Belantamab Mafodotin Plus Pomalidomide and Dexamethasone (Pd) Versus Bortezomib Plus Pd in Relapsed/Refractory Multiple Myeloma

NCT ID: NCT04484623

Last Updated: 2025-03-18

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: PHASE3
• Total Enrollment: 302 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-10-01
• Study Completion Date: 2029-10-25

Brief Summary

This study will evaluate the efficacy and safety of belantamab mafodotin in combination with pomalidomide and dexamethasone (Arm A) compared with that of combination of pomalidomide, bortezomib and dexamethasone (Arm B) in participants with relapsed/refractory multiple myeloma (RRMM).

Conditions

Multiple Myeloma

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Arm A: Belantamab mafodotin plus Pomalidomide and Dexamethasone

Group Type: EXPERIMENTAL

Belantamab mafodotin

Intervention Type: DRUG

Humanized anti-B-cell maturation antigen (BCMA) antibody/drug conjugate will be administered.

Pomalidomide

Intervention Type: DRUG

Immunomodulatory drug (IMiD) will be administered.

Dexamethasone

Intervention Type: DRUG

Synthetic glucocorticoid with anti-tumor activity will be administered.

Arm B: Bortezomib plus Pomalidomide and Dexamethasone

Group Type: ACTIVE_COMPARATOR

Pomalidomide

Intervention Type: DRUG

Immunomodulatory drug (IMiD) will be administered.

Dexamethasone

Intervention Type: DRUG

Synthetic glucocorticoid with anti-tumor activity will be administered.

Bortezomib

Intervention Type: DRUG

Proteasome Inhibitor will be administered.

Interventions

Belantamab mafodotin

Humanized anti-B-cell maturation antigen (BCMA) antibody/drug conjugate will be administered.

Intervention Type: DRUG

Pomalidomide

Immunomodulatory drug (IMiD) will be administered.

Intervention Type: DRUG

Dexamethasone

Synthetic glucocorticoid with anti-tumor activity will be administered.

Intervention Type: DRUG

Bortezomib

Proteasome Inhibitor will be administered.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Capable of giving signed informed consent.
• Male or female, 18 years or older.
• Have a confirmed diagnosis of multiple myeloma (MM) as defined by the International Myeloma Working Group (IMWG) criteria.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
• Have been previously treated with at least 1 prior line of MM therapy including a lenalidomide-containing regimen and must have documented disease progression during or after their most recent therapy. (Participants treated with lenalidomide ≥10 mg daily for at least 2 consecutive cycles are eligible).
• Must have at least 1 aspect of measurable disease defined as one of the following;

1. Urine M-protein excretion greater than or equal to (≥)200 milligrams (mg) per 24-hour, or

2. Serum M-protein concentration ≥0.5 grams/deciliters (g/dL) (≥5.0 g/liter [L]), or

3. Serum free light chain (FLC) assay: involved FLC level ≥10 mg/dL (≥100 mg/L) and an abnormal serum free light chain ratio (less than [<]0.26 or greater than [>]1.65) only if participant has no measurable urine or serum M spike.

• Have undergone autologous stem cell transplant (ASCT) or are considered transplant ineligible. Participants with a history of ASCT are eligible for study participation provided the following eligibility criteria are met: a. ASCT was >100 days prior to the first dose of study medication. b. No active bacterial, viral, or fungal infection(s) present
• All prior treatment-related toxicities (defined by National Cancer Institute Common Terminology Criteria for Adverse Events [NCI-CTCAE] version 5.0) must be less than or equal to (≤)Grade 1 at the time of enrolment, except for alopecia.
• Adequate organ system functions as mentioned in the protocol.
• Male and female participants agree to abide by protocol-defined contraceptive requirements.

Exclusion Criteria

• Active plasma cell leukemia, symptomatic amyloidosis or active polyneuropathy, organomegaly, endocrinopathy, monoclonal plasma proliferative disorder, and skin changes (POEMS) syndrome at the time of screening.
• Prior allogeneic SCT.
• Systemic anti-myeloma therapy (including chemotherapy and systemic steroids) within 14 days or five half-lives (whichever is shorter) preceding the first dose of study drug; prior treatment with a monoclonal antibody drug within 30 days of receiving the first dose of study drugs.
• Plasmapheresis within 7 days prior to the first dose of study drug.
• Received prior treatment with or intolerant to pomalidomide.
• Received prior Beta cell maturation antigen (BCMA) targeted therapy.
• Intolerant to bortezomib or refractory to bortezomib (for example; participant experienced progressive disease during treatment, or within 60 days of completing treatment, with a bortezomib-containing regimen of 1.3 mg/meter square [m^2] twice weekly).
• Evidence of cardiovascular risk including any of the following;

1. Evidence of current clinically significant untreated arrhythmias, including clinically significant electrocardiogram abnormalities including second degree (Mobitz type II) or third degree atrioventricular (AV) block.

2. Recent history within (3 months of screening) of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty, or stenting or bypass grafting .

3. Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system

4. Uncontrolled hypertension.

• Any major surgery within the last 4 weeks.
• Previous or concurrent invasive malignancy other than multiple myeloma, except:

1. The disease must be considered medically stable for at least 2 years; or

2. The participant must not be receiving active therapy, other than hormonal therapy for this disease.

• Known immediate or delayed hypersensitivity reaction or idiosyncratic reaction to belantamab mafodotin or drugs chemically related to belantamab mafodotin, or any of the components of the study treatment.
• Evidence of active mucosal or internal bleeding.
• Cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, persistent jaundice.
• Active infection requiring treatment.
• Known or active human immunodeficiency virus (HIV) infection, hepatitis B or hepatitis C will be excluded unless the protocol-defined criteria are met.
• Presence of active renal conditions (such as infection, severe renal impairment requiring dialysis or any other condition that could affect participant's safety).
• Ongoing Grade 2 peripheral neuropathy with pain within 14 days prior to randomization or ≥Grade 3 peripheral neuropathy.
• Active or history of venous and arterial thromboembolism within the past 3 months.
• Contraindications to or unwilling to undergo protocol-required anti-thrombotic prophylaxis.
• Current corneal disease except for mild punctate keratopathy.
• Any serious and/or unstable pre-existing medical, psychiatric disorder or other conditions (including laboratory abnormalities) that could interfere with participant's safety, obtaining informed consent or compliance to the study procedures.
• Pregnant or lactating female.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

GlaxoSmithKline

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

GSK Investigational Site

Tucson, Arizona, United States

GSK Investigational Site

Fort Myers, Florida, United States

GSK Investigational Site

Boston, Massachusetts, United States

GSK Investigational Site

Kansas City, Missouri, United States

GSK Investigational Site

Nashville, Tennessee, United States

GSK Investigational Site

Garran, Australian Capital Territory, Australia

GSK Investigational Site

Darlinghurst, New South Wales, Australia

GSK Investigational Site

Gosford NSW, New South Wales, Australia

GSK Investigational Site

Port Macquarie, New South Wales, Australia

GSK Investigational Site

Benowa, Queensland, Australia

GSK Investigational Site

South Brisbane, Queensland, Australia

GSK Investigational Site

Adelaide, South Australia, Australia

GSK Investigational Site

Fitzroy, Victoria, Australia

GSK Investigational Site

Heidelberg, Victoria, Australia

GSK Investigational Site

Malvern, Victoria, Australia

GSK Investigational Site

Nedlands, Western Australia, Australia

GSK Investigational Site

Curitiba, , Brazil

GSK Investigational Site

Joinville, , Brazil

GSK Investigational Site

Porto Alegre, , Brazil

GSK Investigational Site

São Paulo, , Brazil

GSK Investigational Site

Beijing, , China

GSK Investigational Site

Beijing, , China

GSK Investigational Site

Changchun, , China

GSK Investigational Site

Changsha, , China

GSK Investigational Site

Hangzhou, , China

GSK Investigational Site

Jiangsu, , China

GSK Investigational Site

Nanchang, , China

GSK Investigational Site

Shenyang, , China

GSK Investigational Site

Tianjin, , China

GSK Investigational Site

Brno, , Czechia

GSK Investigational Site

Hradec Králové, , Czechia

GSK Investigational Site

Prague, , Czechia

GSK Investigational Site

Marseille, , France

GSK Investigational Site

Toulouse, , France

GSK Investigational Site

Vanduvre-lEs-Nancy, , France

GSK Investigational Site

Mainz, , Germany

GSK Investigational Site

Tübingen, , Germany

GSK Investigational Site

Würzburg, , Germany

GSK Investigational Site

Athens, , Greece

GSK Investigational Site

Athens, , Greece

GSK Investigational Site

Athens, , Greece

GSK Investigational Site

Ioannina, , Greece

GSK Investigational Site

Thessaloniki, , Greece

GSK Investigational Site

Haifa, , Israel

GSK Investigational Site

Jerusalem, , Israel

GSK Investigational Site

Kfar Saba, , Israel

GSK Investigational Site

Nahariya, , Israel

GSK Investigational Site

Petah Tikva, , Israel

GSK Investigational Site

Tel Aviv, , Israel

GSK Investigational Site

Bologna, , Italy

GSK Investigational Site

Milan, , Italy

GSK Investigational Site

Pavia, , Italy

GSK Investigational Site

Roma, , Italy

GSK Investigational Site

Aichi, , Japan

GSK Investigational Site

Chiba, , Japan

GSK Investigational Site

Chiba, , Japan

GSK Investigational Site

Ehime, , Japan

GSK Investigational Site

Fukushima, , Japan

GSK Investigational Site

Gunma, , Japan

GSK Investigational Site

Gunma, , Japan

GSK Investigational Site

Hokkaido, , Japan

GSK Investigational Site

Numakunai, , Japan

GSK Investigational Site

Okayama, , Japan

GSK Investigational Site

Osaka, , Japan

GSK Investigational Site

Tottori, , Japan

GSK Investigational Site

Yamagata, , Japan

GSK Investigational Site

Auckland, , New Zealand

GSK Investigational Site

Dunedin, , New Zealand

GSK Investigational Site

Grafton, , New Zealand

GSK Investigational Site

Hamilton, , New Zealand

GSK Investigational Site

Takapuna Auckland, , New Zealand

GSK Investigational Site

Tauranga, , New Zealand

GSK Investigational Site

Bydgoszcz, , Poland

GSK Investigational Site

Gdansk, , Poland

GSK Investigational Site

Krakow, , Poland

GSK Investigational Site

Lodz, , Poland

GSK Investigational Site

Wroclaw, , Poland

GSK Investigational Site

Moscow, , Russia

GSK Investigational Site

Moscow, , Russia

GSK Investigational Site

Novosibirsk, , Russia

GSK Investigational Site

Saint Petersburg, , Russia

GSK Investigational Site

Saint Petersburg, , Russia

GSK Investigational Site

Saint Petersburg, , Russia

GSK Investigational Site

Samara, , Russia

GSK Investigational Site

Sochi, , Russia

GSK Investigational Site

Gyeonggi-do, , South Korea

GSK Investigational Site

Hwasun, , South Korea

GSK Investigational Site

Inchon, , South Korea

GSK Investigational Site

Seoul, , South Korea

GSK Investigational Site

Seoul, , South Korea

GSK Investigational Site

Seoul, , South Korea

GSK Investigational Site

Seoul, , South Korea

GSK Investigational Site

Barcelona, , Spain

GSK Investigational Site

Barcelona, , Spain

GSK Investigational Site

Gijón, , Spain

GSK Investigational Site

L'Hospitalet de Llobrega, , Spain

GSK Investigational Site

Madrid, , Spain

GSK Investigational Site

Madrid, , Spain

GSK Investigational Site

MOstoles Madrid, , Spain

GSK Investigational Site

Murcia, , Spain

GSK Investigational Site

Palma de Mallorca, , Spain

GSK Investigational Site

PamplonaNavarra, , Spain

GSK Investigational Site

Pozuelo de AlarcOn Madr, , Spain

GSK Investigational Site

Salamanca, , Spain

GSK Investigational Site

Seville, , Spain

GSK Investigational Site

Valencia, , Spain

GSK Investigational Site

Ankara, , Turkey (Türkiye)

GSK Investigational Site

Ankara, , Turkey (Türkiye)

GSK Investigational Site

Ankara, , Turkey (Türkiye)

GSK Investigational Site

Izmir, , Turkey (Türkiye)

GSK Investigational Site

Izmir, , Turkey (Türkiye)

GSK Investigational Site

Kocaeli, , Turkey (Türkiye)

GSK Investigational Site

Mersin, , Turkey (Türkiye)

GSK Investigational Site

Samsun, , Turkey (Türkiye)

GSK Investigational Site

London, , United Kingdom

GSK Investigational Site

Plymouth, , United Kingdom

GSK Investigational Site

Southampton, , United Kingdom

GSK Investigational Site

Stoke-on-Trent, , United Kingdom

GSK Investigational Site

Sutton, , United Kingdom

Countries

United States; Australia; Brazil; China; Czechia; France; Germany; Greece; Israel; Italy; Japan; New Zealand; Poland; Russia; South Korea; Spain; Turkey (Türkiye); United Kingdom

References

Hanafin P, Ho YL, Papathanasiou T, Fulci G, Sule N, Kremer BE, Ferron-Brady G. Belantamab Mafodotin with Pomalidomide and Dexamethasone in Relapsed/Refractory Multiple Myeloma: A Comprehensive Exposure-Response Analysis of the DREAMM-8 Study. Target Oncol. 2025 Sep;20(5):833-845. doi: 10.1007/s11523-025-01174-0. Epub 2025 Sep 16.

Reference Type: DERIVED

PMID: 40958065 (View on PubMed)

Mateos MV, Trudel S, Quach H, Robak P, Beksac M, Pour L, Hus M, Kim K, Zherebtsova V, Delimpasi S, Jelinek T, Ward C, Ho PJ, Vorobyev VI, Lacerda MP, Martinez GA, Spicka I, Radocha J, Cavo M, Cerchione C, Fu C, Suzuki K, Rogers R, Phillips-Jones A, Wang Z, Baig H, Wilkes J, Zhou XL, Lewis E, Eccersley L, Sule N, Paka P, Opalinska JB, Mukhopadhyay P, Hungria VTM, Dimopoulos MA. Modification of Belantamab Mafodotin Dosing to Balance Efficacy and Tolerability in the DREAMM-7 and DREAMM-8 Trials. Blood Adv. 2025 Aug 5:bloodadvances.2025016949. doi: 10.1182/bloodadvances.2025016949. Online ahead of print.

Reference Type: DERIVED

PMID: 40763276 (View on PubMed)

Dimopoulos MA, Beksac M, Pour L, Delimpasi S, Vorobyev V, Quach H, Spicka I, Radocha J, Robak P, Kim K, Cavo M, Suzuki K, Morris K, Pompilus F, Phillips-Jones A, Zhou XL, Fulci G, Sule N, Kremer BE, Opalinska J, Mateos MV, Trudel S; DREAMM-8 Investigators. Belantamab Mafodotin, Pomalidomide, and Dexamethasone in Multiple Myeloma. N Engl J Med. 2024 Aug 1;391(5):408-421. doi: 10.1056/NEJMoa2403407. Epub 2024 Jun 2.

Reference Type: DERIVED

PMID: 38828951 (View on PubMed)

Provided Documents

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

2018-004354-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

207499

Identifier Type: -

Identifier Source: org_study_id