New Protocol: Talquetamab + Teclistamab for Extramedullary Myeloma

Talquetamab plus teclistamab achieved a high response rate of 79% in patients with drug-resistant, true extramedullary myeloma. Median progression-free survival was 15.4 months and overall survival at 12 months was 74%. Adverse events were consistent with known profiles, leading to discontinuation in 6% of patients.

  • Study

    Multicenter, nonrandomized, open-label, phase 2 study [RedirecTT-1 NCT04586426]
    Relapsed/refractory, true extramedullary myeloma
    Talquetamab (0.8 mg/kg) + Teclistamab (3.0 mg/kg) every 2 wks (n=90)



  • Efficacy

    ORR: 79% (CR in 54%)
    mDoR: 13.8 mos
    mPFS: 15.4 mos
    12-mo PFS: 61%
    12-mo OS: 74%



  • Safety

    Grade >=3 AEs: hematologic events (76%), infections (31%)
    Discontinuation: 6% due to nonfatal AEs
    Deaths: 11%, 5 treatment-related


  • N Engl J Med 2026;394:51-61

    Kumar S, Mateos MV, Ye JC Dual Targeting of Extramedullary Myeloma with Talquetamab and Teclistamab

    http://doi.org/10.1056/NEJMoa2514752

    Reviewed by Ulas D. Bayraktar, MD on Jan 21, 2026

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