New hope for myeloma: targeted drug combo shows promise in Late-Stage trial
NCT ID NCT04484623
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 study tests whether adding the targeted drug belantamab mafodotin to standard medications (pomalidomide and dexamethasone) works better than another standard combo for people with multiple myeloma that has come back or stopped responding to treatment. About 302 participants will be randomly assigned to one of the two treatment groups. The main goal is to see how long the cancer stays under control.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- belantamab mafodotin, pomalidomide, dexamethasone, bortezomib
- What this could lead to
- If successful, this combination could offer a more effective treatment option for people with multiple myeloma that has returned or stopped responding to prior therapy.
- What could go wrong
- This is an advanced phase 3 trial, but the new drug may not prove better than the standard combo, and side effects like eye problems or low blood counts are possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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302 people
The number who actually took part.
- Started
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Oct 2020
- Expected to finish
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Jun 2029
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: * 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.
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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.
Contacts and locations
Locations
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GSK Investigational Site
Tucson, Arizona, 85712, United States
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GSK Investigational Site
Fort Myers, Florida, 33901, United States
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GSK Investigational Site
Boston, Massachusetts, 02215, United States
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GSK Investigational Site
Kansas City, Missouri, 64132, United States
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GSK Investigational Site
Nashville, Tennessee, 37203, United States
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GSK Investigational Site
Garran, Australian Capital Territory, 2605, Australia
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GSK Investigational Site
Darlinghurst, New South Wales, 2010, Australia
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GSK Investigational Site
Gosford NSW, New South Wales, 2250, Australia
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GSK Investigational Site
Port Macquarie, New South Wales, 2444, Australia
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GSK Investigational Site
Benowa, Queensland, 4217, Australia
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GSK Investigational Site
South Brisbane, Queensland, 4101, Australia
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GSK Investigational Site
Adelaide, South Australia, 5000, Australia
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GSK Investigational Site
Fitzroy, Victoria, 3065, Australia
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GSK Investigational Site
Heidelberg, Victoria, 3084, Australia
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GSK Investigational Site
Malvern, Victoria, 3144, Australia
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GSK Investigational Site
Nedlands, Western Australia, 6009, Australia
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GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
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GSK Investigational Site
Curitiba, 01308-050, Brazil
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GSK Investigational Site
Joinville, 89201-260, Brazil
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GSK Investigational Site
São Paulo, 04537-081, Brazil
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GSK Investigational Site
Beijing, 100191, China
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GSK Investigational Site
Beijing, China
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GSK Investigational Site
Changchun, 130012, China
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GSK Investigational Site
Changsha, 410013, China
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GSK Investigational Site
Guangzhou, 510060, China
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GSK Investigational Site
Hangzhou, 310003, China
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GSK Investigational Site
Jiangsu, 221004, China
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GSK Investigational Site
Nanchang, 330006, China
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GSK Investigational Site
Shenyang, 110004, China
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GSK Investigational Site
Shenzhen, 518029, China
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GSK Investigational Site
Tianjin, 300020, China
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GSK Investigational Site
Wuhan, 430022, China
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GSK Investigational Site
Brno, 62500, Czechia
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GSK Investigational Site
Hradec Králové, 50333, Czechia
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GSK Investigational Site
Prague, 12808, Czechia
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GSK Investigational Site
Marseille, 13273, France
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GSK Investigational Site
Toulouse, 31059, France
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GSK Investigational Site
Vanduvre-lEs-Nancy, 54511, France
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GSK Investigational Site
Mainz, 55131, Germany
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GSK Investigational Site
Tübingen, 72076, Germany
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GSK Investigational Site
Würzburg, 97080, Germany
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GSK Investigational Site
Athens, 10676, Greece
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GSK Investigational Site
Athens, 115 25, Greece
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GSK Investigational Site
Athens, 115 28, Greece
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GSK Investigational Site
Ioannina, 45 500, Greece
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GSK Investigational Site
Thessaloniki, 57010, Greece
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GSK Investigational Site
Haifa, 3109601, Israel
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GSK Investigational Site
Jerusalem, 91031, Israel
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GSK Investigational Site
Kfar Saba, 4428164, Israel
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GSK Investigational Site
Nahariya, 2633737, Israel
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GSK Investigational Site
Petah Tikva, 4941492, Israel
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GSK Investigational Site
Tel Aviv, 6423906, Israel
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GSK Investigational Site
Bologna, 40138, Italy
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GSK Investigational Site
Milan, 20122, Italy
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GSK Investigational Site
Pavia, 27100, Italy
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GSK Investigational Site
Roma, 00161, Italy
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GSK Investigational Site
Aichi, 467-8602, Japan
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GSK Investigational Site
Chiba, 277-8567, Japan
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GSK Investigational Site
Chiba, 296-8602, Japan
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GSK Investigational Site
Ehime, 790-8524, Japan
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GSK Investigational Site
Fukushima, 960-1295, Japan
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GSK Investigational Site
Gunma, 371-8511, Japan
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GSK Investigational Site
Gunma, 377-0280, Japan
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GSK Investigational Site
Hokkaido, 060-8648, Japan
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GSK Investigational Site
Numakunai, 028-3695, Japan
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GSK Investigational Site
Okayama, 701-1192, Japan
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GSK Investigational Site
Osaka, 565-0871, Japan
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GSK Investigational Site
Tottori, 683-8504, Japan
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GSK Investigational Site
Yamagata, 990-9585, Japan
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GSK Investigational Site
Auckland, 1023, New Zealand
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GSK Investigational Site
Auckland, 2025, New Zealand
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GSK Investigational Site
Dunedin, 9016, New Zealand
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GSK Investigational Site
Hamilton, 3204, New Zealand
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GSK Investigational Site
Takapuna Auckland, 622, New Zealand
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GSK Investigational Site
Tauranga, 3143, New Zealand
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GSK Investigational Site
Bydgoszcz, 85-168, Poland
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GSK Investigational Site
Gdansk, 80-214, Poland
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GSK Investigational Site
Krakow, 31-501, Poland
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GSK Investigational Site
Lodz, 93-513, Poland
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GSK Investigational Site
Wroclaw, 50-367, Poland
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GSK Investigational Site
Moscow, 125101, Russia
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GSK Investigational Site
Moscow, 125284, Russia
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GSK Investigational Site
Novosibirsk, 630087, Russia
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GSK Investigational Site
Saint Petersburg, 191024, Russia
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GSK Investigational Site
Saint Petersburg, 194291, Russia
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GSK Investigational Site
Saint Petersburg, 197341, Russia
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GSK Investigational Site
Samara, 443099, Russia
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GSK Investigational Site
Sochi, 354057, Russia
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GSK Investigational Site
Gyeonggi-do, 10408, South Korea
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GSK Investigational Site
Hwasun, 58128, South Korea
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GSK Investigational Site
Inchon, 21565, South Korea
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GSK Investigational Site
Seoul, 03080, South Korea
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GSK Investigational Site
Seoul, 03722, South Korea
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GSK Investigational Site
Seoul, 06351, South Korea
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GSK Investigational Site
Seoul, 06591, South Korea
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GSK Investigational Site
Barcelona, 08036, Spain
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GSK Investigational Site
Barcelona, 8035, Spain
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GSK Investigational Site
Gijón, 33204, Spain
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GSK Investigational Site
L'Hospitalet de Llobrega, 08908, Spain
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GSK Investigational Site
Madrid, 28006, Spain
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GSK Investigational Site
Madrid, 28027, Spain
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GSK Investigational Site
MOstoles Madrid, 28933, Spain
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GSK Investigational Site
Murcia, 30008, Spain
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GSK Investigational Site
Palma de Mallorca, 07120, Spain
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GSK Investigational Site
PamplonaNavarra, 31008, Spain
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GSK Investigational Site
Pozuelo de AlarcOn Madr, 28223, Spain
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GSK Investigational Site
Salamanca, 37007, Spain
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GSK Investigational Site
Seville, 41013, Spain
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GSK Investigational Site
Valencia, 46026, Spain
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GSK Investigational Site
Ankara, 06100, Turkey (Türkiye)
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GSK Investigational Site
Ankara, 6340, Turkey (Türkiye)
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GSK Investigational Site
Ankara, 6560, Turkey (Türkiye)
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GSK Investigational Site
Izmir, 35100, Turkey (Türkiye)
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GSK Investigational Site
Izmir, 35330, Turkey (Türkiye)
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GSK Investigational Site
Kocaeli, 41400, Turkey (Türkiye)
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GSK Investigational Site
Mersin, 33343, Turkey (Türkiye)
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GSK Investigational Site
Samsun, 55139, Turkey (Türkiye)
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GSK Investigational Site
London, W12 0HS, United Kingdom
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GSK Investigational Site
Plymouth, PL6 8D8, United Kingdom
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GSK Investigational Site
Southampton, SO16 6YD, United Kingdom
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GSK Investigational Site
Stoke-on-Trent, ST4 6QG, United Kingdom
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GSK Investigational Site
Sutton, SM2 5PT, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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
- Banking blood and bone marrow to decode plasma cell disorders
- Which scan sees hidden myeloma better: PET or MRI?