New hope for myeloma: extended dosing may cut side effects
NCT ID NCT07227311
First seen Jun 27, 2026 · Last updated Aug 26, 2026 · Updated 3 times
Summary
This study tests whether giving the drug belantamab mafodotin less often, combined with other standard cancer medicines, can still control multiple myeloma while reducing side effects like eye problems. About 200 adults whose cancer has returned or stopped responding to prior treatment will take part. The goal is to find a safer, effective way to manage this blood cancer long-term.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Aug 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: • Participants are eligible to be included in the study only if all of the following criteria apply: Applicable to All Arms - BPd, BVd, BKd: * Male or female, 18 years or older (at the time consent is obtained). * 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 zero to 2. * Have been previously treated with at least 1, but no more than 2, prior lines of MM therapy and must have documented disease progression during or after their most recent therapy. * Must have at least 1 aspect of measurable disease, defined as one the following: 1. Urine M-protein excretion ≥200 mg/24 h, or 2. Serum M-protein concentration ≥0.5 g/dL (≥5.0 g/L), or 3. Free Light Chain (FLC) assay: involved FLC level ≥10 mg/dL (≥100 mg/L) and an abnormal serum free light chain ratio (\<0.26 or \>1.65) only if patient has no measurable urine or serum M spike. * Patients with a history of Autologous Stem Cell Transplant (ASCT) are eligible for study participation provided the following eligibility criteria are met: 1. ASCT was \>100 days prior to the first dose of study medication, 2. 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 \[NCI-CTCAE\] v5.0) must be ≤Grade 1 at the time of enrollment, except for alopecia. * Adequate organ system functions as defined by the laboratory assessments. * Contraceptive requirements for men and women per local regulations; strict pregnancy prevention for women of childbearing potential (WOCBP), including negative pregnancy tests and use of highly effective contraception. * Male participants must refrain from sperm donation and must use a condom plus an additional highly effective method of contraception if sexually active with a woman of childbearing potential. Specific Inclusion Criteria for BPd arm: • Prior treatment must include a lenalidomide-containing regimen, with lenalidomide administered for at least 2 consecutive cycles. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: Applicable for all (BPd, BVd, BKd): * Active plasma cell leukemia at Screening. * Symptomatic amyloidosis, including active Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal plasma proliferative disorder, and Skin changes (POEMS). * Previous or concurrent invasive malignancy other than MM, except: 1. The disease must be considered medically stable for at least 2 years; or 2. The patient 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. * Plasmapheresis within 7 days prior to the first dose of study intervention. * Patients after prior allogeneic stem cell transplant * Any major surgery within 4 weeks prior to start of treatment, except for bone stabilizing surgery. * Evidence of active mucosal or internal bleeding. * Intolerance or contraindications to anti-viral prophylaxis. * Current corneal epithelial disease except for mild punctate keratopathy. * Systemic anti-myeloma therapy (including chemotherapy and systemic steroids); prior treatment with an anti-MM monoclonal antibody drug within 30 days of receiving the first dose of study intervention. * Presence of active renal condition (infection, requirement for dialysis, or any other condition that could affect participant's safety). Patients with isolated proteinuria resulting from MM are eligible, provided they fulfill certain criteria * Received prior B-cell maturation antigen (BCMA)-targeted therapy. * Contact lenses are prohibited while receiving belantamab mafodotin treatment. Use may be restarted after a qualified eye care specialist confirms there are no other contraindications. Bandage contact lenses are permitted during study treatment as directed by the treating eye care specialist. * HIV infection unless well-controlled, no recent AIDS-defining infections, and adequate CD4+ count. * Significant liver dysfunction (ALT \>2.5x ULN, bilirubin \>1.5x ULN, cirrhosis, unstable liver/biliary disease). * Positive hepatitis B or C markers unless criteria for resolved infection are met. * Evidence of cardiovascular risk including any of the following: untreated arrhythmias, recent MI/ACS/angioplasty/bypass, NYHA III/IV heart failure, uncontrolled hypertension, QTc prolongation. Specific Exclusion Criteria for BPd Arm: * Received prior treatment with or intolerant to pomalidomide. * Active or history of venous and arterial thromboembolism within the past 3 months. Specific Exclusion Criteria for BVd Arm: * Intolerant to bortezomib or refractory to bortezomib (defined as progressive disease during treatment with a bortezomib-containing regimen of 1.3 mg/m² twice weekly or within 60 days of completing that treatment). * Ongoing Grade 2 or higher peripheral neuropathy or neuropathic pain. Specific Exclusion Criteria for BKd Arm: * Intolerant to carfilzomib or refractory to carfilzomib (defined as progressive disease during treatment with a carfilzomib-containing regimen or within 60 days of completing that treatment). * Known history of allergy to captisol (i.e., cyclodextrin derivatives) used to solubilize carfilzomib. * Left ventricular ejection fraction \<40% as assessed by transthoracic echocardiogram. * Pleural effusions requiring thoracentesis or ascites requiring paracentesis within 14 days prior to enrolment. * Intolerance to hydration due to pre-existing pulmonary or cardiac impairment. * Known pulmonary hypertension.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
59 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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GSK Investigational Site
RECRUITINGLos Alamitos, California, 90720, United States
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GSK Investigational Site
RECRUITINGTorrance, California, 90505, United States
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GSK Investigational Site
RECRUITINGWhittier, California, 90602, United States
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GSK Investigational Site
RECRUITINGNorwich, Connecticut, 06360, United States
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GSK Investigational Site
RECRUITINGFort Myers, Florida, 33912, United States
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GSK Investigational Site
RECRUITINGMacon, Georgia, 31210, United States
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GSK Investigational Site
RECRUITINGBaton Rouge, Louisiana, 70809, United States
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GSK Investigational Site
RECRUITINGBethesda, Maryland, 20817, United States
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GSK Investigational Site
RECRUITINGBridgeton, Missouri, 63044, United States
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GSK Investigational Site
RECRUITINGSpringfield, Missouri, 65807, United States
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GSK Investigational Site
RECRUITINGFarmington, New Mexico, 87401, United States
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GSK Investigational Site
RECRUITINGNashville, Tennessee, 37203, United States
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GSK Investigational Site
RECRUITINGDunkirk, Nord, 59240, France
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GSK Investigational Site
RECRUITINGNantes, 44093, France
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GSK Investigational Site
RECRUITINGParis, 75012, France
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GSK Investigational Site
RECRUITINGParis, 75475, France
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GSK Investigational Site
RECRUITINGParis, 75651, France
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GSK Investigational Site
RECRUITINGSaint-Etienne, France
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GSK Investigational Site
RECRUITINGFrankfurt, 60389, Germany
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GSK Investigational Site
RECRUITINGHamburg, 22763, Germany
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GSK Investigational Site
RECRUITINGKarlsruhe, 76133, Germany
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GSK Investigational Site
RECRUITINGKoblenz, 56068, Germany
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GSK Investigational Site
RECRUITINGMünchen, 80634, Germany
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GSK Investigational Site
RECRUITINGThessaloniki, Central Macedonia, 570 10, Greece
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GSK Investigational Site
RECRUITINGAthens, 106 76, Greece
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GSK Investigational Site
RECRUITINGAthens, 11528, Greece
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GSK Investigational Site
RECRUITINGPeriohi Dragana Alexand, 68100, Greece
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GSK Investigational Site
RECRUITINGThessaloniki, 54007, Greece
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GSK Investigational Site
RECRUITINGAichi, 467-8602, Japan
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GSK Investigational Site
RECRUITINGChiba, 277-8567, Japan
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GSK Investigational Site
RECRUITINGEhime, 790-8524, Japan
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GSK Investigational Site
RECRUITINGFukushima, 960-1295, Japan
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GSK Investigational Site
RECRUITINGGunma, 371-8511, Japan
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GSK Investigational Site
RECRUITINGHokkaido, 060-8543, Japan
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GSK Investigational Site
RECRUITINGIshikawa, 920-8641, Japan
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GSK Investigational Site
RECRUITINGNumakunai, 028-3695, Japan
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GSK Investigational Site
RECRUITINGOkayama, 701-1192, Japan
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GSK Investigational Site
RECRUITINGOsaka, 590-0197, Japan
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GSK Investigational Site
RECRUITINGSendai, 983-8520, Japan
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GSK Investigational Site
RECRUITINGTokyo, 105-8471, Japan
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GSK Investigational Site
RECRUITINGYamanashi, 409-3898, Japan
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GSK Investigational Site
RECRUITINGAmersfoort, 3813 TZ, Netherlands
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GSK Investigational Site
RECRUITINGHoofddorp, 2130 AT, Netherlands
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GSK Investigational Site
RECRUITINGThe Hague, 2545 AA, Netherlands
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GSK Investigational Site
RECRUITINGSeoul, Seoul Teugbyeolsi, 06351, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 03722, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 110-774, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 137701, South Korea
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GSK Investigational Site
RECRUITINGSeoul, 138-736, South Korea
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GSK Investigational Site
RECRUITINGUlsan, 44033, South Korea
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GSK Investigational Site
RECRUITINGJerez de la Frontera, Andalusia, 11407, Spain
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GSK Investigational Site
RECRUITINGBadalona, 08916, Spain
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GSK Investigational Site
RECRUITINGCórdoba, 14004, Spain
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GSK Investigational Site
RECRUITINGGijón, 33394, Spain
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GSK Investigational Site
RECRUITINGMadrid, 28006, Spain
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GSK Investigational Site
RECRUITINGMadrid, 28041, Spain
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GSK Investigational Site
RECRUITINGMálaga, 29010, Spain
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GSK Investigational Site
RECRUITINGSalamanca, 37007, Spain
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GSK Investigational Site
RECRUITINGVitoria-Gasteiz, 01009, Spain
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Bispecific antibody combo aims to deepen myeloma responses
- Can a stronger drug cocktail give older myeloma patients a better start?
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas