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Practical Guidance on the Clinical Management of Ocular Adverse Events Associated with Belantamab Mafodotin for
Vânia Hungria1, Virginia Abello Polo2, Ariel Corzo3
1Clinica São Germano, São Paulo, Brazil. hungria@dialdata.com.br.
Abstract:
Multiple myeloma is a significant cause of mortality worldwide, and although changes in the treatment landscape have improved outcomes overall, many patients become refractory to standard therapies. In Latin America, outcomes are especially poor, further compounded by access and equality barriers. Belantamab mafodotin is a novel antibody-drug conjugate, targeting anti-B-cell maturation antigen. Two recent phase 3 trials, DREAMM-7 and DREAMM-8, have demonstrated notable efficacy with belantamab mafodotin combination regimens in patients with relapsed/refractory multiple myeloma. Ocular adverse events were also observed in these studies, as anticipated with antibody-drug conjugates containing monomethyl auristatin F. If belantamab mafodotin is approved for use in clinical practice, healthcare professionals will need clear, region-appropriate guidance on the management of ocular adverse events. A multidisciplinary panel of experts from Argentina, Brazil, Colombia, and Mexico was established, comprising 13 specialists in hematology/oncology and ophthalmology. The panel established a set of practical recommendations to address key clinical questions relating to identification of ocular events, management strategies, multidisciplinary collaboration, and patient-centric care. These recommendations were developed through detailed discussion, review of available evidence, and experience in clinical trials, and are intended to support healthcare professionals across Latin America in the treatment of patients with relapsed/refractory multiple myeloma.
Insights
Belantamab mafodotin shows promise for relapsed/refractory multiple myeloma. Expert recommendations address managing ocular side effects in Latin America, improving patient care.
Area of Science:
- Hematology
- Oncology
- Ophthalmology
Background:
- Multiple myeloma is a leading cause of cancer mortality globally.
- Latin America faces significant challenges in multiple myeloma outcomes due to access and equality barriers.
- Belantamab mafodotin, an antibody-drug conjugate targeting B-cell maturation antigen, offers a novel therapeutic approach.
Purpose of the Study:
- To develop region-appropriate guidance for managing ocular adverse events associated with belantamab mafodotin in Latin America.
- To provide practical recommendations for healthcare professionals treating relapsed/refractory multiple myeloma patients.
- To foster multidisciplinary collaboration between hematologists/oncologists and ophthalmologists.
Main Methods:
- Convening a multidisciplinary panel of 13 experts in hematology/oncology and ophthalmology from Argentina, Brazil, Colombia, and Mexico.
- Reviewing evidence from recent phase 3 trials (DREAMM-7 and DREAMM-8).
- Developing practical recommendations through expert discussion and clinical trial experience.
Main Results:
- Belantamab mafodotin demonstrated notable efficacy in combination regimens for relapsed/refractory multiple myeloma.
- Ocular adverse events are anticipated with belantamab mafodotin, consistent with its mechanism of action.
- The expert panel established recommendations for identifying, managing, and collaborating on ocular events.
Conclusions:
- Clear, region-specific guidance is crucial for managing belantamab mafodotin-associated ocular adverse events.
- Multidisciplinary collaboration and patient-centric care are essential for optimal outcomes.
- These recommendations aim to support healthcare professionals across Latin America in optimizing treatment for multiple myeloma patients.
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