Regeneron's Lynozyfic Shows Promise as Frontline Therapy for Multiple Myeloma in LINKER Trials

December 7, 2025
Regeneron's Lynozyfic Shows Promise as Frontline Therapy for Multiple Myeloma in LINKER Trials
  • Regeneron positions Lynozyfic (linvoseltamab) as a potential foundational frontline therapy or monotherapy for newly diagnosed multiple myeloma (NDMM), with multiple LINKER studies exploring monotherapy and combinations across transplant-eligible and ineligible patients.

  • In LINKER-MM6 (EMN39), induction with DRd is followed by Lynozyfic monotherapy versus continued DRd for transplant-ineligible NDMM, with several other LINKER trials (MM1–MM5, MMSS, and more) described across phases and indications.

  • Phase 1/2 data from LINKER-MM4 show encouraging Lynozyfic monotherapy results in adults with NDMM, including both transplant-eligible and ineligible patients.

  • Adverse events include mostly Grade 1 CRS and neutropenia as common TEAEs, with infections in a large portion of patients but rarely at Grade 4 or higher.

  • Among MRD-evaluable VGPR+ patients, 95% achieved MRD negativity at 10^-5 sensitivity, indicating a deep early response.

  • Specifically, MRD negativity at 10^-5 sensitivity was observed in 19 of 20 evaluable VGPR+ patients across all dose groups, supporting strong early depth of response.

  • Safety information highlights risks of CRS, IRR, neurologic events, infections, and liver problems, with explicit dosing precautions and monitoring requirements.

  • A REMS program is in place for Lynozyfic due to CRS and neurologic risks, including step-up dosing with inpatient monitoring after initial doses and ongoing infection, liver, and hematologic monitoring.

  • Post-induction, ten patients proceeded to autologous stem cell transplant with adequate CD34+ yield, demonstrating the feasibility of sequencing transplant in NDMM treated with Lynozyfic.

  • Ten patients underwent autologous stem cell transplant with acceptable CD34+ yield following Lynozyfic-containing induction.

  • Regeneron plans an investor event, the Regeneron Roundtable, on December 10, 2025, to discuss the myeloma program with investors.

  • This virtual investor event underscores Regeneron’s emphasis on communicating NDMM data and program updates to the market.

  • In dose-escalation and expansion (Phase 1A/1B), 45 patients (28 transplant-eligible, 17 transplant-ineligible) showed a median time to response of about 1.2 months, with CRS and neutropenia as the most common TEAEs and no Grade ≥4 infections or dose-limiting toxicities.

  • Across dose groups (50 mg, 100 mg, 200 mg), LD/monotherapy results show VGPR+ rates of at least 70% in NDMM, with expectations that responses will deepen over time.

  • Lynozyfic is a BCMAxCD3 bispecific antibody built on VelocImmune technology, designed to redirect T cells to myeloma cells, with ongoing development in earlier lines and precursor conditions.

  • Context includes the broader Lynozyfic program, VelocImmune technology, and REMS safety measures across LINKER trials and related studies.

  • Lynozyfic is investigational, and safety and efficacy have not yet been evaluated by regulatory authorities for frontline NDMM.

Summary based on 2 sources


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