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KOL Pulse — Trial Profile

MAJESTEC-9 Trial

Phase 3 trial of teclistamab (Tecvayli) monotherapy vs investigator's choice of pomalidomide-bortezomib-dexamethasone (PVd) or carfilzomib-dexamethasone (Kd) in relapsed/refractory multiple myeloma with 1–3 prior lines, all lenalidomide-exposed and anti-CD38-exposed. Presented at ASCO 2026 (Abstract 7507), published in NEJM.

ASCO 2026 · Abstract 7507 · NEJMRR Multiple Myeloma1–3 Prior LinesPhase 3Teclistamab (Tecvayli) · J&J

KOL Leaders Discussing MAJESTEC-9

Samer Al Hadidi, MD,MS,FACP
Samer Al Hadidi, MD,MS,FACP
@HadidiSamer
18,139 impressions
Vincent Rajkumar
Vincent Rajkumar
@VincentRK
16,345 impressions
Raj Chakraborty
Raj Chakraborty
@rajshekharucms
10,986 impressions
Oncology Brothers
Oncology Brothers
@OncBrothers
7,994 impressions
Rahul Banerjee, MD, FACP
Rahul Banerjee, MD, FACP
@RahulBanerjeeMD
6,364 impressions
Daniel Auclair
Daniel Auclair
@AuclairDan
5,297 impressions
Kate Sears
Kate Sears
@medwatchkate
4,852 impressions
Dr Rishabh Jain
Dr Rishabh Jain
@DrRishabhOnco
4,147 impressions

Key Slides & Data

Raj Chakraborty
Raj Chakraborty @rajshekharucms
#ASCO26 · May 29, 2026
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A Progression-free Survival 100 18-mo Progression-free survival 80 69.8 (95% CI, 63.7-75.1) Percentage of Patients 60 Teclistamab 40 20 PVd or Kd 26.9 (95% CI, 21.1-33.0) 0 0 3 6 9 12 15 18 21 24 27 30 Months since Randomization --- 100 Teclistamab 18-mo Overall survival 79.2 (95% CI, 73.5-83.8) 80 Percentage of Patients Alive PVd or Kd 60 68.6 (95% CI, 62.4-74.0) 40 20 Hazard ratio for death, 0.60 (95% CI, 0.43-0.83) P=0.002 0 0 3 6 9 12 15 18 21 24 27 30 Months since Randomization --- Event Onset Time >6-≤12 >12-≤18 >18-≤24 Total ≤6 Months >24 Months Months Months Months Teclistamab Infections and infestations Patients within window, no. 291 291 237 169 102 33 Patients with ≥1 grade ≥3 123 (42.3) 96 (33.0) 33 (13.9) 15 (8.9) 9 (8.8) 3 (9.1) treatment-emergent infections and infestations, no. (%)
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 29, 2026
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MajesTEC-9: Key Takeaways 1 2 3 Second positive phase 3 study with Tec-based therapy Tec monotherapy significantly The safety profile of Tec was showing significant PFS and improved PFS (HR, 0.29) and consistent with the known OS benefit in 2L+ RRMM os (HR, 0.60) vs PVd/Kd profile Significant PFS and OS advantage seen in MajesTEC-9, as well as MajesTEC-3,¹ support Tec-based therapy as a new 2L+ SOC across practice settings 1. Costa LJ, et al. N Engl J Med. 2026;394(8):739-752 2L+, second-line or higher; HR, hazard ratio; Kd, carfilzomib and dexamethasone; OS, overall survival; PFS, progression-free survival; PVd, pomalidomide, bortezomib, and dexamethasone; RRMM, relapsed refractory multiple myeloma; SOC, standard-of-care; Tec, teclistamab. 2 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2, 2026; Chicago, IL, USA --- MajesTEC-9: Phase 3 Study Design Primary endpoint Key inclusion criteria Tec PFS per IRC RRMM n=296 Key secondary endpoints 1-3 prior LOTs including an anti-CD38 mAb >CR and lenalidomide 1:1 OS ECOG PS score of 0-2 randomization MySIm-Q total symptom score N=593 Other secondary endpoints Key exclusion criteria PVd/Kd April 28, 2023- ORR Prior BCMA-directed therapy April 3, 2025 by investigator's choice Safety n=297 (69% Kd) PK and immunogenicity Exploratory endpoints MRD-negative >CR (10-5) SUD 28-day cycles Tec 1.5 mg/kg C1 QW C2 QW C3-C6 Q2W C7+ Q4W Tec 3 mg/kg D1 D3 D5 D12 D19 D1 D8 D15 D22 D1 D8 D15 D22 D1 D8 D15 D22 Tec SC Dex (pre-med)* Monthly Tec dosing from C7 (earlier if ≥VGPR); steroid free after C1D5 *Administered per the approved schedules. Kd was administered either twice weekly (20/56 mg/m/) or once weekly (20/70 mg/m/) depending on the local clinical practice. "Disease progression and response were assessed by an IRC per IMWG 2016 criteria. Patients received SUD of 0.06 mg/kg and 0.3 mgkg on D1 and 03, respectively. Patients with confirmed WGPR could which to dosing Q4W earlier than C7 per investigator's discretion *Dex, acetaminophen, and diphenhydramine pre-med was required on C1 D1. 03. and DS. c. Cycle CR, complete response; D. Day Dex, dexamethasone; ECOG P.S. Eastem Cooperative Oncology Group performance status; MWG, International Myeloma Working Group: IRC, independent review committee; MRD, minimal residual disease; MySim-Q, Multiple Myeloma Symptom and Impact Questionnaire ORR, overall response rate: PK, pharmacokinetics; pre-med, pre-medication; QW, weekly; Q2W, every 2 weeks; CHW, every 4 weeks; SC, subcutaneous, SUD, step-up dosing VGPR very good partial response. Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2. 2026 Chicago, L USA --- MajesTEC-9: Baseline Demographic and Disease Characteristics Tec PVd/Kd Tec PVd/Kd Characteristic Characteristic (n=296) (n=297) (n=296) (n=297) Age Baseline ECOG PS score, n (%) Median (range), years 70 (34-85) 70 (36-86) 0 156 (52.7) 135 (45.5) >75 years, n (%) 84 (28.4) 89 (30.0) 1 121 (40.9) 137 (46.1) Sex, n (%) 2 19 (6.4) 24 (8.1) 3 0 Male 150 (50.7) 153 (51.5) 1 (0.3) Female 146 (49.3) ISS stage, n (%) 144 (48.5) I 168 (56.8) 170 (57.2) Race, n (%) II 86 (29.1) 82 (27.6) White 190 (64.2) 198 (66.7) III 42 (14.2) 45 (15.2) Asian 62 (20.9) 56 (18.9) BMPCs >60%,b n/N (%) 31/292 (10.6) 40/295 (13.6) Black or African American 10 (3.4) 10 (3.4) Soft-tissue plasmacytomas, n (%) 54 (18.2) 65 (21.9) Other 34 (11.5) 33 (11.1) Extramedullary plasmacytomas© 19 (6.4) 22 (7.4) Paraskeletal plasmacytomasᶜ 43 (14.5) 52 (17.5) High-risk cytogenetics,d n/N (%) 105/294 (35.7) 104/296 (35.1) Balanced baseline characteristics are reflective of a RRMM population, including high-risk disease "Other" includes American Indian or Alaska Native (Tec, n=2 [0.7%]; PVd/Kd, n=0), not reported (Tec, n=18 [6.1%]: PVd/Kd, n=23 [7.7%]). unknown (Tec, n=7 [2.4%]: PVd/Kd, n=6 [2.0%]), and multiple (Tec, n=7 [2.4%]; PVd/Kd, n=4 [1.3%]). Maximum value from bone marrow biopsy or bone marrow aspirate was selected if both results were available. A patient may have both extramedullary and paraskeletal plasmacytomas. Presence of 21 of del(17p). t(4;14). or t(14;16). BMPC, bone marrow plasma cell; ISS, International Staging System. From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright © 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 5 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2, 2026; Chicago, IL, USA --- MajesTEC-9: Prior LOTs Tec PVd/Kd Characteristic Tec PVd/Kd (n=296) (n=297) Characteristic (n=296) (n=297) Prior LOTs, n (%) Refractory status, n (%) Median (range), n 2 (1-3) 2 (1-3) To last prior LOT 274 (92.6) 273 (91.9) 1 prior LOT 64 (21.6) 64 (21.5) Any PI 122 (41.2) 128 (43.1) 2 prior LOTs 131 (44.3) 137 (46.1) Any IMiD 245 (82.8) 251 (84.5) 3 prior LOTs 101 (34.1) 96 (32.3) Lenalidomide Prior transplantation, n (%) 145 (49.0) 147 (49.5) 234 (79.1) 240 (80.8) Autologous 145 (49.0) 146 (49.2) Any anti-CD38 253 (85.5) 252 (84.8) Prior therapy exposure, n (%) Double refractory (IMiD and anti-CD38) 218 (73.6) 221 (74.4) PI 256 (86.5) 254 (85.5) Triple refractory (IMiD, anti-CD38, and PI) 102 (34.5) 98 (33.0) IMID 296 (100) 297 (100) Anti-CD38 296 (100) 297 (100) Approximately 75% of patients were double refractory to an IMiD and anti-CD38 mAb IMD, immunomodulatory drug; PI, proteasome inhibitor. From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright © 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 6 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2, 2026; Chicago, IL, USA.
Oncology Brothers
Oncology Brothers @OncBrothers
#ASCO26 · May 29, 2026
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MajesTEC-9: Phase 3 Study Design Primary endpoint Key inclusion criteria Tec PFS per IRC RRMM n=296 Key secondary endpoints 1-3 prior LOTs including an anti-CD38 mAb >CR and lenalidomide 1:1 OS ECOG PS score of 0-2 randomization MySim-Q total symptom score N=593 Other secondary endpoints Key exclusion criteria PVd/Kd* April 28, 2023- ORR Prior BCMA-directed therapy April 3, 2025 by investigator's choice Safety n=297 (69% Kd) PK and immunogenicity Exploratory endpoints MRD-negative >CR (10-5) SUD 28-day cycles Tec 1.5 mg/kg C1 QW C2 QW C3-C6 Q2W C7+ Q4W Tec 3 mg/kg D1 D3 D5 D12 D19 D1 D8 D15 D22 D1 D8 D15 D22 D1 D8 D15 D22 Tec SC Dex (pre-med)* Monthly Tec dosing from C7 (earlier if ≥VGPR); steroid free after C1D5 *Administered per the approved schedules. Kd was administered either twice weekly (20/56 mg/ml) or once weekly (20/70 mg/ml) depending on the local clinical practice. *Disease progression and response were assessed by an RC per IMWG 2016 criteria. Patients received sup of 0.00 mg/kg and 0.3 mgkg on D1 and 03, respectively Patients with confirmed WGPR could switch to dosing Q4W earler than C7 per investigator's discretion *Dex, acetaminophen, and diphenthydramine pre-med was required on C1 D1. 03. and D5. c, Cycle CR, complete response; D. Day Dex, diceamethasone; ECOG P.S. Eastern Cooperative Oncology Group performance status; MWG, International Mysicms Working Group IRC, independent review committee; MRD, minimal residual disease; MySim-Q. Multiple Myeloma Symptom and impact Questionnaire ORR, overall response - PK, pharmacokinetics; pre-med, pre-medication CW, weekly, Q2W, every 2 weeks; CHW, every 4 weeks; SC, subcutaneous, SUD. step-up dosing VGPR very good partial response. Presented by R Mina at the American Society of Clinical Onoology (ASCO) Annual Meeting: May 29-June 2. 2020. Chicago, L USA --- MajesTEC-9: Tec Significantly Improved PFS (Primary Endpoint) Estimated 18-mo PFS 100 Surviving without progression, % 80 69.8% 60 Tec Median, NR 40 26.9% 20 PVd/Kd HR, 0.29 (95% CI, 0.23-0.38); P<0.0001ᵃ Median, 8.2 months Median follow-up: 17.3 months 0 0 3 6 9 12 15 18 21 24 27 30 Months No. at risk Tec 296 258 239 206 172 141 92 57 27 6 0 PVd/Kd 297 199 162 112 74 51 33 16 6 1 0 Tec significantly improved PFS, with a 71% reduction in the risk of disease progression or death in a highly refractory population *The P value crossed the prespecified stopping boundary for superiority for the first interim analysis (P=0.0197). CI, confidence interval; NR, not reached. From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright c 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 8 Presented by R Mina at the American Society of Cinical Oncology (ASCO) Annual Meeting: May 29-June 2, 2026; Chicago, L, USA. --- MajesTEC-9: Tec Significantly Improved OS Estimated 18-mo OS 100 79.2% Tec 80 Median, NR Surviving, % 60 68.6% PVd/Kd Median, NR 40 20 HR, 0.60 (95% CI, 0.43-0.83); P=0.0020 Median follow-up, 17.3 months 0 0 3 6 9 12 15 18 21 24 27 30 No. at risk Months Tec 296 280 263 237 195 159 107 66 33 11 0 PVd/Kd 297 264 243 210 172 137 91 54 25 8 0 Tec significantly improved OS vs PVd/Kd, despite over two-thirds of PVd/Kd patients who initiated subsequent therapy receiving a BsAb or CAR-T BsAb, bispecific antibody; CAR-T, chimeric antigen receptor T cell. From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright c 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 12 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2. 2026; Chicago, IL, USA --- MajesTEC-9: Overall Safety Profile Tec (n=291) PVd/Kd (n=283) CRS mostly low grade; all resolved with no discontinuation TEAE, n (%)c Any grade Grade 3/4 Any grade Grade 3/4 Any TEAE 290 (99.7) 247 (84.9) 277 (97.9) 216 (76.3) Grade 1/2 (48.8%/16.5%), grade 3 (0.7%), no grade 4/5 Hematologic Neutropenia 182 (62.5) 158 (54.3) 81 (28.6) 63 (22.3) ICANS was infrequent, generally low grade Anemia 110 (37.8) 52 (17.9) 119 (42.0) 46 (16.3) Thrombocytopenia 80 (27.5) 31 (10.7) 110 (38.9) 60 (21.2) Grade 1/2 (2.4%/1.4%), grade 3 (0.3%)a Lymphopenia 71 (24.4) 59 (20.3) 49 (17.3) 32 (11.3) Nonhematologicᵃ Discontinuations due to TEAEs: 10.7% Tec VS 13.1% PVd/Kdb CRS 192 (66.0) 2 (0.7) 0 0 Diarrhea Death due to PD: 8.6% Tec VS 18.7% PVd/Kd 124 (42.6) 15 (5.2) 72 (25.4) 4 (1.4) Cough 80 (27.5) 2 (0.7) 39 (13.8) 0 Grade 5 TEAEs: 6.5% Tec VS 3.5% PVd/Kd Injection-site erythema 71 (24.4) 0 8 (2.8) 0 Hypertension 20 (6.9) 13 (4.5) 51 (18.0) 32 (11.3) The safety profile was consistent with the known profile of Tec monotherapy "One patient had a grade 3 ICANS event that led to Tec discontinuation. Discontinuation of all components of study treatment. Most common TEAEs of any grade occurring in >20% of patients in either treatment group and the most common grade 3/4 TEAEs occurring in >10% of patients in either treatment group. "Hypogammaglobulinemia, URTI, and pneumonia were also reported but are discussed on the following summary of infections slide. CRS, cytokine release syndrome; ICANS, immune effector cell-associated neurotoxicity syndrome; TEAE, treatment emergent adverse event; URTI, upper respiratory tract infection. From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright © 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 13 Presented by R Mina at the American Society . of Clinical Oncology . (ASCO) Annual Meeting: 1 May 29-June - . 2, 2026; Chicago, IL, USA
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 29, 2026
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The NEW ENGLAND JOURNAL of MEDICINE ORIGINAL ARTICLE Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy C. Touzeau,¹ R. Mina,²,³ H. Quach,⁴ V. Hungria,⁵ D. Bhutani, W. Chen,⁷ S. Kumar,⁸ C. Chaulagain,⁹ M.A. Dimopoulos, 10,11 N.J. Bahlis, 12 S. Maral,¹³ N.W.C.J. van de Donk,¹⁴ J. Schmidt Filho,¹⁵ K. Saja, 16 R. Teipel,¹⁷ M. Ando,¹⁸ W. Roeloffzen,¹ O. Annibali,²⁰ B. Augustson,² C. Botta,²² M. Delforge,²³ E. Bourgeois,² G. Buda,²⁵ M. Hus,26 A. Perrot,2 M. Preis,²⁸,²⁹ M. Beksac,³⁰ L. Pour,³¹ S. Farmer,³² M. Nunes,³³ A. Oriol, 34 T. Melchardt, 35 Y. Hu,³⁶³⁸ M. Flogegård,³⁹ D. Wang,⁴⁰ L. Pei,⁴⁰ S. Wroblewski,⁴ I.M. Ariës,⁴² N.A. Quijano Cardé,⁴¹ T. Perova, 41 T. de Jager,43 T.-M. Yeh,⁴⁰ V. Vanquickelberghe, P. Shah,⁴⁵ K. Chastain,⁴⁰ R. Kobos,⁴⁰ R. Carson,⁴¹ and O. Landgren,⁴⁶ for the MajesTEC-9 Trial Investigators*
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 29, 2026
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MajesTEC-9: Overall Safety Profile Tec (n=291) PVd/Kd (n=283) CRS mostly low grade; all resolved with no discontinuation TEAE, n (%)c Any grade Grade 3/4 Any grade Grade 3/4 Any TEAE 290 (99.7) 247 (84.9) 277 (97.9) 216 (76.3) Grade 1/2 (48.8%/16.5%), grade 3 (0.7%), no grade 4/5 Hematologic Neutropenia 182 (62.5) 158 (54.3) 81 (28.6) 63 (22.3) ICANS was infrequent, generally low grade Anemia 110 (37.8) 52 (17.9) 119 (42.0) 46 (16.3) Thrombocytopenia 80 (27.5) 31 (10.7) 110 (38.9) 60 (21.2) Grade 1/2 (2.4%/1.4%), grade 3 (0.3%)a Lymphopenia 71 (24.4) 59 (20.3) 49 (17.3) 32 (11.3) Nonhematologicᵃ Discontinuations due to TEAEs: 10.7% Tec VS 13.1% PVd/Kdb CRS 192 (66.0) 2 (0.7) 0 0 Diarrhea Death due to PD: 8.6% Tec VS 18.7% PVd/Kd 124 (42.6) 15 (5.2) 72 (25.4) 4 (1.4) Cough 80 (27.5) 2 (0.7) 39 (13.8) 0 Grade 5 TEAEs: 6.5% Tec VS 3.5% PVd/Kd Injection-site erythema 71 (24.4) 0 8 (2.8) 0 Hypertension 20 (6.9) 13 (4.5) 51 (18.0) 32 (11.3) The safety profile was consistent with the known profile of Tec monotherapy "One patient had a grade 3 ICANS event that led to Tec discontinuation. Discontinuation of all components of study treatment. "Most common TEAEs of any grade occurring in >20% of patients in either treatment group and the most common grade 3/4 TEAEs occurring in >10% of patients in either treatment group. "Hypogammaglobulinemia, URTI, and pneumonia were also reported but are discussed on the following summary of infections slide. CRS, cytokine release syndrome; ICANS, immune effector cell-associated neurotoxicity syndrome; TEAE, treatment emergent adverse event; URTI, upper respiratory tract infection From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright © 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 13 Presented by R Mina at the American Society of Clinical Oncology . (ASCO) Annual Meeting: May 29-June . 2, 2026; Chicago, IL, USA --- MajesTEC-9: Summary of Infections Tec (n=291) PVd/Kd (n=283) Hypogammaglobulinemia was common Any Grade Any Grade Grade 5 Grade 5 69.1% Tec and 50.2% PVd/Kd TEAE, n (%) grade 3/4 grade 3/4 Infections were more frequent when disease Any infection 241 (82.8) 121 (41.6) 16 (5.5) 193 (68.2) 82 (29.0) 8 (2.8) burden was high Most common infection or infestation Grade 5 infections: 16 (5.5%) with Tec VS URTI 77 (26.5) 7 (2.4) 0 58 (20.5) 6 (2.1) 0 8 (2.8%) with PVd/Kd Pneumonia 64 (22.0) 42 (14.4) 3 (1.0) 43 (15.2) 30 (10.6) 4 (1.4) 14/16 VS 8/8 in first 6 months COVID-19 45 (15.5) 10 (3.4) 1 (0.3) 22 (7.8) 3 (1.1) 0 5/16 VS 6/8 had no IgRT Nasopharyngitis 37 (12.7) 0 0 24 (8.5) 0 0 8/16 VS 2/8 had last IgG <400 mg/dL UTI 30 (10.3) 4 (1.4) 0 12 (4.2) 2 (0.7) 0 Grade 3/4 infections were frequent, reinforcing the need for diligent use of established IgRT and antimicrobial prophylaxis *Defined as occurring in >10% of patients in either treatment group. Defined as patients with 21 TEAE of hypogammaglobulinemia or a post-baseline IgG value <400 mg/dL IgG, immunoglobulin G; IgRT, immunoglobulin replacement therapy; UTI, urinary tract infection From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright © 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 14 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2, 2026; Chicago, IL, USA. --- MajesTEC-9: Grade ≥3 Infections Declined Over Time QW and Q2W Q4W Tec Tec dosing Tec dosing PVd/Kd 35 33.0 30 Percentage of patients with any onset of ≥1 grade ≥3 infections, % 25 23.3 20 15 13.9 14.7 9.1 10 8.9 8.8 9.1 7.5 5 0 0 ≤6 mo >6-512 mo >12-518 mo >18-524 mo >24 mo Tec (n/N)a 96/291 33/237 15/169 9/102 3/33 PVd/Kd (n/N)a 66/283 15/164 6/80 5/34 0/9 Grade ≥3 infections decreased from 6 months, consistent with disease control "Includes patients who are in the TEAE-reporting period for the specific window. Noting that patients are counted only once in a window for any given event, regardless of the number of times they actually experienced the event within the specific time window. 15 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting; May 29-June 2, 2026; Chicago, IL, USA.
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 29, 2026
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MajesTEC-9: Tec Significantly Improved OS Estimated 18-mo OS 100 79.2% Tec 80 Median, NR Surviving, % 60 68.6% PVd/Kd Median, NR 40 20 HR, 0.60 (95% CI, 0.43-0.83); P=0.0020 Median follow-up, 17.3 months 0 0 3 6 9 12 15 18 21 24 27 30 No. at risk Months Tec 296 280 263 237 195 159 107 66 33 11 0 PVd/Kd 297 264 243 210 172 137 91 54 25 8 0 Tec significantly improved OS vs PVd/Kd, despite over two-thirds of PVd/Kd patients who initiated subsequent therapy receiving a BsAb or CAR-T BsAb, bispecific antibody; CAR-T. chimeric antigen receptor T cell. From The New England Journal of Medicine, Touzeau C, et al., Teclistamab in Multiple Myeloma with One to Three Previous Lines of Therapy. Copyright c 2026 Massachusetts Medical Society. Adapted with permission from Massachusetts Medical Society. 12 Presented by R Mina at the American Society of Clinical Oncology (ASCO) Annual Meeting: May 29-June 2. 2026; Chicago, IL, USA.
CancerNetwork®
CancerNetwork® @cancernetwrk
#ASCO26 · May 29, 2026
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cancernetwork® home of the journal ONCOLOGY 3 ABSTRACTS TO WATCH ASCO 2026 I Multiple Myeloma Abstract 7507 MajesTEC-9 Phase 3: Teclistamab monotherapy vs PVd/Kd in relapsed/refractory multiple myeloma (1-3 prior lines) Presenter: Roberto Mina, MD Abstract 7510 Optec/Optal Phase 2: Outpatient teclistamab or talquetamab with prophylactic tocilizumab in RRMM Presenter: Peter Forsberg, MD Abstract LBA7506 SUCCESSOR-2 Phase 3: Mezigdomide + carfilzomib + dexamethasone (Mezikd) vs Kd in RRMM Presenter: Paul G. Richardson, MD Read more on CancerNetwork.com
Dr Rishabh Jain
Dr Rishabh Jain @drrishabhonco
#ASCO26 · May 28, 2026
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® ASCO® #ASCO26 Abstract #7507 Oral Abstract Session AMERICAN SOCIETY OF CLINICAL ONCOLOGY KNOWLEDGE CONQUERS CANCER MajesTEC-9 Teclistamab Tec VS PVd/Kd in RRMM BCMAxCD3 after 1-3 prior lines bispecific antibody FIRST phase 3 study showing superior PFS & OS with Tec monotherapy in anti-CD38/LEN-exposed RRMM. @DrRishabhOnco KEY EFFICACY RESULTS PFS (Primary Endpoint) OS (Secondary Endpoint) ≥CR RATE HR HR 0.29 0.60 65.9% vs 16.8% Tec PVd/Kd (95% CI, 0.23-0.38) (95% CI, 0.43-0.83) Benefit consistent P < 0.0001 P = 0.0020 across key subgroups: 18-MONTH PFS RATE 18-MONTH OS RATE Anti-CD38 refractory 69.8% vs 26.9% 86.8% 75.7% Len refractory vs All prior LOT subgroups Tec PVd/Kd Tec PVd/Kd SAFETY SNAPSHOT CRS ICANS Grade 3/4 infections 66% 4.1% higher with Tec (Grade 1/2: 48.8% / 16.5%) (Grade 1/2: 2.4% / 1.4%) TAKEAWAY Tec monotherapy significantly improves PFS and os vs standard of care with manageable safety in anti-CD38/LEN-exposed RRMM. These phase 3 results support Tec-based regimens as early as second line.
MV Chandrakanth
MV Chandrakanth @chandrakanthmv
#ASCO26 · May 24, 2026
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ASCO 2026 UPDATE Majes TEC-9 Trial Teclistamab VS PVd/Kd in Relapsed/Refractory Multiple Myeloma MV Onco 01 Earlier Relapse Remains Challenging Many RRMM patients now exposed BCMA to anti-CD38 + lenalidomide Early relapse outcomes remain poor Plasma T cell cell Teclistamab evaluated earlier than prior studies First phase 3 trial of teclistamab monotherapy in 1-3 prior lines 02 Simple Phase 3 Design Teclistamab VS PVd/Kd 593 patients 1-3 prior lines Mostly refractory disease 03 A Difficult-to-Treat Population 80% 85% 92% Len refractory Anti-CD38 refractory Refractory to last therapy Reflects modern real-world early relapse RRMM 04 Clear PFS Advantage Teclistamab markedly prolonged progression-free survival Median PFS: 18-month PFS: HR 0.29 Not reached 69.8% VS 26.9% vs 8.2 months 05 Overall Survival Improved OS benefit persisted despite substantial subsequent anti-BCMA therapy in the control arm HR 0.60 Among control-arm patients receiving subsequent therapy, 68.4% later received BsAb or CAR-T therapy Suggests meaningful early-line benefit with teclistamab 06 Deeper and More 07 Expected Immune Toxicities Durable Responses >CR CRS common Infections higher 65.9% vs 16.8% Mostly Grade 1/2 Monitoring ICANS uncommon important * Markedly deeper remissions Safety profile consistent with with teclistamab established BCMA bispecific experience 08 What Changes in Practice? Teclistamab moves closer toward an earlier-line standard-of-care role in RRMM. Mina et al ASCO 2026
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 21, 2026
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ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY COI Management Member Directory Become Member Search a Sign In Meetings & Education Research & Data Practice & Patients Career Development News & Initiatives Get Involved Abstracts Guidelines Journal Articles Posters Slides Videos Home / Abstracts & Presentations / MajesTEC-9: A phase 3 rando... MajesTEC-9: A phase 3 randomized study of teclistamab monotherapy vs investigator's choice of pomalidomide, bortezomib, and dexamethasone or carfilzomib and dexamethasone (PVd/Kd) in patients (pts) with relapsed refractory multiple myeloma (RRMM).
Oncology Brothers
Oncology Brothers @oncbrothers
Conference Slides · May 10, 2026
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ONC & Top 10 Anticipated Practice Changing/Informing Abstracts for #ASCO26 from Community Oncologists (@OncBrothers) perspective 1. #PlenarySession:#RASolute302 Ph-III, Daraxonrasib VS. Chemo in 2L metastatic Pancreatic Ductal Adenocarcinoma 2. #EPISODE3: Ph-III, Aspirin vs. Placebo in adjuvant settings after curative resection in Stage III Colorectal Cancer. 3. #PlenarySession: #LIBRETTO432 Ph-III, Selpercatinib vs. Placebo in adjuvant (post definitive therapy: surgery or radiation) RET-fusion positive Stage-IB-IIIA Non-small Cell Lung Cancer. 4. #PlenarySession: #HARMONi6: Ph-III, Ivonescimab + Chemo vs. Tislelizumab + Chemo in 1L advanced/metastatic squamous histology Non- small Cell Lung Cancer. 5. #PlenarySession: #PROTEUS Ph-III, PeriOp Apalutamide + ADT VS. ADT alone followed by radical prostatectomy in high risk localized or locally advanced Prostate Cancer. 6. #EV302 (Update): Ph-III, Enfortumab vedotin + Pembrolizumab (approved in December 2023) VS. Chemo in IL locally advanced or metastatic Bladder Cancer. 7. #PlenarySession: #SARC041 Ph-III, Abemaciclib VS. Placebo in advanced, recurrent, or metastatic Dedifferentiated Liposarcoma. 8. #persevERA: Ph-III, Giredestrant + Palbociclib VS. Letrozole + Palbociclib in HR+ HER2 negative metastatic Breast Cancer. (Press Release: Negative study) 9. #OrigAMI5: Ph-III, Amivantamab + Pembro + Chemo VS. Pembro + Chemo in 1L recurrent or metastatic Head and Neck Squamous Cell Cancer. 10. #MajesTEC9 Ph-III, Teclistamab monotherapy VS. PVd/Kd and #SUCCESSOR2 Ph-III, Mezigdomide + Kd VS. Kd in relapsed refractory Multiple Myeloma. www.oncbrothers.com D @Oncbrothers
Rahul Banerjee, MD, FACP
Rahul Banerjee, MD, FACP @rahulbanerjeemd
Conference Slides · Apr 29, 2026
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NEW YORK--(BUSINESS WIRE)- Pfizer Inc. (NYSE: PFE) today announced positive topline results from the Phase 3 MagnetisMM-5 study evaluating ELREXFIO® (elranatamab) as monotherapy in adults with relapsed or refractory multiple myeloma (RRMM) who received at least one prior line of treatment. The study demonstrated a statistically significant and clinically meaningful improvement in the primary endpoint of progression-free survival (PFS), as assessed by blinded independent central review (BICR), versus standard-of-care daratumumab plus pomalidomide and dexamethasone (DPd). The safety and tolerability of ELREXFIO was consistent with its known safety profile.
Samer Al Hadidi, MD,MS,FACP
Conference Slides · Jan 15, 2026
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MajesTEC-9 Study Design1,2 Key Inclusion Criteria ≥18 years of age with documented MM Teclistamab Screening (28 days) RRMM per IMWG criteria with evidence of progressive disease or failure to achieve a R (1:1)a response to the last LOT EOT visit ECOG PS of 0-2 1-3 prior LOT, including ≥2 consecutive cycles of an anti-CD38 mAb and lenalidomide PVd or Kdb Key Exclusion Criteria Prior BCMA targeted therapy Primary Endpoints PFS CRS by severity Secondary Endpoints Efficacy PRO and HRQoL Analysis Overall response (≥PR) Change from baseline in HRQoL outcomes ≥VGPR Time to worsening in symptoms, functioning, and ≥CR overall HRQoL OS Proportion of patients with meaningful HRQoL PFS and depth of response in patients with improvement high-risk molecular features TTNT PK/PD Analysis Teclistamab serum concentrations Safety Presence of ADAs to teclistamab Incidence and severity of AEs; SAEs

Top Tweets

Vincent Rajkumar
Vincent Rajkumar @vincentrk
Most important #ASCO26 myeloma abstract. Practice changing. Majestec-9 trial. PFS significantly better with Teclistmaab vs PVd/Kd (HR, 0.29; 95% CI, 0.23–0.38; P<0.0001); 18-mo PFS rate: 69.8% vs 26.9%. OS significantly better with Tec vs PVd/Kd (HR, 0.60; 95% CI, 0.43–0.83;
12,323 views 87 likes 26 RT 2026-05-23T12:15:39.000Z
Samer Al Hadidi, MD,MS,FACP
Samer Al Hadidi, MD,MS,FACP @hadidisamer
#mmsm #ASCO26 MajesTEC-9 ➡️Tec vs. PVd/Kd (1-3 prior lines of therapy) ➡️Len refractory: 80%; anti-CD38 refractory: 85% ➡️median F/U ~1.5 yrs ➡️18-mo PFS rate: 70% vs 27% ➡️improved OS with Tec vs PVd/Kd (HR: 0.60), even with >2/3 of pts getting BsAb or CAR-T as subsequent https://t.co/WzdX5QhBg3
12,069 views 31 likes 18 RT 2026-05-21T23:18:59.000Z
Oncology Brothers
Oncology Brothers @oncbrothers
< 3 wks to #ASCO26, here is a📝 of 🔑abstracts for general onc that could guide our SoC! - #RASolute302 - #EPISODE3 - #LIBRETTO432 - #HARMONi6 - #PROTEUS - #EV302 - #SARC041 - #persevERA - #origAMI5 - #MajesTEC9 & #SUCCESOR2 #OncTwitter @ASCO @OncoAlert @OncUpdates https://t.co/trnsHuvxhh
7,038 views 99 likes 36 RT 2026-05-10T13:34:07.000Z
Rahul Banerjee, MD, FACP
Rahul Banerjee, MD, FACP @rahulbanerjeemd
MagnetisMM-5 press release - elra outperformed DPd in myeloma with 1+ prior line! Obviously all eyes will be on this vs MajesTEC-3 (and more pertinently, MajesTEC-9)… … but this confirms that the heyday of Dara-Pd and Isa-Pd at first relapse is rapidly coming to an end 👏 https://t.co/alzQ0578XK
6,153 views 59 likes 14 RT 2026-04-29T19:43:08.000Z
Raj Chakraborty
Raj Chakraborty @rajshekharucms
MajesTEC-9 with both PFS and OS benefit of Teclistamab monotherapy versus PVD/Kd (in a population 100% Dara and Len-exposed)! We finally will have a great (non-CAR T) option for relapse post frontline Dara-(V)Rd, especially in patients relapsing on continuous Dara-R! Will there
5,870 views 40 likes 17 RT 2026-01-14T22:33:53.000Z
Kate Sears
Kate Sears @medwatchkate
Hi friends, it's #Myeloma Monday! #ASCO26 edition 🎉🎉🎉 Here are Top Posts of the Week 🧵 1/ @VincentRK on the practice changing MajesTEC-9 #ASCO26: https://t.co/CKemyRWotb
4,038 views 24 likes 9 RT 2026-05-25T14:31:38.000Z
@
#ASCO26 @ASCO abstracts are out, looking for a great meeting #mmsm @utswcancer Here are my top 5 plasma cell disorders to watch for 🧵 1⃣MajesTEC-9: RCT of teclistamab monotherapy vs PVd/Kd in RRMM: press release with PFS and OS benefit. Will allow for earlier use of single https://t.co/BiaHZKDmbs
3,964 views 33 likes 12 RT 2026-04-21T23:04:28.000Z
Raj Chakraborty
Raj Chakraborty @rajshekharucms
MajesTEC-9 is now out in @NEJM! 18-month PFS ~70% and DoR~80% with Tec! Infection risk mostly front-loaded (1st 6 months) but doesn't plateau [G3+ infections remains at ~10% in each time window beyond 12 months]. The slope of PFS curve in Tec arms progressively flattens with https://t.co/AnDlG0vEjw https://t.co/cAHsfF2a2a
3,295 views 32 likes 6 RT 2026-05-29T15:59:51.000Z
Dr. Jeffrey Zonder
Dr. Jeffrey Zonder @Amyloid_Planet
majesTEC-9 results posted: Tec crushed PVd/Kd for #myeloma after 1-3 prior LOT. Results relevant for US practice, as 85% of pts were anti-CD38 refractory. 18m PFS: 70% (vs 30% for pVd/Kd), w OS benefit too (HR 0.60). https://t.co/mRnJmrkoDk
2,676 views 23 likes 9 RT 2026-05-22T04:01:31.000Z
Samer Al Hadidi, MD,MS,FACP
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
Exciting data for patients and the myeloma field #mmsm ➡️ MajesTEC-9: ~590 patients phase 3 RCT of Tec vs. PVd vs. Kd in patients with RRMM (1-3 prior lines)👇 ✅refractory to anti-CD38 monoclonal antibodies (85%) ✅ refractory to lenalidomide (79%) ➡️ PFS HR 0.29; 95% CI https://t.co/eI40iun3pm
2,438 views 25 likes 11 RT 2026-01-15T00:49:45.000Z
Dr Rishabh Jain
Dr Rishabh Jain @drrishabhonco
#ASCO26 Teclistamab moves earlier in RRMM. MajesTEC-9 shows a major PFS & OS benefit for teclistamab monotherapy vs PVd/Kd in anti-CD38/LEN-exposed relapsed refractory multiple myeloma. 🔬 MajesTEC-9 | Phase 3 👥 RRMM after 1-3 prior lines ⚖️ Tec vs investigator’s choice https://t.co/SRRE9woHnH https://t.co/9qRwXkLUDS
2,311 views 15 likes 3 RT 2026-05-28T13:12:25.000Z
Daniel Auclair
Daniel Auclair @AuclairDan
1/ Here’s my annual @ASCO #ASC026 list of 10 interesting #myeloma #mmsm @mtmdphd - MAJESTEC-9 https://t.co/CENCQnEvPf - SUCESSOR-2 MeziKd vs Kd https://t.co/ABtc1yY9Pu - InMyCAR updated results https://t.co/eTeMqxjpnG - LINKER-AL2 in AL amyl. https://t.co/QmyeF2yQLh
2,241 views 31 likes 10 RT 2026-05-24T17:26:31.000Z
Raj Chakraborty
Raj Chakraborty @rajshekharucms
1. MajesTEC-9 [Tec vs PVd/Kd]: Single-agent Tec decimated PVd/Kd in a population that was 80% anti-CD38-refrcatory and 85% Len-refractory, with a PFS HR of 0.29 and OS HR of 0.6. While the trial should have ideally allowed crossover to Tec in the control arm, ~70% ended up
1,821 views 25 likes 6 RT 2026-05-25T16:50:54.000Z
Ben Derman
Ben Derman @bdermanmd
1) MajesTEC-9 (Mina, 7507) - Teclistamab vs. (VPd or Kd). Full summary below. Tec clearly beats out some inferior and less-than-standard comparators. I want to make 4 points about this study 1 - VPd and Kd are not strong comparators, but outside of CAR T/BsAb, there are not https://t.co/ELu6cD9khQ
1,311 views 28 likes 12 RT 2026-05-29T04:16:10.000Z
Samer Al Hadidi, MD,MS,FACP
Samer Al Hadidi, MD,MS,FACP @HadidiSamer
#ASCO26 #mmsm Oral sessions myeloma MajesTEC-9 KD was given in 69% of patients in control arm (~205 patients) Steroids were dropped early in the treatment course Patients characteristics below https://t.co/j0HQbyOoP8
1,233 views 4 likes 1 RT 2026-05-29T22:10:14.000Z

MAJESTEC-9 Overview

MAJESTEC-9 (NCT05572515) is the Phase 3 trial that took teclistamab (Tecvayli) — the BCMA×CD3 T-cell engager already FDA-approved for heavily pretreated relapsed/refractory multiple myeloma — into earlier lines of therapy (1–3 prior lines, all lenalidomide- and anti-CD38-exposed) versus investigator's choice of PVd or Kd. 593 patients across 24 countries were randomized. At ASCO 2026 (May 29, 2026), presented by Roberto Mina (Winship Cancer Institute of Emory) with simultaneous publication in the New England Journal of Medicine (Touzeau et al., lead author), teclistamab monotherapy delivered a 71% reduction in the risk of disease progression or death (PFS HR 0.29) and a 40% reduction in the risk of death (OS HR 0.60) versus active triplet/doublet standard-of-care — in a population that was 85% anti-CD38–refractory, 79% lenalidomide-refractory, and >90% refractory to their last line of therapy. KOLs across the myeloma field have called the result practice-changing.

Population

Relapsed/refractory multiple myeloma with 1–3 prior lines of therapy; all patients exposed to lenalidomide and an anti-CD38 antibody. N=593 randomized across 24 countries. 85% anti-CD38 refractory, 79% lenalidomide refractory, >90% refractory to their last line.

Intervention

Teclistamab subcutaneous monotherapy (per label step-up dosing) vs investigator's choice of PVd (pomalidomide + bortezomib + dexamethasone) or Kd (carfilzomib + dexamethasone).

Primary Endpoint

Progression-free survival (PFS).

Key Secondary

Efficacy: overall response (≥PR), ≥VGPR, ≥CR, OS, PFS and depth of response in patients with high-risk molecular features, time to next treatment (TTNT). Safety: incidence and severity of AEs/SAEs. PRO/HRQoL: change from baseline in HRQoL, time to worsening in symptoms/functioning/overall HRQoL, proportion of patients with meaningful HRQoL improvement. PK/PD: teclistamab serum concentrations, presence of ADAs to teclistamab.

Reported Results

Progression-Free Survival (Primary Endpoint)

Teclistamab monotherapy delivered a 71% reduction in the risk of progression or death versus investigator's choice PVd/Kd: HR 0.29 (95% CI 0.23–0.38; p<0.0001). The 18-month PFS rate was 69.8% with teclistamab vs ~27% with PVd/Kd — a striking and durable separation despite the comparator being active triplet/doublet regimens in a heavily refractory population.

Teclistamab vs PVd/Kd · 18-mo PFS 69.8% vs 27% · HR 0.29 (p&lt;0.0001)Source: J&J press release / MajesTEC-9 ASCO 2026

Overall Survival (Key Secondary)

Teclistamab also delivered a 40% reduction in the risk of death: OS HR 0.60 (95% CI 0.43–0.83) — an early but clinically meaningful survival separation in a population for whom durable disease control has been hard to achieve with standard regimens.

OS HR 0.60 (95% CI 0.43–0.83) · 40% risk reductionSource: NEJM (Touzeau et al., May 29, 2026)

Depth of Response (≥CR)

Teclistamab monotherapy produced markedly deeper responses: nearly two-thirds of patients (~66%) achieved a complete response or better (≥CR), with many also achieving minimal residual disease (MRD) negativity. This depth differential vs SOC is what KOLs have repeatedly flagged as the most clinically meaningful contrast between the arms.

≥CR rate ~66% (teclistamab) · many MRD-negativeSource: Sylvester / EurekAlert MajesTEC-9 summary

Safety & Durability

Safety was consistent with the established teclistamab profile (CRS, cytopenias, infections); KOLs have noted the role of universal IVIG prophylaxis in mitigating early infection-related events. The magnitude of PFS and OS benefit was maintained across high-risk subgroups, supporting a broad earlier-line label expansion case.

Source: NEJM 2026 — MajesTEC-9 primary publication

FDA & Approval Status

STATUSFDA Landscape: TEC monotherapy (4L+) + TEC+DARA combo (1L+) approved · MAJESTEC-9 (TEC mono 1–3L) is investigational

On March 5, 2026, the FDA approved teclistamab (Tecvayli) + daratumumab hyaluronidase-fihj (Darzalex Faspro) for adults with R/R multiple myeloma after ≥1 prior line (PI + IMiD) — based on the MajesTEC-3 trial (NEJM Dec 2025; PFS HR 0.17, P<0.0001 vs SOC). The same approval converted teclistamab monotherapy's accelerated approval (≥4 prior lines) to traditional approval. MAJESTEC-9 is distinct: it evaluates teclistamab monotherapy (without daratumumab) in the same 1–3 prior-line setting vs PVd or Kd, in patients already exposed to lenalidomide AND anti-CD38. Use of teclistamab monotherapy at 1–3 prior lines is currently investigational; the MAJESTEC-9 readout is the registrational basis for potential approval — positioning monotherapy as an option for patients ineligible for or already exposed to anti-CD38, where the MajesTEC-3 combo is less applicable.

Source: FDA — teclistamab + daratumumab approval (March 5, 2026, based on MajesTEC-3)

Media Coverage

Johnson & Johnson May 29, 2026
New TECVAYLI® data demonstrates superior PFS and OS as early as first relapse in multiple myeloma
J&J corporate announcement of the MajesTEC-9 ASCO 2026 readout — 71% reduction in risk of progression/death (PFS HR 0.29) and 40% reduction in risk of death (OS HR 0.60) for teclistamab monotherapy vs PVd/Kd in 1–3 prior-line RRMM, including patients heavily refractory to anti-CD38 and lenalidomide.
New England Journal of Medicine May 29, 2026
Teclistamab monotherapy in multiple myeloma with 1–3 prior lines of therapy (MajesTEC-9)
Touzeau et al. — simultaneous publication of the MajesTEC-9 Phase 3 primary results coinciding with the ASCO 2026 oral presentation. Pivotal evidence for moving teclistamab from late-line into the second-line setting.
OncLive May 2026
Teclistamab Monotherapy Tops SOC in Myeloma, With Phase 3 MajesTEC-9 Data at ASCO 2026
OncLive's clinical-summary preview/coverage of the MajesTEC-9 ASCO 2026 readout, framed for community oncologists.
EurekAlert! / Sylvester Comprehensive Cancer Center May 29, 2026
NEJM/ASCO: Teclistamab extends survival, deepens remissions in relapsed multiple myeloma in landmark international trial
Sylvester's institutional summary — 593 patients across 24 countries; ~70% of teclistamab patients progression-free at 18 months vs ~27% on standard therapy; "nearly two-thirds achieved complete remission."
ClinTrialFinder May 24, 2026
T-Cell Engagers at ASCO 2026: MajesTEC-9 + Tarlatamab Long-Term + Solid-Tumor Wave
Industry / investor-focused preview framing MajesTEC-9 as the first head-to-head Phase 3 of a CD3 bispecific against active 2L+ comparators in myeloma — a label-expansion / payer-coverage milestone.
ASCO Meeting Library May 29, 2026
MajesTEC-9: A phase 3 randomized study of teclistamab monotherapy vs PVd/Kd in RRMM
Official ASCO 2026 abstract record (Mina R et al. — presenting author).

What KOLs Are Saying

KOLCommentSentiment
Vincent Rajkumar
#ASCO26 · May 23, 2026
Most important #ASCO26 myeloma abstract. Practice changing. Majestec-9 trial. PFS significantly better with Teclistmaab vs PVd/Kd (HR, 0.29; 95% CI, 0.23–0.38; P<0.0001); 18-mo PFS rate: 69.8% vs 26.9%. OS significantly better with Tec Positive
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 21, 2026
#mmsm #ASCO26 MajesTEC-9 ➡️Tec vs. PVd/Kd (1-3 prior lines of therapy) ➡️Len refractory: 80%; anti-CD38 refractory: 85% ➡️median F/U ~1.5 yrs ➡️18-mo PFS rate: 70% vs 27% ➡️improved OS with Tec vs PVd/Kd (HR: 0.60), even with >2/3 of pts g Neutral
Oncology Brothers
posted May 10, 2026
< 3 wks to #ASCO26, here is a📝 of 🔑abstracts for general onc that could guide our SoC! - #RASolute302 - #EPISODE3 - #LIBRETTO432 - #HARMONi6 - #PROTEUS - #EV302 - #SARC041 - #persevERA - #origAMI5 - #MajesTEC9 & #SUCCESOR2 #OncTwi Neutral
Rahul Banerjee, MD, FACP
posted Apr 29, 2026
MagnetisMM-5 press release - elra outperformed DPd in myeloma with 1+ prior line! Obviously all eyes will be on this vs MajesTEC-3 (and more pertinently, MajesTEC-9)… … but this confirms that the heyday of Dara-Pd and Isa-Pd at first rela Positive
Raj Chakraborty
posted Jan 14, 2026
MajesTEC-9 with both PFS and OS benefit of Teclistamab monotherapy versus PVD/Kd (in a population 100% Dara and Len-exposed)! We finally will have a great (non-CAR T) option for relapse post frontline Dara-(V)Rd, especially in patients rela Positive
Kate Sears
#ASCO26 · May 25, 2026
Hi friends, it's #Myeloma Monday! #ASCO26 edition 🎉🎉🎉 Here are Top Posts of the Week 🧵 1/ @VincentRK on the practice changing MajesTEC-9 #ASCO26: https://t.co/CKemyRWotb Positive

posted Apr 21, 2026
#ASCO26 @ASCO abstracts are out, looking for a great meeting #mmsm @utswcancer Here are my top 5 plasma cell disorders to watch for 🧵 1⃣MajesTEC-9: RCT of teclistamab monotherapy vs PVd/Kd in RRMM: press release with PFS and OS benefit. Neutral
Raj Chakraborty
#ASCO26 · May 29, 2026
MajesTEC-9 is now out in @NEJM! 18-month PFS ~70% and DoR~80% with Tec! Infection risk mostly front-loaded (1st 6 months) but doesn't plateau [G3+ infections remains at ~10% in each time window beyond 12 months]. The slope of PFS curve in T Neutral
Dr. Jeffrey Zonder
#ASCO26 · May 22, 2026
majesTEC-9 results posted: Tec crushed PVd/Kd for #myeloma after 1-3 prior LOT. Results relevant for US practice, as 85% of pts were anti-CD38 refractory. 18m PFS: 70% (vs 30% for pVd/Kd), w OS benefit too (HR 0.60). https://t.co/mRnJmrkoDk Neutral
Samer Al Hadidi, MD,MS,FACP
posted Jan 15, 2026
Exciting data for patients and the myeloma field #mmsm ➡️ MajesTEC-9: ~590 patients phase 3 RCT of Tec vs. PVd vs. Kd in patients with RRMM (1-3 prior lines)👇 ✅refractory to anti-CD38 monoclonal antibodies (85%) ✅ refractory to lenalidomi Neutral
Dr Rishabh Jain
#ASCO26 · May 28, 2026
#ASCO26 Teclistamab moves earlier in RRMM. MajesTEC-9 shows a major PFS & OS benefit for teclistamab monotherapy vs PVd/Kd in anti-CD38/LEN-exposed relapsed refractory multiple myeloma. 🔬 MajesTEC-9 | Phase 3 👥 RRMM after 1-3 prior lines Neutral
Daniel Auclair
#ASCO26 · May 24, 2026
1/ Here’s my annual @ASCO #ASC026 list of 10 interesting #myeloma #mmsm @mtmdphd - MAJESTEC-9 https://t.co/CENCQnEvPf - SUCESSOR-2 MeziKd vs Kd https://t.co/ABtc1yY9Pu - InMyCAR updated results https://t.co/eTeMqxjpnG - LINKER-AL2 in A Neutral
Raj Chakraborty
#ASCO26 · May 25, 2026
1. MajesTEC-9 [Tec vs PVd/Kd]: Single-agent Tec decimated PVd/Kd in a population that was 80% anti-CD38-refrcatory and 85% Len-refractory, with a PFS HR of 0.29 and OS HR of 0.6. While the trial should have ideally allowed crossover to Te Neutral
Ben Derman
#ASCO26 · May 29, 2026
1) MajesTEC-9 (Mina, 7507) - Teclistamab vs. (VPd or Kd). Full summary below. Tec clearly beats out some inferior and less-than-standard comparators. I want to make 4 points about this study 1 - VPd and Kd are not strong comparators, but Neutral
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 29, 2026
#ASCO26 #mmsm Oral sessions myeloma MajesTEC-9 KD was given in 69% of patients in control arm (~205 patients) Steroids were dropped early in the treatment course Patients characteristics below https://t.co/j0HQbyOoP8 Neutral
Oncology Brothers
#ASCO26 · May 29, 2026
5. MajesTEC-9: PhIII, Teclistamab vs. PVd (Pom + Bortezomib + Dex) or Kd (Carfilzomib + Dex) in refractory/relapse myeloma - At 18mos, PFS: 70% vs. 27% - OS ⬆️ w/ Tec (HR: 0.60) - Gr 3/4 AEs: 85% vs. 76% 😲 - Tec based Rx in 2L now SoC 6/7 Neutral
Dr Rishabh Jain
#ASCO26 · May 28, 2026
#ASCO26 Abstract #7507 MajesTEC-9: Teclistamab vs PVd/Kd in RRMM https://t.co/pC8Zhdt3lZ Neutral
Samer Al Hadidi, MD,MS,FACP
#ASCO26 · May 29, 2026
#ASCO26 @ASCO MajesTEC-9 @NEJM #mmsm Teclistamab monotherapy vs PVd/Kd in RRMM with 1-3 prior lines (all lenalidomide + anti-CD38 exposed) ➡️Median follow-up: 17 months ➡️sCR 54% vs 9% ➡️18-mo PFS 70% vs 27% (HR 0.29) ➡️18-mo OS 79% vs 69 Neutral
Daniel Auclair
#ASCO26 · May 24, 2026
1/ Here’s my annual @ASCO #ASC026 list of 10 interesting #myeloma #mmsm @mtmdphd - MajesTEC-9 Tec https://t.co/CENCQnEvPf - SUCCESSOR-2 MeziKd vs Kd https://t.co/ABtc1yY9Pu - inMMyCAR https://t.co/eTeMqxjpnG - LINKER-AL2 elra in AL am Neutral
Kate Sears
#ASCO26 · May 25, 2026
3/ @HadidiSamer with more on MajesTEC-9: https://t.co/anup63FS8p Neutral
Samer Al Hadidi, MD,MS,FACP
posted Jan 15, 2026
#mmsm The more you think about the results of single agent teclistamab in early RRMM with 85% of patients exposed to anti-CD38 the more it become obvious that BCMA BsAb will transform upfront and early relapse disease In CARTITUDE-4, PFS H Neutral
Vincent Rajkumar
#ASCO26 · May 29, 2026
Just out: Majestic Majestec-9 results. #ASCO26 @NEJM Single agent teclistamab beats standard triplet in relapsed myeloma. https://t.co/2TeFjBuZSv @DrOlaLandgren @thanosdimop https://t.co/YzL3USaptY Neutral
MV Chandrakanth
#ASCO26 · May 24, 2026
ASCO 2026 Update — MajesTEC-9 • Teclistamab significantly improved PFS vs PVd/Kd in early RRMM • Deep responses: ≥CR 65.9% vs 16.8% • Benefit seen in a heavily refractory population • OS improvement observed despite later BCMA-directed the Neutral
OncLive.com
#ASCO26 · May 22, 2026
🔥Hot off the press! #ASCO26 abstract release: Phase 3 MajesTEC-9 trial data with teclistamab monotherapy in patients with relapsed or refractory multiple myeloma who had received 1 to 3 prior lines of therapy. @RobertoMinaMD @MassGeneralNe Positive
Mark Wildgust (he/him)
posted Jan 14, 2026
New year and a new positive Phase 3 for our #myeloma portfolio here @JNJInnovMed. Second positive Phase 3 in this early line of therapy. #MyCompany. https://t.co/KTNz39F7Zl Positive