$SPCX successfully launched and deployed $ASTS BlueBird 8, 9 and 10 into orbit without issue.
Three more of the largest phased-array satellites ever deployed in LEO are now on their way to expanding AST SpaceMobile’s constellation.
🦴 MajesTEC-4 (a post transplant maintenance trial) May Delay the Retirement of ASCT 😱
Fellow:
“Professor, with CARTITUDE-4, MajesTEC-3, MajesTEC-9, MonumenTAL-3, and future frontline studies such as MajesTEC-5/7, I think High-Dose Melphalan + AutoSCT will be honorably discharged soon!”
Professor:
“Not so fast.”
The updated MajesTEC-4 Safety Run-In (SRI) cohorts reported:
✅ Nearly 100% CR
✅ Nearly 100% MRD negativity
✅ Median PFS not reached
✅ Only 3 progressions reported
Importantly, MajesTEC-4 remains an ongoing Phase III study and the randomized portion is still actively enrolling.
Still, these data raise an interesting biological question.
For years, we viewed AutoSCT primarily as a delivery system for high-dose melphalan.
Perhaps it is more than that.
Perhaps HDM + AutoSCT serves as a platform for the next generation of immunotherapy through:
🦴 Deep cytoreduction
🦴 Marrow niche disruption
🧬 Immune ecosystem reset
🚀 An optimal setting for maintenance immunotherapy
First it was lenalidomide maintenance.
Now it may be teclistamab ± lenalidomide.
Whether this hypothesis is correct remains to be proven, but MajesTEC-4 certainly makes the discussion more interesting.
Perhaps AutoSCT is not the treatment.
🚀 Perhaps AutoSCT is the launchpad.
AutoSCT may stay around longer than me. 😄
#EHA2026 #Myeloma #Bispecifics
This is an important toxicity which we are working on in the IMWG. The real world patterns are not the same and we will present more data at ASH. Also a class effect seen with arlocel also . I will create a seperate thread on this - identification and management of this toxicity
#EHA2026#nielsvandedonk MajesTEC-4 SRI data
At first glance, shocking that tec (bsAb) dose intensity so much higher than len dose intensity (~90% vs ~50%) 🤯
But honestly not surprising - len maintenance can be tough! Q4W tec with optimal supportive care quite maintainable.
🚨 MonumenTAL-3 (NEJM 2026): Talquetamab Beats the Old Standard of Care… But the Biggest Question Wasn’t Answered! 🧵
Can Talquetamab Truly Move Earlier—and Where Does It Fit After BCMA-Directed Therapy? Let’s Discuss the Ups, Downs & Future.
1/ Talquetamab continues to reshape the RRMM landscape.
The Phase III #MonumenTAL3 trial compared:
✅ Talquetamab + Daratumumab + Pomalidomide (Tal-DP)
✅ Talquetamab + Daratumumab (Tal-D)
vs
✅ DPd
Patients had ≥1 prior line of therapy.
#mmsm #myeloma #MedEd #Mestwitter #USMIRC @US_HMC@USMIRCNEWS@MedwatchKate@Larvol@oncodaily
MonumenTAL3 @PlasmaCellPete#EHA2026
RCT Tal-DP vs Tal-D vs DPd
RRMM. Median prior lines 2
Tal-DP & Tal-D sig. improved PFS.
2 year PFS: Tal-DP 81.3, Tal-D 77.6, DPd 51.2%
Weight loss stabilises after first 6m
Pts with 1+ grade 3 infection Tal-DP 37.7, Tal-D 29.2, DPd 42.4%
#EHA2026 plenary session 👏
MonumenTAL-3: Tal-Dara and Tal-DaraPom both beat Dara-Pd in terms of PFS and OS.
This is despite D-Pd doing the best it ever has (mPFS > 2 yrs).
BsAbs, both BCMA and GPRC5D, are here to stay in earlier lines for myeloma!
#EHA2026 Nice to work with @DrASRosenberg & elra team on this.
In brief, thanks to ∆ COVID and ⬆️ IVIG PPx, we're already seeing ⬇️ infections in RW setting with BCMA bsAbs in myeloma.
Still work to do: bacterial infxns, long-lasting URI/sinus infxns. But progress being made!
👏Fascinating talk by Professor Andrew Spencer from Australia 🇦🇺 at #EHA26#EHA2026 on #InVivoCART#inMMyCAR first-in-human ph1 KLN-1010 for patients R/R MM #mmsm
Some of the most provocative q in IMWG- #IMWG26
- Do BsAb cause T cell exhaustion @NBahlis
-What needs to be done more than IVIG replacement to prevent infections in BsAb- @SagarLonialMD
-IEC colitis -@YiLinMDPhD@LMikkMD
- Benchmarks for subsequent T cell or non T cell based therapies
- Combination Rx for cure in NDMM - SR, HR and UHR @szusmani
#ASCO26#mmsm Rapid oral myeloma
OPTec/Optal
✅Prophylactic Toci prior to SUd 1 or Tec or Tal reduced risk of CRS BY 5 folds
✅Really good strategy to prevent higher grade CRS and make those agents more community friendly
#ASCO26#mmsm
High-Risk Multiple Myeloma: Redefining Risk and Rethinking Therapy
@DrGarethMorgan1
Summary of Phase 3 Randomized Trials in Early Line Relapse, Outcomes in Selected Populations