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New dosing strategy aims to tame eye side effects in myeloma drug
NCT ID NCT05064358
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested different dosing schedules of the drug belantamab mafodotin in 177 adults with multiple myeloma that had returned or stopped responding to at least three prior treatments. The goal was to see if changing the dose or how often it is given could reduce serious eye problems while still controlling the cancer. The trial has been completed, and results will help determine if a safer dosing option is possible.
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
- What this could lead to
- If successful, this could lead to a safer dosing schedule for belantamab mafodotin, offering a treatment option for patients with multiple myeloma who have run out of other therapies.
- What could go wrong
- This is a phase 2 trial with only 177 participants, so results may not apply to all patients. The drug can cause serious eye side effects, and it is not a cure—patients may still need ongoing treatment.
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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177 people
The number who actually took part.
- Started
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Mar 2022
- Finished
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Feb 2026
- 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: * Participant must be 18 years of age inclusive at the time of signing the informed consent form (ICF). * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2. * Histologically or cytologically confirmed diagnosis of MM and a. Has undergone stem cell transplant or is considered transplant ineligible, and b. Has failed at least 3 prior lines of anti-myeloma therapies, including an anti-cluster of differentiation (CD)38 antibody (e.g., daratumumab) alone or in combination and is refractory to an immunomodulatory agent (e.g., lenalidomide, pomalidomide) and a proteasome inhibitor (e.g., bortezomib, ixazomib, carfilzomib). * France specific: participants have failed at least 4 prior lines of anti-myeloma therapies * Participant has measurable disease per modified IMWG criteria. * Life expectancy of at least 6 months, in the opinion of the investigator. * Male and female participants agree to abide by protocol-defined contraceptive requirements. * Participant is capable of giving signed informed consent. * Participant meets country-specific inclusion criteria described in the protocol. Exclusion Criteria: * Symptomatic amyloidosis, active POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, myeloma protein, and skin changes), or active plasma cell leukemia at the time of screening. * Current corneal epithelial disease, except nonconfluent superficial punctate keratitis (SPK). * Evidence of active mucosal or internal bleeding. * Presence of an active renal condition. * Any serious and/or unstable pre-existing medical condition, psychiatric disorder, or other conditions that could interfere with the participant's safety, obtaining informed consent, or compliance with the study procedures. * Malignancies other than the disease under study, except for any other malignancy from which the participant has been disease free for \>2 years and, will not affect the evaluation of the effects of the study treatment on the currently targeted malignancy (MM). Participants with curatively treated non-melanoma skin cancer may be enrolled without a 2-year restriction. * Evidence of cardiovascular risk as per the protocol criteria. * Pregnant or lactating female. * Active infection requiring antibiotic, antiviral, or antifungal treatment. * Known human immunodeficiency virus (HIV) infection, unless the criteria in protocol can be met. * Hepatitis B and C will be excluded unless the criteria in protocol can be met. * Cirrhosis or current unstable liver or biliary disease. * Alanine aminotransferase (ALT) \>2.5× upper limit of normal (ULN). * Total Bilirubin \>1.5×ULN. * Systemic anti-MM therapy within \<=14 days or 5 half-lives, whichever is shorter. * Systemic therapy with high dose steroids within \<=14 days before the first dose of study treatment. * Prior allogenic stem cell transplant. * Prior treatment with a monoclonal antibody \<=30 days before the first dose of study treatment. Use of monoclonal antibodies for serious conditions unrelated to multiple myeloma, such as COVID, may be permitted. * Prior treatment with an anti-B cell maturation antigen (BCMA) targeted therapy or hypersensitivity reactions to any components of the study treatment. * Treatment with an antibody-drug conjugate. * Participant has received any major surgery \<=4 weeks before the first dose of study treatment. An exception may be allowed for bone stabilizing surgery. * Inadequate bone marrow reserve or organ functions as demonstrated by any of the following: a. Absolute neutrophil count \<1.0×10\^9/L, b. Hemoglobin \<8 gram/deciliter (g/dL), c. Platelet count \<50×10\^9/L, d. Spot urine (albumin/creatinine ratio) \>500 milligram/gram (mg/g), e. Estimated glomerular filtration rate (eGFR) \<30 milliliter per minute per 1.73 meter square (mL/min/1.73m\^2). * UK specific: a. Absolute neutrophil count \<1.5×10\^9/L, c. Platelet count \<75×10\^9/L
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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
West Palm Beach, Florida, 33401, United States
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GSK Investigational Site
Kansas City, Missouri, 64114, United States
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GSK Investigational Site
New York, New York, 10065, United States
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GSK Investigational Site
Chattanooga, Tennessee, 37404, United States
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GSK Investigational Site
Nashville, Tennessee, 37203, United States
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GSK Investigational Site
Houston, Texas, 77090, United States
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GSK Investigational Site
Buenos Aires, C1181ACH, Argentina
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GSK Investigational Site
Capital Federal, C1426ANZ, Argentina
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GSK Investigational Site
Ciudad Autonoma de Buenos Aire, 1414, Argentina
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GSK Investigational Site
Pilar, B1629AHJ, Argentina
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GSK Investigational Site
Rosario, S2002, Argentina
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GSK Investigational Site
Liverpool, New South Wales, 2170, Australia
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GSK Investigational Site
Newcastle, New South Wales, 2298, Australia
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GSK Investigational Site
Woodville, South Australia, 5011, Australia
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GSK Investigational Site
East Melbourne, Victoria, 3002, Australia
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GSK Investigational Site
Joinville, 89201-260, Brazil
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GSK Investigational Site
Porto Alegre, 90850-170, Brazil
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GSK Investigational Site
Rio de Janeiro, 22271-110, Brazil
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GSK Investigational Site
Salvador, 41253-190, Brazil
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GSK Investigational Site
São Paulo, 01236-030, Brazil
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GSK Investigational Site
São Paulo, 04537-080, Brazil
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GSK Investigational Site
Montreal, Quebec, H4J 1C5, Canada
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GSK Investigational Site
Avignon, 84902, France
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GSK Investigational Site
Nice, 06189, France
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GSK Investigational Site
Orléans, 45100, France
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GSK Investigational Site
Cottbus, 03048, Germany
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GSK Investigational Site
Dresden, 01307, Germany
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GSK Investigational Site
Greifswald, 17475, Germany
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GSK Investigational Site
Hamburg, 22763, Germany
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GSK Investigational Site
Athens, 106 76, Greece
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GSK Investigational Site
Athens, 11528, Greece
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GSK Investigational Site
Athens, 12462, Greece
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GSK Investigational Site
Rio Patras, 26504, Greece
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GSK Investigational Site
Dublin, 8, Ireland
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GSK Investigational Site
Dublin, D09 V2N0, Ireland
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GSK Investigational Site
Alessandria, 15121, Italy
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GSK Investigational Site
Ascoli Piceno, 63100, Italy
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GSK Investigational Site
Ferrara, 44124, Italy
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GSK Investigational Site
Genova, 16132, Italy
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GSK Investigational Site
Meldola FC, 47014, Italy
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GSK Investigational Site
Reggio Emilia, 42123, Italy
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GSK Investigational Site
Rimini, 47900, Italy
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GSK Investigational Site
Mexico City, 03100, Mexico
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GSK Investigational Site
Mexico City, 03720, Mexico
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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
Katowice, 40-519, Poland
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GSK Investigational Site
Lublin, 20-081, Poland
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GSK Investigational Site
Poznan, 60-569, Poland
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GSK Investigational Site
Torun, 87-100, Poland
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GSK Investigational Site
Warsaw, 02-781, Poland
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GSK Investigational Site
Wałbrzych, 58-309, Poland
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GSK Investigational Site
Wroclaw, 50-367, Poland
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GSK Investigational Site
Hwasun, 58128, South Korea
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GSK Investigational Site
Pusan, 49241, South Korea
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GSK Investigational Site
Seoul, 03080, South Korea
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GSK Investigational Site
Seoul, 06591, South Korea
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GSK Investigational Site
Albacete, 02006, Spain
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GSK Investigational Site
Barcelona, 08026, Spain
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GSK Investigational Site
Córdoba, 140044, Spain
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GSK Investigational Site
Girona, 17007, Spain
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GSK Investigational Site
Oviedo, 33011, Spain
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GSK Investigational Site
Terrassa - Barcelona, 08221, Spain
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GSK Investigational Site
Valencia, 46010, Spain
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GSK Investigational Site
Bern, 3010, Switzerland
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GSK Investigational Site
Taichung, 404, Taiwan
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GSK Investigational Site
Taichung, 40705, Taiwan
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GSK Investigational Site
Tainan, 704, Taiwan
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GSK Investigational Site
Taipei, 100, Taiwan
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GSK Investigational Site
Taipei, 112, Taiwan
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GSK Investigational Site
Bangkok, 10210, Thailand
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GSK Investigational Site
Bangkok, 10330, Thailand
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GSK Investigational Site
Chiang Mai, 50200, Thailand
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GSK Investigational Site
Khon Kaen, 40002, Thailand
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GSK Investigational Site
Leicester, LE1 5WW, United Kingdom
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GSK Investigational Site
London, W12 0HS, United Kingdom
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GSK Investigational Site
Stoke-on-Trent, ST4 6QG, 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?