
Dive Into Key Data and Presentations From EHA 2026
Key Takeaways
- Epcoritamab achieved superior PFS and higher CR rates than chemoimmunotherapy in R/R LBCL, with OS interpretation complicated by COVID-19 mortality and post-protocol therapy imbalances.
- Tafasitamab/lenalidomide added to R-CHOP improved PFS and EFS in frontline high-risk DLBCL, while maintaining 100% median relative dose intensity for R-CHOP.
Readouts across LBCL, relapsed/refractory myeloma, and CALR-mutated myelofibrosis anchored the hematology data presented at EHA 2026.
Pivotal data across multiple myeloma, large B-cell lymphoma (LBCL), and myeloproliferative neoplasms (MPNs) took the spotlight during the
View the slideshow above for a recap of pivotal data reported across several key studies during EHA 2026. To read more on these studies and their potential implications for practice,
LBCL
Epcoritamab-bysp (Epkinly) monotherapy significantly improved progression-free survival (PFS) compared with investigator’s choice of chemoimmunotherapy (CIT) in patients with relapsed or refractory LBCL, meeting one of the dual primary end points of the phase 3 EPCORE DLBCL-1 trial (NCT04628494).1
At a median follow-up of 38.6 months in the epcoritamab arm (n = 168) and 28.2 months in the CIT arm (n = 178), the median PFS by independent review committee was 3.5 months (95% CI, 2.9-4.6) with epcoritamab vs 3.0 months (95% CI, 2.9-4.1) with CIT (stratified HR, 0.74; 95% CI, 0.60-0.92; P = .0059). The complete response (CR) rate was 38% with epcoritamab vs 26% with CIT (nominal P = .0032).
The coprimary end point of overall survival (OS) was not significantly different between the arms (stratified HR, 0.96; 95% CI, 0.77-1.20; P = .7285); investigators noted this result was confounded by COVID-19 mortality and greater use of subsequent therapies in the CIT arm. A post hoc analysis adjusting for both factors yielded a median OS of 16.7 months vs 9.5 months, respectively (stratified HR, 0.76; 95% CI, 0.59-0.99).
In the frontline setting, tafasitamab-cxix (Monjuvi) in combination with lenalidomide (Revlimid) and R-CHOP (rituximab [Rituxan], cyclophosphamide, doxorubicin, vincristine, and prednisone) produced a statistically significant improvement in PFS compared with R-CHOP alone in patients with newly diagnosed, high-risk diffuse large B-cell lymphoma (DLBCL), according to data from the phase 3 frontMIND trial (NCT04824092).2
At a median follow-up of 35.2 months, the tafasitamab-based regimen (n = 448) led to a 25% reduction in the risk of disease progression or death vs R-CHOP alone (n = 451; HR, 0.75; 95% CI, 0.59-0.96; P = .0194). The 2- and 3-year PFS rates were 71.1% and 67.3%, respectively, for the experimental regimen vs 62.9% and 60.7% for R-CHOP alone. Event-free survival was also improved with tafasitamab-based treatment (HR, 0.79; 95% CI, 0.64-0.97; P = .0260), and interim OS data favored the tafasitamab arm (HR, 0.85; 95% CI, 0.63-1.14; P = .2703), with the final OS analysis planned at 5 years. The addition of tafasitamab and lenalidomide did not compromise R-CHOP delivery, with a median relative dose intensity of 100% in both arms.
Multiple Myeloma
The BCMA-directed, in vivo CAR T-cell therapy KLN-1010 drove deep minimal residual disease (MRD)–negative responses in patients with relapsed or refractory multiple myeloma, according to data from the phase 1 inMMyCAR trial (NCT07075185).3 Unlike conventional CAR T-cell therapy, KLN-1010 uses lentiviral particles to generate anti-BCMA CAR T cells within the patient, eliminating the need for leukapheresis, ex vivo manufacturing, and lymphodepletion.
Among evaluable patients (n = 18), the overall response rate (ORR) was 100%, comprising a stringent CR (sCR) rate of 22%, a CR rate of 6%, a very good partial response (VGPR) rate of 22%, and a partial response rate of 50%. Among those with at least 4 months of follow-up (n = 6), the sCR rate was 67%, and the VGPR rate was 33%. MRD-negative bone marrow responses at a sensitivity of 10-5 were observed in 100% of evaluable patients (n = 14). No grade 3 or higher cytokine release syndrome (CRS) was reported across the 3 dose levels, and investigators characterized the safety and tolerability profile of the off-the-shelf product as supportive of outpatient dosing.
Additionally, teclistamab-cqyv (Tecvayli) monotherapy produced significant improvements in PFS and OS compared with investigator’s choice of standard-of-care (SOC) pomalidomide (Pomalyst), bortezomib (Velcade), and dexamethasone (PVd) or carfilzomib (Kyprolis) plus dexamethasone (Kd) in patients with relapsed/refractory multiple myeloma who had received 1 to 3 prior lines of therapy including daratumumab (Darzalex) and lenalidomide, according to data from the phase 3 MajesTEC-9 trial (NCT05572515).4
At a median follow-up of 17.3 months, teclistamab (n = 296) reduced the risk of disease progression or death by 71% vs SOC (n = 297; HR, 0.29; 95% CI, 0.23-0.38; P < .0001); the median PFS was not reached vs 8.2 months, with 18-month PFS rates of 69.8% vs 26.9%, respectively. Teclistamab also reduced the risk of death by 40% (HR, 0.60; 95% CI, 0.43-0.83; P = .0020), with 18-month OS rates of 79.2% vs 68.6%. The bispecific antibody generated deeper responses as well, producing an ORR of 84.5% vs 54.2% and a CR-or-better rate of 65.9% vs 16.8%.
MPNs
INCA033989, a first-in-class, fully human, Fc-silenced IgG1 monoclonal antibody that selectively targets CALR mutations in complex with the thrombopoietin receptor, was well tolerated and generated spleen, symptom, anemia, and molecular responses in patients with CALR-mutated myelofibrosis, according to data from 2 ongoing phase 1 studies (NCT05936359; NCT06034002).5
The agent was evaluated as monotherapy in patients who were relapsed/refractory/intolerant to or ineligible for JAK inhibitor therapy (n = 83), as well as in combination with ruxolitinib (Jakafi) in those with a suboptimal response to prior ruxolitinib (n = 21). No dose-limiting toxicities were observed, and the maximum tolerated dose was not reached; 84% and 76% of patients remained on monotherapy and combination therapy, respectively, and the most common grade 3 or higher toxicities were cytopenias, which generally occurred in patients with preexisting cytopenias. Among patients treated with monotherapy (n = 69), 55% achieved a spleen volume reduction of at least 25% and 39% experienced a reduction of at least 35% as their best response. Additionally, 53% of evaluable patients (n = 70) had a best total symptom score reduction of 50% or greater, and 60% of evaluable anemic patients (n = 40) achieved an anemia response, most of which were major responses.
References
- Fox CP, Inchiappa L, Ferhanoğlu B, et al. Results from EPCORE DLBCL-1: randomized phase 3 study of epcoritamab vs investigator’s choice chemoimmunotherapy in patients with relapsed/refractory large B-cell lymphoma. Presented at: 2026 EHA Congress; June 11-14, 2026; Stockholm, Sweden. Abstract S235.
- Lenz G, Trněný M, Burke JM, et al. Tafasitamab plus lenalidomide and R-CHOP for patients with previously untreated diffuse large B-cell lymphoma (DLBCL): results from the phase 3 frontMIND study. Presented at: 2026 EHA Congress; June 11-14, 2026; Stockholm, Sweden. Abstract S101.
- Spencer A, Harrison S, Lim S-L, et al. Successful in vivo CAR-T generation and MRD clearance with KLN-1010 across diverse baseline T-cell phenotypes in relapsed/refractory multiple myeloma. Presented at: 2026 EHA Congress; June 11-14, 2026; Stockholm, Sweden. Abstract S185.
- Touzeau C, Mina R, Hungria V, et al. MajesTEC-9: a phase 3 study of teclistamab monotherapy vs pomalidomide/bortezomib/dexamethasone or carfilzomib/dexamethasone (PVd/Kd) in patients (pts) with relapsed refractory multiple myeloma (RRMM). Presented at: 2026 EHA Congress; June 11-14, 2026; Stockholm, Sweden. Abstract S195.
- Nangalia J, Harrison C, Gotlib J, et al. Mutant calreticulin-specific monoclonal antibody, INCA033989, produces clonal molecular responses that correlate with clinical responses in patients with myelofibrosis. Presented at: 2026 EHA Congress; June 11-14, 2026; Stockholm, Sweden. Abstract S216.
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