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DREAMM-2

Belantamab mafodotin for relapsed or refractory multiple myeloma (DREAMM-2): a two-arm, randomised, open-label, phase 2 study

Phase 2N = 196NCT03525678

Population
Relapsed or refractory myeloma with progression after three or more lines, refractory to immunomodulatory drugs and proteasome inhibitors, and refractory or intolerant to an anti-CD38 antibody.
Design
Open-label, two-arm randomised phase 2 study at 58 centres in eight countries: patients were randomly assigned 1:1 to belantamab mafodotin 2.5 mg per kg or 3.4 mg per kg every 3 weeks until progression or unacceptable toxicity. The primary outcome was the proportion in the intention-to-treat population with an overall response, assessed by an independent review committee.
Primary endpoint
ORR
Arms
  • Belantamab mafodotin 2.5 mg/kg (experimental, n = 97): Belantamab mafodotin 2.5 mg per kg intravenously every 3 weeks
  • Belantamab mafodotin 3.4 mg/kg (experimental, n = 99): Belantamab mafodotin 3.4 mg per kg intravenously every 3 weeks
People
Lonial S
Show the numbers
Results reported for DREAMM-2
EndpointAnalysisBelantamab mafodotin 2.5 mg/kg / Belantamab mafodotin 3.4 mg/kgControlEffect
ORRITT population (196)primaryLonial 202031%—The confidence intervals are 97.5% intervals: 20.8 to 42.6 at 2.5 mg per kg and 23.9 to 46.0 at 3.4 mg per kg. The most common grade 3-4 adverse event was keratopathy (26 [27%] of 95 patients at 2.5 mg per kg and 21 [21%] of 99 at 3.4 mg per kg). Two deaths were potentially treatment related.
Results reported for DREAMM-2
EndpointAnalysisBelantamab mafodotin 2.5 mg/kg / Belantamab mafodotin 3.4 mg/kgControlEffect
ORRITT population (196)primaryLonial 202031%—The confidence intervals are 97.5% intervals: 20.8 to 42.6 at 2.5 mg per kg and 23.9 to 46.0 at 3.4 mg per kg. The most common grade 3-4 adverse event was keratopathy (26 [27%] of 95 patients at 2.5 mg per kg and 21 [21%] of 99 at 3.4 mg per kg). Two deaths were potentially treatment related.
Primary publication: Lonial S, Lee HC, Badros A, Trudel S, Nooka AK, Chari A, et al. Belantamab mafodotin for relapsed or refractory multiple myeloma (DREAMM-2): a two-arm, randomised, open-label, phase 2 study. Lancet Oncol. 2020;21(2):207-221. PubMedDOI

Appears in

Sources

  1. Lonial S, Lee HC, Badros A, Trudel S, Nooka AK, Chari A, et al. Belantamab mafodotin for relapsed or refractory multiple myeloma (DREAMM-2): a two-arm, randomised, open-label, phase 2 study. Lancet Oncol. 2020;21(2):207-221.

    PubMedDOI