Review articleMultiple myeloma

Advances in multiple myeloma: key updates from the ASH 2025 meeting

J Hematol Oncol · 2026Not stated in the abstract
Naing PT, Baljevic M. J Hematol Oncol. 2026. 19:27
Study type
Review article
Study name
ASH 2025 MM
Design
Review editorial on multiple myeloma abstracts at the ASH 2025 meeting (not a primary clinical study)
Sample size
Not stated in the abstract
Source
J Hematol Oncol · 2026

In plain words

This paper summarises the most important new findings on treating multiple myeloma presented at a major blood disorders congress. New immune treatments, especially bispecific antibodies, have shown promising results at different stages of the disease, and in one study a combination including teclistamab improved survival in patients whose disease had come back. These treatments can cause infections and low blood counts, so close monitoring is needed. The choice of treatment should be made only with your treating doctor's advice.

Key results

Conversion from persistent MRD-positive to MRD-negative in all evaluable patients
IMMUNOPLANT (MRD-adapted consolidation in NDMM)
With linvoseltamab; exact figure not given in the abstract
Deep responses with antibody-only treatment and manageable infection risk
TecLille (transplant-ineligible NDMM)
Exact figure not given in the abstract
Significant improvement in PFS and OS with teclistamab plus daratumumab compared with other standard triplets
MajesTEC-3 (early RRMM, phase 3)
Response rates approaching historical CAR-T rates; figures not given in the abstract
Promising synergy, with cytopenias
MagnetisMM-30 (elranatamab plus iberdomide)
Exact figure not given in the abstract
Notable activity in hard-to-treat extramedullary myeloma
RedirecTT-1 (bispecific antibody combination in EMM)
Exact figure not given in the abstract
In vivo CAR-T introduced as a proof-of-concept platform
inMMyCAR (first-in-human study)
Potential to simplify access to treatment

Study population

This editorial reviews patients with multiple myeloma at all stages of the disease: newly diagnosed multiple myeloma (NDMM), transplant-ineligible (TIE) NDMM, early relapsed/refractory myeloma (RRMM) and extramedullary myeloma (EMM). The inclusion criteria of each study are not given in the abstract.

Endpoints

As a review editorial, it has no primary endpoint. Endpoints reported from the reviewed studies include conversion from MRD-positive to MRD-negative, depth of response, progression-free survival (PFS), overall survival (OS), response rate, safety and infection risk.

Safety and side effects

According to the abstract: in the MagnetisMM-30 study, cytopenias were reported with the combination of elranatamab and iberdomide. In the TecLille study, the infection risk with antibody-only treatment was described as "manageable". The authors stress the importance of infection risk mitigation and long-term safety assessment. Rates of grade ≥3 adverse events are not given in the abstract.

Clinical significance and place in guidelines

According to the abstract, findings presented at ASH 2025 show bispecific antibody immunotherapy moving into earlier stages of the disease, and MRD-adapted approaches may guide treatment intensification. The importance of infection mitigation and long-term safety follow-up is also highlighted. This editorial is not itself a clinical guideline, and the abstract says nothing about drug approvals or guideline adoption. Regulatory status and clinical guidelines should be checked separately.

Limitations

This text is an editorial summarising meeting abstracts and is not a primary trial. Some of the data reviewed may be preliminary or reported only in conference abstracts. The abstract does not give exact figures (sample size, hazard ratios, response rates or adverse event rates). For clinical judgement, the full text and the primary publications of each study should be consulted.

This summary was prepared by the editorial team from the published paper; the original paper is the final reference. Read the original abstract on PubMed.