Isa-RVd (isatuximab-irfc, lenalidomide, bortezomib, dexamethasone) as induction for 18 weeks, followed by autologous stem cell transplant, significantly reduced disease progression or death risk vs RVd in transplant-eligible newly diagnosed multiple myeloma patients, according to GMMG-HD7 trial data. The progression-free survival benefit was observed in most subgroups except those with WHO performance status over grade 1, high-risk cytogenetics, or R-ISS stage III disease. Isa-RVd also demonstrated deeper MRD-negative responses post-transplant compared to RVd.