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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-501941-63-00 | Other Identifier | EU CT Number |
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The study consists of three parts: Part 1 The primary purpose of this part aims to evaluate the safety, tolerability, and clinical activity of escalating doses of single agent Unconjugated belantamab antibody in participants with refractory multiple myeloma (RRMM) who have received at least 3 prior therapies (4L+). Part 2 The primary purpose of this part is to evaluate the safety, tolerability, and clinical activity of different doses of unconjugated belantamab antibody in combination with a fixed dose of Belantamab mafodotin (delivered as separate drugs) in participants with RRMM who have received at least 3 prior therapies (4L+). Part 3: The Primary purpose of this part will evaluate the clinical activity of a selected dose of the unconjugated belantamab antibody in combination with the pomalidomide-dexamethasone (Pd) standard of care (SoC) backbone. The study will focus on participants with multiple myeloma who have undergone at least one prior line of therapy, including treatment with lenalidomide.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Dose escalation and expansion of the unconjugated belantamab antibody monotherapy | Experimental | Unconjugated belantamab antibody will be administered in participants with RRMM until progressive disease (PD) |
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| Part 2:Unconjugated belantamab antibody and belantamab mafodotin-given separately dose range finding | Experimental | Participants with RRMM will receive unconjugated belantamab antibody and belantamab mafodotin |
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| Part 3: Unconjugated belantamab antibody +pomalidomide/dexamethasone in 2L+ RRMM | Experimental | Participants with RRMM will receive Unconjugated belantamab antibody in combination with pomalidomide-dexamethasone backbone. |
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| Part 1b: Optional belantamab mafodotin | Experimental | Participants enrolled in Part 1 and Part 2 will be dosed until PD after which they will have the option to receive treatment with single agent belantamab mafodotin. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Unconjugated belantamab antibody | Drug | Unconjugated belantamab antibody will be administered. |
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| Measure | Description | Time Frame |
|---|---|---|
| Part 1, 2 and 3: Number of Participants with any Adverse Event | Up to 52 months | |
| Part 1 and 2: Number of Participants with Dose Limiting Toxicities (DLTs) | Cycle 1 (Each cycle is of 28 days) | |
| Part 1, 2 and 3: Number of Participants with Worst Case Grade Change from Baseline in Laboratory and Vital Sign Parameters | Up to 52 months | |
| Part 1, 2 and 3: Number of Participants with severity of ocular events by the Keratopathy Visual Acuity (KVA) scale | Up to 52 months | |
| Part 2: Overall Response Rate (ORR) | Up to 52 months | |
| Part 3: Very Good Partial Response and better rate (VGPR+) | VGPR+ is defined as the percentage of participants with a confirmed VGPR or better (i.e., VGPR, complete response, stringent complete response). | Up to 52 months |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Overall Response Rate (ORR) | Up to 52 months | |
| Part 1: Observed Plasma Concentration of belantamab | Up to 52 months | |
| Part 1: Area Under the Curve (AUC) of belantamab |
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Inclusion criteria:
Participants at the time of signing the Informed Consent Form (ICF) are at least 18 years old or are of the legal age of consent in the jurisdiction in which the study is taking place.
Participants who have histologically or cytologically confirmed diagnosis of Multiple Myeloma (MM), as defined by the international myeloma working group (IMWG) and have progressed on or following the last line of treatment
Participants with a history of Autologous stem cell transplant (ASCT) are eligible for study participation provided the following eligibility criteria are met:
Eastern cooperative oncology group-performance status (ECOG-PS) of 0 to 2.
Measurable disease defined as at least ONE of the following:
Have adequate organ system function as defined by the laboratory assessments
All prior treatment-related toxicities (defined by National Cancer Institute-Common Toxicity Criteria for Adverse Events [NCI-CTCAE], v5.0, 2017) must be Grade less than or equal to (<=)1 at the time of screening except for alopecia (any grade), neuropathy (Grade <=2), or endocrinopathy managed with replacement therapy (any grade).
Participants or legally authorized representative (LAR) (if applicable per local regulation) capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
Part 3: Due to pomalidomide being a thalidomide analogue with a risk for embryofetal toxicity and prescribed under a pregnancy prevention/controlled distribution program, POCBP will be eligible if they commit either to abstain continuously from heterosexual sexual intercourse or use two methods of reliable birth control (one method that is highly effective plus an additional barrier method), beginning at least 4 weeks prior to initiating treatment with pomalidomide, during therapy, during dose interruptions and continuing for at least 4 weeks following discontinuation of pomalidomide treatment. Thereafter, POCBP must use one contraceptive method that is highly effective (with a failure rate of less than (<)1 percentage (%) per year) for a further 3 months (total 4 months).
The investigator should evaluate the effectiveness of the contraceptive method in relationship to the first dose of study intervention
All POCBP must agree not to donate eggs (ova, oocytes) for the purpose of reproduction during this period.
Exclusion criteria:
Diagnosis of primary Amyloid Light chain (AL) Amyloidosis, active Polyneuropathy, organomegaly, endocrinopathy, myeloma protein, and skin changes (POEMS) syndrome, primary plasma cell leukemia.
Part 3: Active or history of venous or arterial thromboembolism within the past 3 months. Contraindications to or unwilling to undergo protocol-required anti-thrombotic prophylaxis
Any serious and/or unstable pre-existing medical, psychiatric disorder, or other conditions (including lab abnormalities) that could interfere with participant's safety, obtaining informed consent, or compliance with study procedures.
Participant is exhibiting signs of meningeal or central nervous system involvement with MM.
Current corneal epithelial disease except nonconfluent Superficial punctate keratitis (SPK).
Has cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal/gastric varices, or persistent jaundice.
Presence of malignancies other than disease under study are excluded, except for any other malignancy from which the participant has been disease-free for more than 2 years and, in the opinion of the Principal investigator (PI) and GlaxoSmithKline (GSK) Medical Director, will not affect the evaluation of the effects of this clinical trial treatment on the currently targeted malignancy (MM). Participants on active surveillance or hormone treatment for non-metastatic prostate cancer are not excluded. Participants on hormone therapy for non-metastatic breast cancer are not excluded
Evidence of cardiovascular risk including any of the following:
Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to Unconjugated belantamab antibody / belantamab mafodotin or any of the components of the study treatment. History of severe hypersensitivity to other Monoclonal antibodies (mAbs).
Active infection requiring antibiotic, antiviral, or antifungal treatment.
For serology of Hepatitis B surface antigen (HBsAg)+ at screen or within 3 months prior to first dose Japan only: must test Hepatitis B e antigen (HBeAg) and Hepatitis B e antibody (HBeAb). Eligibility verification should be evaluated and agreed with a hepatologist (after they record the approval in the participant medical record).
Known Human immunodeficiency virus (HIV) infection, unless the participant can meet specific criteria.
Recent history (within the past 6 months) of acute diverticulitis, inflammatory bowel disease, intra-abdominal abscess, or gastrointestinal obstruction.
Participants with Hepatitis B virus (HBV) or Hepatitis C virus (HCV) will be excluded unless specific criteria can be met.
Presence of active renal condition (infection, requirement for dialysis or any other condition that could affect participant's safety). Participants with isolated proteinuria resulting from MM are eligible.
Part 1: Refractory to belantamab mafodotin (confirmed PD as per IMWG criteria while on belantamab mafodotin therapy or within 60 days of completing that treatment). Prior belantamab mafodotin is allowed if it was discontinued due to toxicity which subsequently resolved Note: Prior treatment with other anti- B-cell maturation antigen (BCMA) directed agents is allowed. Provided there is at least 6-month washout after the last dose of prior anti-BCMA therapy.
Part 2: Prior belantamab mafodotin therapy is not allowed. Prior treatment with other anti-BCMA directed agents is allowed provided there is at least a 6-month washout after the last dose of prior anti-BCMA therapy to start of study therapy.
Prior radiotherapy within 2 weeks of start of study therapy.
Plasmapheresis within 7 days prior to the first dose of study drug.
Prior allogeneic stem cells transplant.
Participants who have received prior Chimeric Antigen Receptor T-cell therapy (CAR-T) therapy with lymphodepletion with chemotherapy within 3 months of screening.
Any major surgery (other than bone-stabilizing surgery) within 2 weeks of first dose or has not recovered fully from surgery.
Prior treatment with a mAb within 30 days of receiving the first dose of study drugs, or treatment with an investigational agent or approved systemic anti-myeloma therapy (including systemic steroids) within 14 days or 5 half-lives of receiving the first dose of study drugs, whichever is longer.
Part 1 dose escalation only: Has received transfusion of blood products (including platelets or red blood cells) or administration of colony stimulating factors (including Granulocyte colony stimulating factor (G-CSF), Granulocyte-macrophage colony-stimulating factor (GMCSF), recombinant erythropoietin) or any thrombopoietin receptor agonists within 2 weeks before the first dose of study drug. This does not apply for Part 1 Expansion Cohort.
Part 3: Prior Unconjugated belantamab antibody, belantamab mafodotin, and pomalidomide therapy are not allowed. Prior treatment with other anti- BCMA directed agents is allowed provided there is at least 6-month washout after the last dose of prior anti-BCMA therapy.
Participants must not receive live/live attenuated vaccines within 30 days prior to first dose of study treatment or whilst receiving Unconjugated belantamab antibody for at least 70 days following last study treatment.
Is or has an immediate family member (e.g., spouse, parent/legal guardian, sibling, or child) who is investigational site or Sponsor staff directly involved with this trial, unless prospective Independent Review Board (IRB) approval (by chair or designee) is allowing exception to this criterion for a specific participant.
The use of other anti-cancer therapy not specified in this protocol, and any investigational agents other than unconjugated belantamab and belantamab mafodotin, or any other MM Standard of Care (SoC) agents other than pomalidomide or dexamethasone are explicitly prohibited for the duration of the study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| US GSK Clinical Trials Call Center | Contact | 877-379-3718 | GSKClinicalSupportHD@gsk.com | |
| EU GSK Clinical Trials Call Center | Contact | +44 (0) 20 89904466 | GSKClinicalSupportHD@gsk.com |
| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Recruiting | Bullhead City | Arizona | 86442 | United States |
Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf
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| Belantamab mafodotin | Drug | Belantamab mafodotin will be administered. |
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| Unconjugated belantamab antibody and belantamab mafodotin | Drug | Unconjugated belantamab antibody and belantamab mafodotin used in combination (delivered as separate drugs) will be administered. |
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| Unconjugated belantamab antibody in combination with pomalidomide-dexamethasone backbone | Drug | Unconjugated belantamab antibody in combination with pomalidomide-dexamethasone will be administered. |
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| Up to 52 months |
| Part 1: Maximum Concentration (Cmax) of belantamab | Up to 52 months |
| Part 1: Number of Participants with Anti-Drug Antibodies (ADA) against belantamab | Up to 52 months |
| Part 1: Titers of ADA against belantamab | Up to 52 months |
| Part 2: Duration of Response (DoR) | Up to 52 months |
| Part 2: Observed Plasma Concentration of Total belantamab | Up to 52 months |
| Part 2: Area Under the Curve (AUC) of Total belantamab | Up to 52 months |
| Part 2: Maximum Concentration (Cmax) of Total belantamab | Up to 52 months |
| Part 2: Observed Plasma Concentration of belantamab mafodotin (ADC) | Up to 52 months |
| Part 2: Area Under the Curve (AUC) of belantamab mafodotin (ADC) | Up to 52 months |
| Part 2: Maximum Concentration (Cmax) of belantamab mafodotin (ADC) | Up to 52 months |
| Part 2: Observed Plasma Concentration of Cys-Monomethyl Auristatin-F (Cys-mcMMAF) | Up to 52 months |
| Part 2: Area Under the Curve (AUC) of Cys-mcMMAF | Up to 52 months |
| Part 2: Maximum Concentration (Cmax) of Cys-mcMMAF | Up to 52 months |
| Part 2: Number of Participants with ADAs against Unconjugated belantamab antibody and belantamab mafodotin | Up to 52 months |
| Part 2: Titers of ADAs against Unconjugated belantamab antibody and belantamab mafodotin | Up to 52 months |
| Part 3: Minimal residual disease (MRD) negativity rate in participants achieving at least VGPR | MRD negativity rate is defined as the percentage of participants who achieve MRD negative status at 10-5 sensitivity threshold assessed by next generation sequencing at least once during the time of confirmed VGPR+ response per International myeloma working group (IMWG) criteria. | Up to 52 months |
| Part 3: Overall Response Rate (ORR) | Up to 52 months |
| Part 3: Duration Of Response (DoR) | Up to 52 months |
| Part 3: Observed Plasma Concentration of Total belantamab | Up to 52 months |
| Part 3: Area Under the Curve (AUC) of Total belantamab | Up to 52 months |
| Part 3: Maximum Concentration (Cmax) of Total belantamab | Up to 52 months |
| Part 3: Number of Participants with ADAs against Unconjugated belantamab antibody | Up to 52 months |
| Part 3: Titers of ADAs against Unconjugated belantamab antibody | Up to 52 months |
| GSK Investigational Site | Recruiting | Pembroke Pines | Florida | 33024 | United States |
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| GSK Investigational Site | Recruiting | Grand Rapids | Michigan | 49546 | United States |
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| GSK Investigational Site | Recruiting | Chapel Hill | North Carolina | 27514 | United States |
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| GSK Investigational Site | Recruiting | Wilson | North Carolina | 27893 | United States |
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| GSK Investigational Site | Recruiting | Canton | Ohio | 44718 | United States |
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| GSK Investigational Site | Recruiting | Chattanooga | Tennessee | 37404 | United States |
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| GSK Investigational Site | Recruiting | Nashville | Tennessee | 37203 | United States |
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| GSK Investigational Site | Completed | Ciudadela | B1702 | Argentina |
| GSK Investigational Site | Recruiting | Rosario | S2002 | Argentina |
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| GSK Investigational Site | Recruiting | San Juan Bautista | B1888AAE | Argentina |
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| GSK Investigational Site | Recruiting | Viedma | R8500ACE | Argentina |
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| GSK Investigational Site | Recruiting | Fitzroy | Victoria | 3065 | Australia |
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| GSK Investigational Site | Completed | Nedlands | Western Australia | 6009 | Australia |
| GSK Investigational Site | Recruiting | Joinville | 89201-260 | Brazil |
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| GSK Investigational Site | Recruiting | Salvador | 41253-190 | Brazil |
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| GSK Investigational Site | Recruiting | São Paulo | 04537-080 | Brazil |
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| GSK Investigational Site | Recruiting | Jerusalem | 9112001 | Israel |
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| GSK Investigational Site | Recruiting | Aomori | 030-8553 | Japan |
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| GSK Investigational Site | Recruiting | Chiba | 277-8577 | Japan |
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| GSK Investigational Site | Recruiting | Kanagawa | 221-0855 | Japan |
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| GSK Investigational Site | Completed | Osaka | 545-8586 | Japan |
| GSK Investigational Site | Recruiting | Tokyo | 105-8471 | Japan |
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| GSK Investigational Site | Recruiting | Yamagata | 990-9585 | Japan |
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| GSK Investigational Site | Withdrawn | Gdansk | 80-214 | Poland |
| GSK Investigational Site | Recruiting | Lublin | 20-081 | Poland |
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| GSK Investigational Site | Recruiting | Seoul | 137-701 | South Korea |
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| GSK Investigational Site | Recruiting | Seoul | 138-736 | South Korea |
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| GSK Investigational Site | Recruiting | Changhua | 500 | Taiwan |
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| GSK Investigational Site | Recruiting | Kaohsiung City | 807 | Taiwan |
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| GSK Investigational Site | Recruiting | Taipei | 100 | Taiwan |
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| GSK Investigational Site | Recruiting | Istanbul | 34010 | Turkey (Türkiye) |
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| GSK Investigational Site | Recruiting | Kayseri | 38039 | Turkey (Türkiye) |
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| GSK Investigational Site | Recruiting | Leicester | LE1 5WW | United Kingdom |
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| GSK Investigational Site | Completed | Oxford | OX3 7LE | United Kingdom |
| GSK Investigational Site | Recruiting | Plymouth | PL6 8DH | United Kingdom |
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| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C000631691 | belantamab mafodotin |
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