMD
There's a real cluster of MRD-driven trial design in this year's program — PERSEUS at 6+ years, MIDAS testing MRD-adapted maintenance, GEM2014MAIN's long-term data on stopping therapy after sustained MRD-negativity. The question isn't "do quadruplets work" anymore. It's how deep and how long you actually have to treat before it's safe to stop; 🛑; a question not just for T-cell engagers. looking forward to the debate ! #Myeloma #MRD #IMS26
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DREAMM-9 Belantamab mafodotin + VRd · Transplant-ineligible NDMM (induction dose-intensity vs ocular tolerability tradeoff — CR/MRD-neg higher but blurred vision more frequent at shorter dosing intervals)
172 imp  ·  1 tweet ▼
⬜Other / Multi-Tumor0 tweets captured
Clinical Trials1 trial with discussion

KOL Discussions

Full reply threads between physicians debating the data — not just individual tweets, the actual back-and-forth.

Anito-cel Phase I (NEJM) — MDS signal vs Cilta-cel/Ide-cel3 comments · 2 accounts

At time of #IMS26 #mmsm Anito cel phase I study published in @NEJM ➡️n=38 pts, median F/U : ~ 3yrs, 2 patients (5%) removed from analysis post enrollment even after successful manufacturing👇 ➡️ 2-yr PFS: 57%, median PFS: 2.5 yrs, 3-yrs OS: 65% 🛑Unfortunately no data on G2 CRS reported (they were lumped with G1-2 which occurred in almost all patients) also no data on prolonged cytopenias 🛑MDS in 8% ➡️no delayed neurotoxicity , ICANS: 18%, G3 ICANS 3% Overall small number of pts, efficacy looks better than Ide cel and worse than Cilta cel (numerical, no direct comparison) with safety showing concerning % of MDS (2ry malignancy) and no delayed neurotoxicity. No data on G2 CRS or prolonged cytopenia. Awaiting phase II data and future phase III data

Samer Al Hadidi, MD,MS,FACP — IMS26 discussion slideSamer Al Hadidi, MD,MS,FACP — IMS26 discussion slideSamer Al Hadidi, MD,MS,FACP — IMS26 discussion slide

Agreed with almost all of this! I do think MDS signal is impossible to sort out here... we'll need CARTITUDE-6 and iMMagine-6 in frontline to say for sure. Especially for late-line patients who had PD and then developed MDS later, this is sadly probably everything else they received...

Agree, also those cases apparently had relapsed myeloma all prior to MDS per the paper. I think we will need more mature data for Anito cel to see if it will be any different than Cilta cel but early safety seems encouraging

TRILOGY-1: Ramantamig 2-yr PFS in triple-class exposed RRMM — toxicity vs BsAbs3 comments · 2 accounts
Raj Chakraborty
Raj Chakraborty @rajshekharucms
932 impr →

Incredible 2-year PFS with Ramantamig in a ~95% CD38-refractory and 100% triple-class exposed population! These results are substantially superior compared to single-agent BCMA BsAbs and BCMA or GPRC5D CAR Ts in similar population. Based on these results, its plausible that we will see a near-flat PFS curve with Ram in Trilogy-5! #IMS26 @AlGarfall @MileHighMyeloma

Raj Chakraborty — IMS26 discussion slide
Simon C
Simon C @scserendipity1
77 impr →

Thanks Raj Toxicity?

Raj Chakraborty
Raj Chakraborty @rajshekharucms
30 impr →

G3 or higher infection was ~25% at 17 month follow up, which is lower than what we have seen with BsAbs thus far, and likely reflects a combination of better primary IVIG ppx uptake and q-4 to 8 weekly dosing. The skin/oral/nail toxicities were there, but not as bad as Talq.

Bispecific prophylaxis protocol — toci + IVIG duration debate (12 replies, 6 KOLs)9 comments · 7 accounts

Three things I recommend for using Bispecific antibodies in myeloma: 1) Prophylactic tocilizumab with first dose 2) Monthly IVIG regardless of the IgG level 3) Consider reducing frequency/stopping after excellent response. This applies to all the approved bispecifics: teclistamab, elranatamab, linvoseltamab, and talquetamab. Academic centers with expertise and close monitoring capabilities may skip the prophylactic tocilizumab but in general I do not see community adoption without it. The data on routine IVIG and early use before the IgG levels drop or infections occur is good and sufficient to move forward. It's recommended in NCCN and mSMART. Bispecifics are better at controlling myeloma than standard triplets and quads, but pose a much higher risk of serious life threatening infections without prophylaxis and careful adjustment of dosing schedule based on response and patient characteristics. #IMS26

Bill Atkiss
Bill Atkiss @SniperGangDon1
673 impr →

Thank you for sharing. Regarding prophylactic toci, is the data strong enough to justify its use? I could see hospital stewardship/formulary restrictions being tough on this from a cost perspective What has been your experience?

Yes the data is strong. Not RCT. But strong. That's why it's endorsed in NCCN and mSMART. We don't anticipate coverage denial. Virtually everyone gets severe hypogamma and treatment after that or an infection will cost hospitals and insurers a lot more. And patients suffer.

We were in same boat 2 years back. For inpatient, though, I'd argue cost effectiveness is even stronger! We're down to <5% any-grade CRS with PPx toci. For patients who still need inpatient SUD due to logistics / comorbidities, >95% chance of avoiding extra 🏥 day worth it.

Hira Mian
Hira Mian @HiraSMian
704 impr →

Yes agreed we do this for everyone but it's not a sustainable solution, we need fixed duration bsab.

Agreed 1000%! Bispecific antibodies are highly effective yet carry with significant infection risks that can be prevented. The risk of serious infections can be minimized by monthly IVIg. The risk of severe CRS can be minimized with the use of prophylactic tociluzimab which allows outpatient administration. Both IVIg and toci should be considered part of BsAb therapy for #myeloma

Thanks, Rahul. We have been stopping IVIG based on IgG trend, and it's more a wean than an abrupt stop since endogenous IgG returns gradually and on variable time course. Anecdotally, most pts still need some out to 12m. We will have data on this from LimiTec.

Both costs and time in clinic - IVIG can be a lot. A few of my patients have tried dabbling with SCIG (subcutaneous Ig self-injected at home) but it also seems to be a lot of work and time stuck in a chair… we need better options!

T-cell engagers are dosed like antibodies based on PK/PD data; no fault to anyone but we didn't know better 7-8 yrs ago when drug development of these agents started. We are seeing dosing at Q8W with newer compounds; might even be longer based on binding; this should significantly improve tolerability while no change in efficacy. Thnx @VincentRK for sharing these three critical elements on treating with current biscpefics.

Anito-cel (NEJM pub.) vs Cilta-cel/CARTITUDE — efficacy & toxicity debate11 comments · 6 accounts
Eddie Cliff
Eddie Cliff @Eddie_Cliff
3.3K impr →

Very enticing data #mmsm #IMS26

Eddie Cliff — IMS26 discussion slide
Raj Chakraborty
Raj Chakraborty @rajshekharucms
387 impr →

Is efficacy as good as Cilta-cel though :)

I'm interested to know how you infer efficacy based on this data.

Eddie Cliff
Eddie Cliff @Eddie_Cliff
112 impr →

I'll tell you in 5 years Raj!

Eddie Cliff
Eddie Cliff @Eddie_Cliff
41 impr →

I mean sufficient efficacy to warrant phase 3 trials, for sure. The important context here is the toxicity of cilta-cel

Barb Kennedy
Barb Kennedy @b_2boysmom1310
42 impr →

But some of the toxicity didn’t happen in the trial also. I’m not convinced it will be better and that they won’t have AE. I find that hard to believe. They clearly changed protocols and learned as we all have went along.

Eddie Cliff
Eddie Cliff @Eddie_Cliff
41 impr →

I appreciate the caveats of early data. I think one key difference is that we looking more closely for NINTs and some of the other toxicity than we were during the early phase cilta-cel trials

Saurabh Zanwar
Saurabh Zanwar @ZanwarSaurabh
66 impr →

If the toxicity is as low as purported, PFS2 is what we will need to look at.

Although immagine 1 vs cartitude 1-> 75% NR to bridge vs 50% NR to bridge. Immagine-> more resistant disease Upper bound 95% CI for immagine falls at 36 mos - median for cartitude at 35mos. This might be a strong data point against immagine. Low N, more data needed though

Raj Chakraborty
Raj Chakraborty @rajshekharucms
53 impr →

Yeah, I think the phase 2 data with larger sample size will give more clarity. But toxicity profile looks better for anito-cel thus far.

Cartitude tox data looked ok initially too :), cartitude 4 imid+ dara refractory subgroup pfs was disappointing making me question cartitude-1. Although low N car4 subgrp.

Cyclophosphamide for Delayed CAR-T Neurotoxicity — Negative Study Meets PTCy-Dose Debate7 comments · 4 accounts
Henry Fung, MD
Henry Fung, MD @HenrychihangFu1
2.8K impr →

Let’s be honest: this is a negative study. A single 500-mg dose of cyclophosphamide did not reduce delayed neurotoxicity or Parkinsonism—and did not change peak ALC, lymphocyte kinetics, CD4:CD8 ratio, or CAR-T expansion. Mechanistically, it does not make sense. The “peak” cannot be identified prospectively, ALC is only a surrogate, and this dose is unlikely to eliminate rapidly expanding CAR-T cells. The claim of reduced severity comes from a few patients in a nonrandomized observational comparison. Meanwhile, additional cyclophosphamide after Flu/Cy may prolong cytopenia, impair immune recovery, and increase infection risk—outcomes that were not adequately reported. No demonstrated benefit. Real potential harm. This should not become practice. #MultipleMyeloma #Mmsm #Hemetwitter

We must push back against practice changing claims based on nonrandomized data, especially when the mechanism falls short and real potential harm exists. Thank you for analyzing the data rigorously and prioritizing true patient safety.

Yes, this is the conclusion that we presented as well. Sharing negative study so others would not repeat what is already done. Our group is already discussing the next mitigation strategy to test.

Henry Fung, MD
Henry Fung, MD @HenrychihangFu1
126 impr →

There may be differences in immune modulating effects of cytoxan vs DEX as mitigating strategy beyond lympho-reduction which we will examine. However the clinical course for PKS cases responsiveness to treatment could also be due in part to earlier recognition & treatment.

It works for allo transplant. It was a reasonable hypothesis. Cy is only metabolized in lymphocytes.

Henry Fung, MD
Henry Fung, MD @HenrychihangFu1
44 impr →

1/2 Joe—yes, but dose is everything. Standard allo PTCy is 50 mg/kg on days +3 and +4 = 100 mg/kg total. For an 80-kg patient, that is 8 g, versus a single 500-mg dose after CAR-T—a 16-fold difference. I am old enough to remember—and privileged to have learned this directly from Dr. E. Donnall Thomas. In the 1970 Storb–Thomas canine study, Cy 5 or 7.5 mg/kg on days +1, +3, +6, +11 and then weekly failed to prevent lethal GVHD; 10 mg/kg produced severe marrow aplasia.[1] 2/2 A later human trial used Cy 7.5 mg/kg on days +1, +3, +5, +7, +9 and then weekly. It was inferior to cyclosporine: acute GVHD 68% vs 32%.[2] One mechanistic point: Cy is activated predominantly in the liver—not only in lymphocytes. Its selectivity reflects the vulnerability of proliferating alloreactive T cells and relative ALDH-mediated protection of hematopoietic stem cells and certain lymphocyte subsets. High-dose PTCy working in allo does not validate one 500-mg dose after cilta-cel. References: Storb R, Graham TC, Shiurba R, Thomas ED. Transplantation. 1970;10:165–172. doi:10.1097/00007890-197008000-00003. Santos GW, et al. Clin Transplant. 1987;1:21–28. doi:10.1111/j.1399-0012.1987.tb00685.x. Luznik L, et al. Biol Blood Marrow Transplant. 2008;14:641–650. doi:10.1016/j.bbmt.2008.03.005. Bolaños-Meade J, et al. N Engl J Med. 2023;388:2338–2348. doi:10.1056/NEJMoa2215943.

Henry Fung, MD
Henry Fung, MD @HenrychihangFu1
24 impr →

Yi—I agree that cyclophosphamide and dexamethasone have different immunomodulatory effects. My point is not that they are interchangeable, but that current evidence does not support either as routine prophylaxis. Dexamethasone broadly suppresses inflammatory transcription and cytokine production; it does not shut down all transcription. Delayed IEC-parkinsonism appears biologically distinct from CRS and acute ICANS and may involve persistent CAR-T cells in blood/CSF and T-cell infiltration of the basal ganglia. Consistent with this biology, prophylactic dexamethasone did not meaningfully reduce lymphocyte expansion or the incidence of delayed neurotoxicity or parkinsonism. Similarly, a single 500-mg dose of cyclophosphamide did not alter peak ALC, lymphocyte kinetics, CAR-T expansion or overall delayed-neurotoxicity incidence. The apparent reduction in severity could reflect earlier recognition and treatment in a nonrandomized study, as you suggest. The important next step is to determine whether any subgroup truly benefits—based on the neurologic phenotype, CAR-T expansion rather than ALC alone, CAR-T cells in CSF, early neurologic changes and timing of intervention. This requires prospective controlled study. References: Lim et al. Blood Cancer Journal. 2026. doi: 10.1038/s41408-026-01598-5 Van Oekelen et al. Nature Medicine. 2021. doi: 10.1038/s41591-021-01564-7

Slides & Infographics by Trial

Highlights from every slide and infographic shared by the myeloma community, organized by clinical trial and newest first within each — swipe or use the arrows to browse. Tap "View OCR Text" for a full-text transcription of any slide. Click a card to open the original post.

CERVINO

10 slides Full trial profile →

MajesTEC-3

10 slides Full trial profile →

EXCALIBER-RRMM

10 slides Full trial profile →

PERSEUS

10 slides Full trial profile →

TRIlogy-1

10 slides

CARTITUDE-2 Cohort A

8 slides

CAMMA 1

7 slides

CARTITUDE-4

6 slides Full trial profile →

IBEX

6 slides

MELT-MM

5 slides

MIDAS

4 slides Full trial profile →

MonumenTAL-3

4 slides Full trial profile →

MajesTEC-9

4 slides Full trial profile →

GEM2014MAIN

4 slides

Anito-cel-Phase1

4 slides

LINKER-SMM1

4 slides

CEPHEUS

4 slides Full trial profile →

ProMMise

3 slides

UKMRA RADAR

3 slides

EMagine/CARTITUDE-6

2 slides Full trial profile →

ELLEN

2 slides

TRIlogy-6

2 slides

DURGA-6

2 slides

iMMagine-6

2 slides

MonumenTAL-6

2 slides Full trial profile →

IMMAGINE-1

2 slides Full trial profile →

IZALCO

2 slides

RedirecTT-1

2 slides Full trial profile →

DREAMM-8

2 slides Full trial profile →

DREAMM-9

2 slides

IMROZ

2 slides Full trial profile →

SPARK

2 slides

SeaLAND

1 slide

SUCCESSOR-2

1 slide Full trial profile →

DREAMM-7

1 slide Full trial profile →

DART

1 slide

General Conference Content

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584 slides across 40 trials & topics — tagged, searchable by trial
KOL Pulse  ·  IMS 2026 Live Conference Intelligence
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Tweets are verbatim from X/Twitter. KOL Pulse does not editorialize tweet content.
More IMS 2026 Myeloma Coverage
CERVINO Trial Profile
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IMS 2026 Slide Library
Every data slide shared at IMS26, organized by trial