Myeloma Multiple study: Belantamab mafodotin vs Lenalidomide
Official title Minimal Residual Disease Guided Maintenance Therapy With Belantamab Mafodotin and Lenalidomide After Autologous Hematopoietic Cell Transplantation in Patients With Newly Diagnosed Multiple Myeloma
ClinicalTrials.gov ID: NCT05091372
What this study is testing
What is Belantamab mafodotin?
an investigational intravenous antibody‑drug conjugate being studied as a potential maintenance therapy for newly diagnosed multiple myeloma after transplant is designed to bind to the BCMA protein on myeloma cells and deliver a cell‑killing agent directly to those cells
Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- The study wants to find out if this drug combo can change patients from MRD‑positive to MRD‑negative complete response.
- Who it's for
- Adults with newly diagnosed multiple myeloma who have had an autologous stem cell transplant and still have detectable disease (MRD‑positive).
- What's involved
- Participants will take belantamab mafodotin and lenalidomide as ongoing maintenance therapy and will have regular visits and MRD testing.
- Phase 2: a mid-size study of how well it works
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 and older. Healthy volunteers may be eligible.
You may be able to join if
- Patients with newly diagnosed multiple myeloma status post 1st auto-HCT (day 60 - 180 post-transplant).
- Disease status (MRD positive or negative), partial response, or better.
- Age \> 18-year and 75-year. Non-English speaking patients are eligible.
- Karnofsky performance status 70 (Appendix A.).
- Adequate organ function (Please see Table 2. below). Participant agrees to not donate blood while taking lenalidomide and for 28 days after stopping...
You likely can't join if
- History of progressive disease at any time before starting maintenance.
- Patients with smoldering MM (IMWG criteria, Appendix F.).
- Patients with plasma cell leukemia.
- Patients with non-secretory MM (no measurable disease on electrophoresis and immunofixation).
- Participant must not have current unstable liver or biliary disease defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia...
- Participant must not have presence of active renal condition (infection, requirement for dialysis or any other condition that could affect...
See the full eligibility criteria
- Patients with newly diagnosed multiple myeloma status post 1st auto-HCT (day 60 - 180 post-transplant).
- Disease status (MRD positive or negative), partial response, or better.
- Age \> 18-year and 75-year. Non-English speaking patients are eligible.
- Karnofsky performance status 70 (Appendix A.).
- Adequate organ function (Please see Table 2. below). Participant agrees to not donate blood while taking lenalidomide and for 28 days after stopping lenalidomide.
- Patient agrees to enroll in the lenalidomide REMS program.
- ≥ 45 years of age and has not had menses for \>1 year.
- Patients who have been amenorrhoeic for \<2 years without a history of a hysterectomy and oophorectomy must have a follicle-stimulating hormone value in the postmenopausal range upon screening evaluation.
- Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent.
- All prior auto-HCT- related toxicities (defined by National Cancer Institute - Common Toxicity Criteria for Adverse Events (NCI-CTCAE), version 5 must be ≤ Grade 1 at the time of enrollment except for alopecia, fatigue...
- History of progressive disease at any time before starting maintenance.
- Patients with smoldering MM (IMWG criteria, Appendix F.).
- Patients with plasma cell leukemia.
- Patients with non-secretory MM (no measurable disease on electrophoresis and immunofixation). Patients with a measurable disease on PET scan or bone marrow will be eligible.
- Participant must not have current unstable liver or biliary disease defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia due to underlying liver disease (serum albumin \< 3gm/dL), esophageal...
- Participant must not have presence of active renal condition (infection, requirement for dialysis or any other condition that could affect participant's safety).
- Current corneal or epithelial disease (except mild punctate keratopathy; see Appendix E.).
- Participant must not use contact lenses while participating in this study.
- Participant must not have used an investigational drug or approved systemic anti-myeloma therapy (including systemic steroids) within 14 days or five half-lives, whichever is shorter, preceding the first dose of study...
- Participant must not have received prior treatment with a monoclonal antibody within 30 days of receiving the first dose of study drugs.
- Participant must not have had major surgery ≤ 4 weeks before initiating study treatment.
- The participant must not have any evidence of active mucosal or internal bleeding.
- Participant must not have known immediate or delayed hypersensitivity reaction or idiosyncratic reactions to belantamab mafodotin or drugs chemically related to belantamab mafodotin, or any of the components of the...
- Participant must not have an active infection requiring treatment.
- Evidence of current clinically significant uncontrolled arrhythmias, including clinically significant ECG abnormalities such as 2nd degree (Mobitz Type II) or 3rd degree atrioventricular (AV) block.
- History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty, or stenting or bypass grafting within three (3) months of screening.
- Class III or IV heart failure as defined by the New York Heart Association functional classification system.16
- Uncontrolled hypertension (blood pressure that remains above goal despite the concurrent use of three antihypertensive drug classes).
- Participant must not have known HIV infection.
- Patients will Hepatitis B will be excluded unless the following criteria can be met (Please, also see Appendix B): Serology Screening HbcAb+, HbsAg- HBV DNA undetectable HBsAg+ at screen or within 3 months prior to...
- Highly effective antiviral treatment started at least 4 weeks prior to first dose of study treatment
- Baseline imaging per protocol
- Participants with cirrhosis are excluded Note: presence of Hep B surface antibody (HBsAb) indicating previous vaccination will not exclude a participant.
- RNA test negative
- Successful anti-viral treatment (usually 8 weeks duration) is required, followed by a negative HCV RNA test after a washout period of at least 4 weeks.
- Participant must not have invasive malignancies other than disease under study, unless the second malignancy has been medically stable for at least 2 years and, in the opinion of the principal investigators, will not...
- Participants must not be pregnant or lactating.
- Patients with cognitive impairments and/or any serious unstable pre-existing medical condition or psychiatric disorder that can interfere with safety or with obtaining informed consent or compliance with study...
The study team makes the final eligibility decision.
Where it is enrolling
- Houston, Texas, United States
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years and older. Healthy volunteers may be eligible. The study team makes the final eligibility decision.
Where is this trial taking place?
This study is enrolling now at Houston, Texas, United States. Enter your location above to see the nearest enrolling site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.