Framingham on Multiple Myeloma
Volume 4, 2026
Framingham on Multiple Myeloma is part of the wider Framingham series, a trusted resource designed to support clinical specialists by summarizing the most relevant and impactful literature in their fields. Each volume provides expertly curated abstracts of recent peer-reviewed publications, selected by a board of leading hematology experts. With a strong focus on evidence-based medicine, this series offers accessible overviews of emerging insights into the diagnosis, treatment, and supportive care of multiple myeloma. Published regularly, it serves as a concise guide for staying current with key developments in the evolving myeloma landscape.

DARATUMUMAB IN TRANSPLANT-INELIGIBLE OR -DEFERRED NEWLY DIAGNOSED MULTIPLE MYELOMA: MINIMAL RESIDUAL DISEASE IN CEPHEUS
The CEPHEUS study demonstrated that transplantineligible or transplant-deferred patients with newly diagnosed multiple myeloma (NDMM) treated with daratumumab, bortezomib, lenalidomide and dexamethasone (D-VRd) had higher rates of overall minimal residual disease (MRD)-negativity than those who received bortezomib, lenalidomide and dexamethasone (VRd). The aim of the present paper was to provide an expanded analysis of MRD from the CEPHEUS study.

OPTIMIZING LENALIDOMIDE THERAPY IN RENAL IMPAIRMENT: ANALYSIS OF RENAL RESPONSE IN THE PROSPECTIVE REMNANT STUDY IN TRANSPLANT-ELIGIBLE NEWLY DIAGNOSED MULTIPLE MYELOMA
Renal impairment is a serious complication of newly diagnosed multiple myeloma (NDMM) that considerably reduces overall survival, and rapid renal recovery is therefore an important treatment goal. Because lenalidomide is renally excreted, current guidelines recommend that patients with transplanteligible NDMM and renal impairment should receive a reduced dose of lenalidomide induction therapy (5–10 mg/day), but studies have challenged the need for such cautious dosing. The aim of this analysis was to evaluate the efficacy and safety of higher-dose lenalidomide induction therapy in transplant-eligible patients with NDMM and renal impairment.

TECLISTAMAB-BASED INDUCTION TREATMENT IN TRANSPLANT-ELIGIBLE, NEWLY DIAGNOSED MULTIPLE MYELOMA: A PHASE 2 TRIAL
The combination of teclistamab (a bispecific antibody targeting B-cell maturation antigen and CD3) and daratumumab has been shown to have strong efficacy as early as first relapse among patients with relapsed or refractory multiple myeloma. The aim of this study was to evaluate the safety and efficacy of teclistamab- based regimens in patients with newly diagnosed multiple myeloma (NDMM).

SUSTAINED DISEASE REMISSION AFTER A LIMITED DURATION OF BISPECIFIC ANTIBODY THERAPY IN PATIENTS WITH MULTIPLE MYELOMA
Patients with relapsed or refractory multiple myeloma (RRMM) usually receive bispecific antibody (BsAb) therapy indefinitely until disease progression or intolerable side effects, but some patients have been reported to have sustained remission after just a limited duration of BsAb therapy. The aim of this study was to report on sustained remission, immune reconstitution and infection risk off-treatment in a larger cohort of patients with RRMM treated with a finite duration of BsAb therapy.
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MAT-BE-2600456 (ver. 2) 10 2026