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Belantamab Mafodotin for Patients With Multiple Myeloma: Clinical Development and Practical Strategies for Dose
Roberto Mina1, Evangelos Terpos2, Lorenzo Cani3
1Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA.
Belantamab mafodotin combinations significantly improved response rates in relapsed/refractory multiple myeloma. While ocular side effects occur, they are manageable and reversible, allowing for optimized treatment strategies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Belantamab mafodotin (belamaf) is an antibody-drug conjugate targeting B-cell maturation antigen (BCMA).
- It is used for relapsed or refractory multiple myeloma.
Purpose of the Study:
- To review the efficacy and safety of belantamab mafodotin, focusing on ocular toxicity.
- To discuss strategies for managing ocular adverse events and optimizing dosing.
Main Methods:
- Review of current literature on belantamab mafodotin.
- Analysis of data from DREAMM-7 and DREAMM-8 phase III trials.
Main Results:
- Belamaf combinations with bortezomib-dexamethasone or pomalidomide-dexamethasone showed superior response rates and measurable residual disease negativity compared to standard care.
- Ocular adverse events (AEs) are common but reversible and rarely lead to discontinuation.
- Regulatory approvals have been granted for belamaf combinations.
Conclusions:
- Belantamab mafodotin-based regimens are effective treatment options for relapsed/refractory multiple myeloma.
- Management strategies for ocular toxicity are crucial for maximizing therapeutic benefit.
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