Study Summary
This trial is testing a new combination drug treatment for multiple myeloma, a cancer of the blood.
- Relapsed or Refractory Multiple Myeloma
Treatment Effectiveness
Effectiveness Progress
Study Objectives
2 Primary · 4 Secondary · Reporting Duration: From date of randomization until the date of death from any cause, assessed up to 100 months
Trial Safety
Safety Progress
Trial Design
2 Treatment Groups
Arm A
1 of 2
Arm B
1 of 2
Experimental Treatment
64 Total Participants · 2 Treatment Groups
Primary Treatment: Belantamab Mafodotin, Cyclophosphamide and Dexamethasone · No Placebo Group · Phase 1 & 2
Trial Logistics
Trial Timeline
Who is running the clinical trial?
Eligibility Criteria
Age 18+ · All Participants · 6 Total Inclusion Criteria
Mark “Yes” if the following statements are true for you:- Alley, Stephen C., Xinqun Zhang, Nicole M. Okeley, Martha Anderson, Che-Leung Law, Peter D. Senter, and Dennis R. Benjamin. 2009. “The Pharmacologic Basis for Antibody-auristatin Conjugate Activity”. Journal of Pharmacology and Experimental Therapeutics. American Society for Pharmacology & Experimental Therapeutics (ASPET). doi:10.1124/jpet.109.155549.
- Dougherty, Bradley E., Jason J. Nichols, and Kelly K. Nichols. 2011. “Rasch Analysis of the Ocular Surface Disease Index (OSDI)”. Investigative Opthalmology & Visual Science. Association for Research in Vision and Ophthalmology (ARVO). doi:10.1167/iovs.11-8027.
- Kumar, Shaji, Bruno Paiva, Kenneth C Anderson, Brian Durie, Ola Landgren, Philippe Moreau, Nikhil Munshi, et al.. 2016. “International Myeloma Working Group Consensus Criteria for Response and Minimal Residual Disease Assessment in Multiple Myeloma”. The Lancet Oncology. Elsevier BV. doi:10.1016/s1470-2045(16)30206-6.
- Lonial, Sagar, Hans C Lee, Ashraf Badros, Suzanne Trudel, Ajay K Nooka, Ajai Chari, Al-Ola Abdallah, et al.. 2020. “Belantamab Mafodotin for Relapsed or Refractory Multiple Myeloma (DREAMM-2): A Two-arm, Randomised, Open-label, Phase 2 Study”. The Lancet Oncology. Elsevier BV. doi:10.1016/s1470-2045(19)30788-0.
- Xie, Jiangan, and Yongqun He. 2017. “Ontology-based Vaccine Adverse Event Representation and Analysis”. Healthcare and Big Data Management. Springer Singapore. doi:10.1007/978-981-10-6041-0_6.
- Roghanian, Ali, Guangan Hu, Christopher Fraser, Maneesh Singh, Russell B. Foxall, Matthew J. Meyer, Emma Lees, et al.. 2019. “Cyclophosphamide Enhances Cancer Antibody Immunotherapy in the Resistant Bone Marrow Niche by Modulating Macrophage Fcγr Expression”. Cancer Immunology Research. American Association for Cancer Research (AACR). doi:10.1158/2326-6066.cir-18-0835.
- Trudel, Suzanne, Nikoletta Lendvai, Rakesh Popat, Peter M Voorhees, Brandi Reeves, Edward N Libby, Paul G Richardson, et al.. 2018. “Targeting B-cell Maturation Antigen with GSK2857916 Antibody–drug Conjugate in Relapsed or Refractory Multiple Myeloma (BMA117159): A Dose Escalation and Expansion Phase 1 Trial”. The Lancet Oncology. Elsevier BV. doi:10.1016/s1470-2045(18)30576-x.
- Novak, Anne J., Jaime R. Darce, Bonnie K. Arendt, Brandon Harder, Kathy Henderson, Wayne Kindsvogel, Jane A. Gross, Philip R. Greipp, and Diane F. Jelinek. 2004. “Expression of BCMA, TACI, and BAFF-R in Multiple Myeloma: A Mechanism for Growth and Survival”. Blood. American Society of Hematology. doi:10.1182/blood-2003-06-2043.
- Sanchez, Eric, Mingjie Li, Alex Kitto, Jennifer Li, Cathy S. Wang, Dylan T. Kirk, Ori Yellin, et al.. 2012. “Serum B-cell Maturation Antigen Is Elevated in Multiple Myeloma and Correlates with Disease Status and Survival”. British Journal of Haematology. Wiley. doi:10.1111/j.1365-2141.2012.09241.x.
- Kumar, S K, J H Lee, J J Lahuerta, G Morgan, P G Richardson, J Crowley, J Haessler, et al.. 2011. “Risk of Progression and Survival in Multiple Myeloma Relapsing After Therapy with Imids and Bortezomib: A Multicenter International Myeloma Working Group Study”. Leukemia. Springer Science and Business Media LLC. doi:10.1038/leu.2011.196.
- Pirogova, O.V., I.S. Moiseev, E.A. Surkova, S.V. Lapin, S.N. Bondarenko, A.D. Kulagin, and B.V. Afanasyev. 2017. “Profiles of Pro-inflammatory Cytokines in Allogenic Stem Cell Transplantation with Post-transplant Cyclophosphamide”. Cytokine. Elsevier BV. doi:10.1016/j.cyto.2017.08.016.
- Chari, Ajai, Dan T. Vogl, Maria Gavriatopoulou, Ajay K. Nooka, Andrew J. Yee, Carol A. Huff, Philippe Moreau, et al.. 2019. “Oral Selinexor–dexamethasone for Triple-class Refractory Multiple Myeloma”. New England Journal of Medicine. Massachusetts Medical Society. doi:10.1056/nejmoa1903455.
- Heylmann, Daniel, Martina Bauer, Huong Becker, Stefaan van Gool, Nicole Bacher, Kerstin Steinbrink, and Bernd Kaina. 2013. “Human CD4+CD25+ Regulatory T Cells Are Sensitive to Low Dose Cyclophosphamide: Implications for the Immune Response”. Edited by Fabrizio Mattei. Plos ONE. Public Library of Science (PLoS). doi:10.1371/journal.pone.0083384.
- Laurent, Sarah A., Franziska S. Hoffmann, Peer-Hendrik Kuhn, Qingyu Cheng, Yuanyuan Chu, Marc Schmidt-Supprian, Stefanie M. Hauck, et al.. 2015. “Γ-secretase Directly Sheds the Survival Receptor BCMA from Plasma Cells”. Nature Communications. Springer Science and Business Media LLC. doi:10.1038/ncomms8333.
- Gandhi, Ujjawal H., Robert F. Cornell, Arjun Lakshman, Zhubin J. Gahvari, Elizabeth McGehee, Megan H. Jagosky, Ridhi Gupta, et al.. 2019. “Outcomes of Patients with Multiple Myeloma Refractory to Cd38-targeted Monoclonal Antibody Therapy”. Leukemia. Springer Science and Business Media LLC. doi:10.1038/s41375-019-0435-7.
- Tai, Yu-Tzu, Xian-Feng Li, Iris Breitkreutz, Weihua Song, Paola Neri, Laurence Catley, Klaus Podar, et al.. 2006. “Role of B-cell–activating Factor in Adhesion and Growth of Human Multiple Myeloma Cells in the Bone Marrow Microenvironment”. Cancer Research. American Association for Cancer Research (AACR). doi:10.1158/0008-5472.can-06-0190.
- Thompson, John A., Robert J. Motzer, Ana M. Molina, Toni K. Choueiri, Elisabeth I. Heath, Bruce G. Redman, Randeep S. Sangha, et al.. 2018. “Phase I Trials of Anti-enpp3 Antibody–drug Conjugates in Advanced Refractory Renal Cell Carcinomas”. Clinical Cancer Research. American Association for Cancer Research (AACR). doi:10.1158/1078-0432.ccr-18-0481.
- Trudel, Suzanne, Nikoletta Lendvai, Rakesh Popat, Peter M Voorhees, Brandi Reeves, Edward N Libby, Paul G Richardson, et al.. 2018. “Targeting B-cell Maturation Antigen with GSK2857916 Antibody–drug Conjugate in Relapsed or Refractory Multiple Myeloma (BMA117159): A Dose Escalation and Expansion Phase 1 Trial”. The Lancet Oncology. Elsevier BV. doi:10.1016/s1470-2045(18)30576-x.
- Macsai M, Nariani A, Gan H, Lassman A, Merrell R, Gomez E, et al. Corneal Toxicity of ABT-414 in Glioblastoma (GBM): Clinical Manifestations, Ophthalmological Findings and Management. Investigative Ophthalmology & Visual Science. 2016 Sep 26;57(12):269-269.
- Lonial S, Lee HC, Badros A, Trudel S, Nooka AK, Chari A, Abdallah AO, Callander N, Lendvai N, Sborov D, Suvannasankha A, Weisel K, Karlin L, Libby E, Arnulf B, Facon T, Hulin C, Kortum KM, Rodriguez-Otero P, Usmani SZ, Hari P, Baz R, Quach H, Moreau P, Voorhees PM, Gupta I, Hoos A, Zhi E, Baron J, Piontek T, Lewis E, Jewell RC, Dettman EJ, Popat R, Esposti SD, Opalinska J, Richardson P, Cohen AD. Belantamab mafodotin for relapsed or refractory multiple myeloma (DREAMM-2): a two-arm, randomised, open-label, phase 2 study. Lancet Oncol. 2020 Feb;21(2):207-221. doi: 10.1016/S1470-2045(19)30788-0. Epub 2019 Dec 16.
- Novak AJ, Darce JR, Arendt BK, Harder B, Henderson K, Kindsvogel W, Gross JA, Greipp PR, Jelinek DF. Expression of BCMA, TACI, and BAFF-R in multiple myeloma: a mechanism for growth and survival. Blood. 2004 Jan 15;103(2):689-94. doi: 10.1182/blood-2003-06-2043. Epub 2003 Sep 25.
- Kumar SK, Lee JH, Lahuerta JJ, Morgan G, Richardson PG, Crowley J, Haessler J, Feather J, Hoering A, Moreau P, LeLeu X, Hulin C, Klein SK, Sonneveld P, Siegel D, Blade J, Goldschmidt H, Jagannath S, Miguel JS, Orlowski R, Palumbo A, Sezer O, Rajkumar SV, Durie BG; International Myeloma Working Group. Risk of progression and survival in multiple myeloma relapsing after therapy with IMiDs and bortezomib: a multicenter international myeloma working group study. Leukemia. 2012 Jan;26(1):149-57. doi: 10.1038/leu.2011.196. Epub 2011 Jul 29. Erratum In: Leukemia. 2012 May;26(5):1153. Nari, Hareth [corrected to Nahi, Hareth].
- Kumar S, Paiva B, Anderson KC, Durie B, Landgren O, Moreau P, Munshi N, Lonial S, Blade J, Mateos MV, Dimopoulos M, Kastritis E, Boccadoro M, Orlowski R, Goldschmidt H, Spencer A, Hou J, Chng WJ, Usmani SZ, Zamagni E, Shimizu K, Jagannath S, Johnsen HE, Terpos E, Reiman A, Kyle RA, Sonneveld P, Richardson PG, McCarthy P, Ludwig H, Chen W, Cavo M, Harousseau JL, Lentzsch S, Hillengass J, Palumbo A, Orfao A, Rajkumar SV, Miguel JS, Avet-Loiseau H. International Myeloma Working Group consensus criteria for response and minimal residual disease assessment in multiple myeloma. Lancet Oncol. 2016 Aug;17(8):e328-e346. doi: 10.1016/S1470-2045(16)30206-6.
- Xie J, He Y. Ontology-Based Vaccine Adverse Event Representation and Analysis. Adv Exp Med Biol. 2017;1028:89-103. doi: 10.1007/978-981-10-6041-0_6.
- Tai YT, Li XF, Breitkreutz I, Song W, Neri P, Catley L, Podar K, Hideshima T, Chauhan D, Raje N, Schlossman R, Richardson P, Munshi NC, Anderson KC. Role of B-cell-activating factor in adhesion and growth of human multiple myeloma cells in the bone marrow microenvironment. Cancer Res. 2006 Jul 1;66(13):6675-82. doi: 10.1158/0008-5472.CAN-06-0190.
- Laurent SA, Hoffmann FS, Kuhn PH, Cheng Q, Chu Y, Schmidt-Supprian M, Hauck SM, Schuh E, Krumbholz M, Rubsamen H, Wanngren J, Khademi M, Olsson T, Alexander T, Hiepe F, Pfister HW, Weber F, Jenne D, Wekerle H, Hohlfeld R, Lichtenthaler SF, Meinl E. gamma-Secretase directly sheds the survival receptor BCMA from plasma cells. Nat Commun. 2015 Jun 11;6:7333. doi: 10.1038/ncomms8333.
- Roghanian A, Hu G, Fraser C, Singh M, Foxall RB, Meyer MJ, Lees E, Huet H, Glennie MJ, Beers SA, Lim SH, Ashton-Key M, Thirdborough SM, Cragg MS, Chen J. Cyclophosphamide Enhances Cancer Antibody Immunotherapy in the Resistant Bone Marrow Niche by Modulating Macrophage FcgammaR Expression. Cancer Immunol Res. 2019 Nov;7(11):1876-1890. doi: 10.1158/2326-6066.CIR-18-0835. Epub 2019 Aug 26.
- Thompson JA, Motzer RJ, Molina AM, Choueiri TK, Heath EI, Redman BG, Sangha RS, Ernst DS, Pili R, Kim SK, Reyno L, Wiseman A, Trave F, Anand B, Morrison K, Donate F, Kollmannsberger CK. Phase I Trials of Anti-ENPP3 Antibody-Drug Conjugates in Advanced Refractory Renal Cell Carcinomas. Clin Cancer Res. 2018 Sep 15;24(18):4399-4406. doi: 10.1158/1078-0432.CCR-18-0481. Epub 2018 May 30.
- Ashraf Badros 2022. "Belantamab Mafodotin, Cyclophosphamide, and Dexamethasone in Relapsed/Refractory Multiple Myeloma". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT04896658.
Frequently Asked Questions
What is the maximum number of participants allowed in this research endeavor?
"Affirmative, based on the information published on clinicaltrials.gov, this research trial is currently recruiting participants. This study was initially posted in early January and recently updated at the end of month. The team intends to enroll 64 individuals from a single location." - Anonymous Online Contributor
What is the primary aim of this clinical research?
"This medical trial's primary outcome, which is to be monitored for up to 12 weeks, entails evaluating the overall incidence and intensity of adverse events in a dose escalation experiment. Secondary objectives comprise measuring the time until progression of symptoms, analyzing cytokine profile data (such as IL-4, CXCL10 (IP-10), etc.), and assessing Progression Free Survival - or how long it takes for study drugs to control disease development." - Anonymous Online Contributor
Are there any slots available for prospective participants in this clinical trial?
"According to information stored on clinicaltrials.gov, this trial is actively searching for participants with the initial post-date set at January 1st 2022 and latest edit logged as of January 24th 2022." - Anonymous Online Contributor
What medical condition is Belantamab Mafodotin, Cyclophosphamide and Dexamethasone commonly prescribed for?
"Belantamab Mafodotin, Cyclophosphamide and Dexamethasone are frequently prescribed to treat synovitis. This potent mix can also be used for ophthalmia, sympathetic pathologies, lung cancers, as well as branch retinal vein occlusion." - Anonymous Online Contributor
To what extent has Belantamab Mafodotin, Cyclophosphamide and Dexamethasone been tested as part of other clinical trials?
"Presently, 1293 trials are evaluating Belantamab Mafodotin, Cyclophosphamide and Dexamethasone. Of these studies, 268 are in their concluding phase 3. Despite the majority of research being conducted around Philadelphia Pennsylvania, a total 41370 locations have active clinical trials for this drug combination." - Anonymous Online Contributor