Late-breaking Phase 3 SUCCESSOR-2 (LBA7506): the first Phase 3 readout for any CELMoD — Bristol Myers Squibb's mezigdomide combined with carfilzomib + dexamethasone (MeziKd) vs Kd alone in relapsed/refractory multiple myeloma. Presented at ASCO 2026 by Dr. Paul Richardson, Dana-Farber.
ASCO 2026 LBA7506 · Presented by Paul Richardson, MD (Dana-Farber)RR Multiple MyelomaPhase 2/3 Seamless · NCT05552976MeziKd vs Kd · Bristol Myers SquibbFirst CELMoD Phase 3 Win
SUCCESSOR-2
SUCCESSOR-2: Study Design
Stage 1 (dose optimization)*
Stage 2 (efficacy and safety)
Confirmatory analysis group (N - 479)
Primary endpoint
Key eligibility criteria
Mezikd at
PFS per IRC
Selected Mezi dose
1.0 mg Mezi
MeziKd
(N 631°
Key secondary endpoint
Adult participants
1.0 mg Mezi .
os
who received 21 prior
Mezikd at
QW 56 mg/m2 K
line of antimyeloma
therapy with
progressive disease
Randomization 3:3:3:2
0.6 mg Mezi
Randomization 3:2
Selected secondary
(N 63)
(N = 225)
(N = 371)
endpoints
(SEZ - N)
Recommended Mezi
Mezikd at
dose (stage 1)
- Prior treatment
0.3 mg Mezi
Kdᶜ,ᵈ
ORR, VGPR, CR
with LEN and an
(N 64)
TTR, DoR
BW 56 mg/m² or
anti-CD38 mAb
PFS2
QW 70 mg/m² K
Safety
Kd
(N 451°
(N = 146)
In the MeziKd arm, patients received:
Mezi 1.0 mg orally once daily on D1-21 of each 28-day cycle
K* 56 mg/m² IV on D1, 8, and 15 in C1-12 and on D1 and 15 in C 2 13
DEX 40 mg orally/IV on D1, 8, 15, and 22
NCT05552976 Patients enrolled in stage 1 on . dose of Metal not chosen for stage 2 had the option to move to the selected dose if some criteria were ext; Patients from these Mage 1 asses were included in the confirmatory analysis
groups; TEX doving Married arm; 40 mg, option of 20 mg If 75 years of age, - . 18.5 kg/m/, poorly controlled diabetes, or prior Intelerance to steroid therapy; Md annc 20 mg, 10 mg option for stated criteria (tw regineen) or 40
and 20 mg option for stated criteria (QW registered; 92W register made available July 2003; % dose on CNDS was 20 mg/ml, BAK, body mana leader; on, twice weekly; C, cycles D, day; DEX, desamethasone; DoR, duration of response;
INC. independent review committees K, os, overall survivel; PF52, second progression fire survices); car, weekly, TTR, time to response.
Richardson PG, et at. ASCO 2026. Presentation LBA7506
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SUCCESSOR-2
SUCCESSOR-2: PFS2
Median PFS2
Hazard ratio
1.0
23.6 months
HR 0.53
Subsequent antimyeloma
MeziKd
Kd
0.9
therapy, %*
(N = 288)
(N # 191)
13.0 months
(95% CI, 0.39-0.72)
0.8
Any subsequent therapy
24.0
49.7
0.7
Bispecific antibodies
10.1
21.5
Probability of PFS2
0.6
IMiDs
6.9
20.4
MeziKd
0.5
POM
5.6
18.3
LEN
0.3
1.0
0.4
Pls
6.6
11.0
0.3
Kd
Standard chemotherapyb
6.6
12.6
0.2
Other
4.9
8.9
0.1
Median follow-up: 10.6 months
Anti-CD38 mAbs
4.2
7.3
0
Investigational drugs
2.8
7.3
0
3
6
9
12
15
18
21
24
27
30
33
Anti-SLAMF7 mAbs
1.4
5.8
Time (months)
No. at risk
CAR-T cell therapies
1.4
4.7
MeziKd
288
273
238
173
116
72
39
30
19
9
3
0
Antibody-drug conjugates
0.3
3.1
Kd
191
171
143
101
63
31
19
12
5
2
0
0
Superior PFS2 with MeziKd demonstrates sustained clinical benefit beyond first progression
Data cutoff: January 15, 2026. In the confirmatory analysis group, defined as all patients from stages 1 and 2 randomized to 1.0 mg Mezi plus Kd or Kd. PFS2 was per investigator assessment "Includes subsequent antimyeloma therapies
that were received by 2 1% of patients in either treatment arm in the confirmatory analysis group; Standard chemotherapy includes: nitrogen mustard analogs, anthracyclines and related substances, podophyllotoxin derivatives, platinum
compounds, purine analogs, and vinca alkaloids and analogs; Refers to the output of "Cell and Gene therapies". CAR, chimeric antigen receptor.
---
SUCCESSOR-2
SUCCESSOR-2: Overall Survival
1.0
0.9
0.8
0.7
MeziKd
Probability of os
0.6
Kd
0.5
No. of events
Hazard ratio
0.4
62/288 (21.5%)
HR 0.79
0.3
51/191 (26.7%)
(95% CI, 54-1.15)
0.2
Median follow-up: 10.6 months
0.1
0
0
3
6
9
12
15
18
21
24
27
30
33
Time (months)
No. at risk
MeziKd
288
273
244
180
122
79
45
35
25
12
5
0
Kd
191
175
157
118
84
44
31
24
12
5
0
0
Planned futility analysis demonstrates a positive OS trend favoring MeziKd with no cross over of the curves
Data cutoff: January 15, 2026. In the confirmatory analysis group, defined as all patients from stages 1 and 2 randomized to 1.0 mg Mezi plus Kd or Kd. Deaths occurred in 21.5% (MeziKd) and 26.7% (Kd) of patients.
Richardson PG, et al. ASCO 2026, Presentation LBA7506
---
SUCCESSOR-2
SUCCESSOR-2: Most Common TEAEs
MeziKd
Kd
TEAE,ᵃ n (%)
(N = 288)
(N = 186)b
Neutropenia is an on-target reversible AE;
Any grade
Grade 3/4
Any grade
Grade 3/4
only 1 patient discontinued treatment due
to neutropenia with MeziKd (none with Kd)
Any TEAE
286 (99.3)
241 (83.7)
178 (95.7)
105 (56.5)
Hematological
A reduction in grade 3/4 hypertension was
Neutropenia
199 (69.1)
176 (61.1)
32 (17.2)
17 (9.1)
observed with MeziKd, potentially
Febrile neutropenia
24 (8.3)
23 (8.0)
0
0
associated with the lower K dose
Thrombocytopenia⁴
174 (60.4)
113 (39.2)
77 (41.4)
42 (22.6)
Anemia
149 (51.7)
75 (26.0)
66 (35.5)
28 (15.1)
Grade 3/4 VTEe occurred in 2.8% (Mezikd)
White blood cell count decrease
67 (23.3)
54 (18.8)
23 (12.4)
7 (3.8)
and 0.5% (Kd) of patients
Nonhematological
Grade 5 TEAEs were observed in 7.3%
Diarrhea
112 (38.9)
10 (3.5)
33 (17.7)
1 (0.5)
(Mezikd) and 4.3%VKd) of patients
URTI
79 (27.4)
13 (4.5)
31 (16.7)
3 (1.6)
Fatigue
67 (23.3)
9 (3.1)
39 (21.0)
7 (3.8)
— The majority were in the context of
Cough
66 (22.9)
1 (0.3)
22 (11.8)
0
myeloma progression
Pneumonia
58 (20.1)
45 (15.6)
21 (11.3)
11 (5.9)
Dyspnea
58 (20.1)
11 (3.8)
26 (14.0)
5 (2.7)
Hypertension
31 (10.8)
11 (3.8)
40 (21.5)
17 (9.1)
Neutropenia was the most common grade 3/4 AE and was managed effectively with dose
interruptions/modifications and/or G-CSF
Data cutoff: January 15, 2026. "includes TEAEs of any grade that occurred in 2 20% of patients and grade 3/4 TEAEs that occurred in 2 10% of patients in either treatment arm in the confirmatory analysis group of the safety population,
defined as all patients from stages 1 and 2 randomized to 1.0 mg Mezi plus Kd or Kd who received 2 1 dose of study treatment. TEAEs were graded per the National Cancer Institute Common Terminology Criteria for Adverse Events version
5.0; *Excludes 5 patients who were randomized but not treated; Includes preferred terms of neutropenia and neutrophil count decrease; Includes preferred terms of thrombocytopenia and platelet count decrease; "Standardized MedDRA
Query for embolism and thrombosis various terms. MedDRA, Medical Dictionary for Regulatory Activities; SAE, serious adverse event; TEAE, treatment emergent adverse event; URTI, upper respiratory tract infection;
VTE, venous thromboembolism.
Richardson PG, et al. ASCO 2026, Presentation LBA7506
#ASCO26
Oral Abstract Session
LBA7506: Mezigdomide, carfilzomib, and
dexamethasone (MeziKd) vs carfilzomab and
dexamethasone (Kd) in relapsed/refractory multiple
myeloma (RRMM): Results from the phase 3
SuCCESSOR-2 trial
Dana-Farber
PAUL RICHARDSON, MD
Cancer Institute
SUCCESSOR-2
SUCCESSOR-2: Most Common TEAEs
MeziKd
Kd
TEAE,ᵃ n (%)
(N = 288)
(N = 186)b
Neutropenia is an on-target reversible AE;
Any grade
Grade 3/4
Any grade
Grade 3/4
only 1 patient discontinued treatment due
to neutropenia with MeziKd (none with Kd)
Any TEAE
286 (99.3)
241 (83.7)
178 (95.7)
105 (56.5)
Hematological
A reduction in grade 3/4 hypertension was
Neutropenia
199 (69.1)
176 (61.1)
32 (17.2)
17 (9.1)
observed with MeziKd, potentially
Febrile neutropenia
24 (8.3)
23 (8.0)
0
0
associated with the lower K dose
Thrombocytopenia⁴
174 (60.4)
113 (39.2)
77 (41.4)
42 (22.6)
Anemia
149 (51.7)
75 (26.0)
66 (35.5)
28 (15.1)
Grade 3/4 VTEe occurred in 2.8% (Mezikd)
White blood cell count decrease
67 (23.3)
54 (18.8)
23 (12.4)
7 (3.8)
and 0.5% (Kd) of patients
Nonhematological
Grade 5 TEAEs were observed in 7.3%
Diarrhea
112 (38.9)
10 (3.5)
33 (17.7)
1 (0.5)
(Mezikd) and 4.3%(Kd) of patients
URTI
79 (27.4)
13 (4.5)
31 (16.7)
3 (1.6)
Fatigue
67 (23.3)
9 (3.1)
39 (21.0)
7 (3.8)
- The majority were in the context of
Cough
66 (22.9)
1 (0.3)
22 (11.8)
0
myeloma progression
Pneumonia
58 (20.1)
45 (15.6)
21 (11.3)
11 (5.9)
Dyspnea
58 (20.1)
11 (3.8)
26 (14.0)
5 (2.7)
Hypertension
31 (10.8)
11 (3.8)
40 (21.5)
17 (9.1)
Neutropenia was the most common grade 3/4 AE and was managed effectively with dose
interruptions/modifications and/or G-CSF
Data cutoff: January 15, 2026. "Includes TEAEs of any grade that occurred in 2 20% of patients and grade 3/4 TEAEs that occurred in 2 10% of patients in either treatment arm in the confirmatory analysis group of the safety population,
defined as all patients from stages 1 and 2 randomized to 1.0 mg Mezi plus Kd or Kd who received 2 1 dose of study treatment. TEAEs were graded per the National Cancer Institute Common Terminology Criteria for Adverse Events version
5.0; Excludes 5 patients who were randomized but not treated; Includes preferred terms of neutropenia and neutrophil count decrease; Includes preferred terms of thrombocytopenia and platelet count decrease; "Standardized MedDRA
Query for embolism and thrombosis various terms. MedDRA, Medical Dictionary for Regulatory Activities; SAE, serious adverse event; TEAE, treatment emergent adverse event; URTI, upper respiratory tract infection;
VTE, venous thromboembolism.
Richardson PG, et al. ASCO 2026, Presentation LBA7506
---
SUCCESSOR-2
SUCCESSOR-2: Summary of Infections
MeziKd
Kd
(N = 288)
(N = 186)b
TEAE,ᵃ n (%)
Any
Grade
Grade
Any
Grade
Grade
grade
3
4
grade
3
4
Any infection
210 (72.9)
82 (28.5)
16 (5.6)
100 (53.8)
28 (15.1)
1 (0.5)
Most infections (68.6% MeziKd; 98.0% Kd)
were not associated with
URTI
79 (27.4)
13 (4.5)
0
31 (16.7)
3 (1.6)
0
grade 3/4 neutropenia
Pneumonia
58 (20.1)
39 (13.5)
6 (2.1)
21 (11.3)
10 (5.4)
1 (0.5)
Incidence of hypogammaglobulinemia
Influenza
30 (10.4)
9 (3.1)
0
18 (9.7)
2 (1.1)
0
was low
COVID-19
29 (10.1)
5 (1.7)
0
11 (5.9)
0
0
10.1% (Mezikd) versus 6.5% (Kd)
RTI
29 (10.1)
7 (2.4)
0
8 (4.3)
0
0
31.6% (Mezikd) versus 21.0% (Kd) of
UTI
26 (9.0)
8 (2.8)
0
9 (4.8)
1 (0.5)
0
patients received ≥1 dose of IGRT
Nasopharyngitis
17 (5.9)
0
0
18 (9.7)
0
0
Incidence of fatal infections was low
(2.4% MeziKd; 1.1% Kd)
Bronchitis
17 (5.9)
6 (2.1)
0
7 (3.8)
0
0
Infections were mostly well managed following standard clinical practice and supportive care,
with low incidence of grade 4 events
Data cutoff: January 15, 2026. As of December 2024, Pneumocystis jirovecii pneumonia prophylaxis was required in both arms. "TEAEs that occurred in 2 5% of patients in either treatment arm in the confirmatory analysis
group of the safety population, defined as all patients from stages 1 and 2 randomized to 1.0 mg Mezi plus Kd or Kd who received 2 1 dose of study treatment; PExcludes 5 patients who were randomized but not treated.
RTI, respiratory tract infection; UTI, urinary tract infection.
Richardson PG, et al. ASCO 2026, Presentation LBA7506
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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
Study marks the first positive Phase 3
study for mezigdomide and the
second positive Phase 3 study for the
Bristol Myers Squibb CELMoD
program
PRINCETON, N.J.--(BUSINESS WIRE)--Bristol
Myers Squibb (NYSE: BMY) today announced
positive interim Phase 3 results from the
SUCCESSOR-2 study (NCT05552976). In the
trial, oral mezigdomide in combination with
carfilzomib and dexamethasone (MeziKd)
demonstrated statistically significant and
clinically meaningful improvement in
progression-free survival (PFS) versus
carfilzomib and dexamethasone alone (Kd) in
patients with relapsed or refractory multiple
myeloma (RRMM). Safety findings were
consistent with the known profile of
mezigdomide and the combination regimen.
Patients will continue to be followed for survival
and safety.
SUCCESSOR-2 (NCT05552976) is the inferential, seamless Phase 2/3, multicenter, randomized, open-label trial that brought mezigdomide — the next-generation cereblon E3 ligase modulator (CELMoD) from Bristol Myers Squibb's targeted protein degradation platform — into Phase 3 for the first time. 479 patients with relapsed/refractory multiple myeloma after ≥1 prior line (all exposed to lenalidomide AND an anti-CD38 monoclonal antibody) were randomized 3:2 to MeziKd (mezigdomide 1 mg PO days 1–21 + carfilzomib 56 mg/m² + dexamethasone 40 mg weekly; n=288) vs Kd (carfilzomib + dexamethasone; n=191). Presented at ASCO 2026 as a late-breaking oral abstract (LBA7506) by Paul Richardson (Dana-Farber Cancer Institute / Harvard Medical School) on May 29, 2026. The result: a clinically meaningful and highly statistically significant improvement in PFS — the first Phase 3 win for any CELMoD — validating cereblon as a key therapeutic target and BMS's protein-degradation platform.
Population
Adults with relapsed/refractory multiple myeloma after ≥1 prior line of therapy; all patients exposed to both lenalidomide AND an anti-CD38 monoclonal antibody. N=479 randomized.
Intervention
MeziKd (mezigdomide 1 mg PO days 1–21 + carfilzomib 56 mg/m² + dexamethasone 40 mg weekly, in 28-day cycles; n=288) vs Kd alone (n=191). Randomization 3:2.
Primary Endpoint
Progression-free survival (PFS).
Key Secondary
Overall response rate (ORR), depth of response, safety, and overall survival.
Efficacy & Safety
Reported Results
Progression-Free Survival (Primary Endpoint)
MeziKd delivered a 52% reduction in the risk of disease progression or death versus Kd alone: median PFS 18 months with MeziKd vs 8.3 months with Kd — HR 0.48 (p<0.0001). The benefit was consistent across prespecified subgroups including patients refractory to lenalidomide and to anti-CD38 monoclonals at the prior line.
MeziKd produced a dramatically higher and deeper response than Kd alone. Overall response rate: 80.2% with MeziKd vs 53.4% with Kd, and complete response or better (≥CR): 26.7% vs 8.9% — nearly tripling the rate of CR in a population already exposed to lenalidomide and an anti-CD38 antibody. The PFS benefit was consistent across all prespecified subgroups, including patients with >2 prior lines, high-risk cytogenetics, extramedullary disease, and age ≥75 years — meaningful given how steeply outcomes typically deteriorate in these subpopulations. Mezigdomide's tighter cereblon binding (vs lenalidomide/pomalidomide) is the mechanistic basis for overcoming IMiD-resistance — and the magnitude of the CR delta is what KOLs are calling the most important readout of the trial after PFS itself.
Safety was consistent with the known mezigdomide profile. The major signals were neutropenia (61.1% MeziKd vs 9.1% Kd) and infections (34.0% vs 15.6%). Richardson described the overall safety as "consistent" with prior mezigdomide experience; no new safety signals were identified, and the regimen was manageable with standard supportive care.
STATUSMezigdomide: Investigational · Presented by Paul Richardson, MD (Dana-Farber) · BMS Filing Planned
Mezigdomide is investigational. The SUCCESSOR-2 Phase 3 data — presented by Dr. Paul G. Richardson (Dana-Farber Cancer Institute / Harvard Medical School) as a late-breaking oral abstract (LBA7506) at ASCO 2026 on May 29, 2026 — represent the first Phase 3 readout for any CELMoD and the first Phase 3 win for mezigdomide. Bristol Myers Squibb has stated it will share the SUCCESSOR-2 results with health authorities and plans to position mezigdomide as a potential new standard of care for relapsed/refractory multiple myeloma across multiple settings. Additional pivotal studies are exploring mezigdomide combinations with bortezomib + dexamethasone (MeziVd) and with bispecific T-cell engagers (mezigdomide + elranatamab) to extend the platform across the RRMM landscape.