Description:
B-cell maturation antigen (BCMA) is a target present on tumor cells in participants with
multiple myeloma. Belantamab mafodotin (GSK2857916); is an antibody-drug conjugate (ADC)
containing humanized anti-BCMA monoclonal antibody (mAb). This is a phase I/II, randomized,
open-label, platform study designed to evaluate the effects of belantamab mafodotin in
combination with other anti-cancer drugs in participants with relapsed/refractory multiple
myeloma. The Platform design incorporates a single master protocol, where multiple treatment
combinations, as sub-studies, will be evaluated simultaneously.
Title
- Brief Title: Platform Study of Belantamab Mafodotin as Monotherapy and in Combination With Anti-cancer Treatments in Participants With Relapsed/Refractory Multiple Myeloma (RRMM) (DREAMM 5)
- Official Title: A Phase I/II, Randomized, Open-label Platform Study Utilizing a Master Protocol to Study Belantamab Mafodotin (GSK2857916) as Monotherapy and in Combination With Anti-Cancer Treatments in Participants With Relapsed/Refractory Multiple Myeloma (RRMM) - DREAMM 5
Clinical Trial IDs
- ORG STUDY ID:
208887
- NCT ID:
NCT04126200
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Belantamab mafodotin | | Belantamab mafodotin monotherapy cohort expansion |
GSK3174998 | | Belantamab mafodotin+GSK3174998 cohort expansion (Sub-study 1) |
Feladilimab | | Belantamab mafodotin+ feladilimab cohort expansion (Sub-study 2) |
Nirogacestat | | Belantamab mafodotin+ nirogacestat cohort expansion(Sub-study 3) |
Dostarlimab | | Belantamab mafodotin+ dostarlimab cohort expansion(Sub-study 4) |
Isatuximab | | Belantamab mafodotin+ isatuximab cohort expansion(Sub-study 5) |
Purpose
B-cell maturation antigen (BCMA) is a target present on tumor cells in participants with
multiple myeloma. Belantamab mafodotin (GSK2857916); is an antibody-drug conjugate (ADC)
containing humanized anti-BCMA monoclonal antibody (mAb). This is a phase I/II, randomized,
open-label, platform study designed to evaluate the effects of belantamab mafodotin in
combination with other anti-cancer drugs in participants with relapsed/refractory multiple
myeloma. The Platform design incorporates a single master protocol, where multiple treatment
combinations, as sub-studies, will be evaluated simultaneously.
Trial Arms
Name | Type | Description | Interventions |
---|
Belantamab mafodotin+GSK3174998 dose exploration (Sub-study 1) | Experimental | | - Belantamab mafodotin
- GSK3174998
|
Belantamab mafodotin+feladilimab dose exploration (Sub-study 2) | Experimental | | - Belantamab mafodotin
- Feladilimab
|
Belantamab mafodotin+nirogacestat dose exploration(Sub-study 3) | Experimental | | - Belantamab mafodotin
- Nirogacestat
|
Belantamab mafodotin+dostarlimab dose exploration(Sub-study 4) | Experimental | | - Belantamab mafodotin
- Dostarlimab
|
Belantamab mafodotin+isatuximab dose exploration (Sub-study 5) | Experimental | | - Belantamab mafodotin
- Isatuximab
|
Belantamab mafodotin monotherapy cohort expansion | Active Comparator | | |
Belantamab mafodotin+GSK3174998 cohort expansion (Sub-study 1) | Experimental | | - Belantamab mafodotin
- GSK3174998
|
Belantamab mafodotin+ feladilimab cohort expansion (Sub-study 2) | Experimental | | - Belantamab mafodotin
- Feladilimab
|
Belantamab mafodotin+ nirogacestat cohort expansion(Sub-study 3) | Experimental | | - Belantamab mafodotin
- Nirogacestat
|
Belantamab mafodotin+ dostarlimab cohort expansion(Sub-study 4) | Experimental | | - Belantamab mafodotin
- Dostarlimab
|
Belantamab mafodotin+ isatuximab cohort expansion(Sub-study 5) | Experimental | | - Belantamab mafodotin
- Isatuximab
|
Eligibility Criteria
Inclusion Criteria:
- Participant must be 18 years of age inclusive or older, at the time of signing the
informed consent.
- Participants must have histologically or cytologically confirmed diagnosis of Multiple
Myeloma (MM), as defined by the IMWG.
- Participants having at least 3 prior lines of prior anti-myeloma treatments including
an immunodilating agent (IMID) a proteasome inhibitor (PI) and an anti-CD38 monoclonal
antibody.
- Participants with a history of autologous stem cell transplant are eligible for study
participation when, transplant was >100 days prior to study enrolment and with no
active infection(s).
- Participants with Eastern Cooperative Oncology Group (ECOG) performance status of 0-1,
unless ECOG less than equal to (<=)2 is due solely to skeletal complications and/or
skeletal pain due to MM.
- Participants with measurable disease defined as at least one of the following: Serum
M-protein greater than equal to (>=)0.5 gram per deciliter (>=5 gram per liter) or
Urine M-protein >=200 mg per 24 hours or Serum free light chain (FLC) assay: Involved
FLC level >=10 mg per deciliter (>=100 mg per Liter) and an abnormal serum FLC ratio
(<0.26 or >1.65).
Exclusion Criteria:
- Participants with current corneal epithelial disease except mild punctate keratopathy.
- Participants with evidence of cardiovascular risk
- Participants with known immediate or delayed hypersensitivity reaction or idiosyncrasy
to drugs chemically related to belantamab mafodotin or any of the components of the
study treatment. History of severe hypersensitivity to other mAb.
- Participants with active infection requiring antibiotic, antiviral, or antifungal
treatment.
- Participants with other monoclonal antibodies within 30 days or systemic anti-myeloma
therapy within <14 days.
- Participants with prior radiotherapy within 2 weeks of start of study therapy.
- Participants with prior allogeneic transplant are prohibited.
- Participants who have received prior Chimeric Antigen T cell therapy (CAR-T) therapy
with lymphodepletion with chemotherapy within 3 months of screening.
- Participants with any major surgery (other than bone-stabilizing surgery) within the
last 30 days.
- Participants with prior treatment with an investigational agent within 14 days or 5
half-lives of receiving the first dose of study drugs, whichever is shorter.
- Participants with >=grade 3 toxicity considered related to prior check-point
inhibitors and that led to treatment discontinuation.
- Participants who have received transfusion of blood products within 2 weeks before the
first dose of study drug.
- Participants must not receive live attenuated vaccines within 30 days prior to first
dose of study treatment or whilst receiving belantamab mafodotin +- partner agent in
any sub-study arm of the platform trial and for at least 70 days following last study
treatment.
Additional Exclusion Criteria for Sub-study 1 and Sub-study 2:
- Participants with autoimmune disease (current or history) or syndrome that required
systemic treatment within the past 2 years.
- Exclusion for a recent (within the past 6 months) history of symptomatic pericarditis.
Additional Exclusion Criteria for Sub-study 3:
- Participants with uncontrolled small and/or large intestinal disease.
- Participants with uncontrolled skin disease.
- Participants with any condition causing hypophosphatemia, hypokalemia or
hypomagnesemia which is refractory to electrolyte replacement.
- Participants with previous administration of a gamma secretase inhibitor.
- Participants with concomitant administration of a strong or moderate CYP3A4 inhibitor
or inducer.
Additional Exclusion Criteria for Sub-study 4:
- Participant has an active autoimmune disease that has required systemic treatment in
the past 2 years (i.e. with use of disease-modifying agents, corticosteroids, or
immunosuppressive drugs).
- Participants who have received prior therapy with an anti-programmed death-1
(anti-PD-1), anti-PD-1-ligand-1 (anti-PD-L1), or anti-PD-1 ligand-2 (anti-PD-L2)
agent.
- Participant has a diagnosis of immunodeficiency or is receiving systemic steroid
therapy or any other form of immunosuppressive therapy within 7 days prior to the
first dose of study treatment. Use of inhaled steroids, local injection of steroids,
and steroid eye drops are allowed.
Additional Exclusion Criteria for Sub-study 5:
- Participants with Severe hypersensitivity to Isatuximab-irfc or to any of its
excipients.
- Participants with prior treatment with other anti-CD38 monoclonal antibody within 6
months of the first dose of study drug treatment.
- Participants with known intolerance or hypersensitivity to infused proteins products,
sucrose, histidine, and polysorbate 80.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | DE Phase: Number of participants achieving dose limiting toxicities (DLT) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | An event is considered to be a dose DLT if the event occurs within the first 21 days of treatment and meets the dose limiting toxicity criteria. |
Secondary Outcome Measures
Measure: | DE Phase: Number of participants achieving ORR |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | ORR is defined as the percentage of participants with PR or better, according to the IMWG Response Criteria. |
Measure: | CE Phase: Number of participants achieving Clinical Benefit Rate (CBR) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | CBR is defined as the percentage of participants with advanced or metastatic cancer who have achieved complete response, partial response and stable disease to a therapeutic intervention in clinical trials of anticancer agents. |
Measure: | DE Phase and CE Phase: Number of participants achieving Partial Response |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Number of participants with PR according to IMWG criteria will be analyzed. |
Measure: | DE Phase and CE Phase: Number of participants achieving Very Good Partial Response (VGPR) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Number of participants with VGPR according to IMWG criteria will be analyzed. |
Measure: | DE Phase and CE Phase: Number of participants achieving Complete Response (CR) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Participants with CR according to IMWG criteria will be analyzed. |
Measure: | DE Phase and CE Phase: Number of participants achieving stringent Complete Response (sCR) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Participants with sCR according to IMWG criteria will be analyzed. |
Measure: | DE Phase and CE Phase: Belantamab mafodotin concentrations when administered in combination with anti-cancer treatments |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples will be collected for concentrations of belantamab mafodotin. |
Measure: | DE Phase and CE Phase: GSK3174998 concentration when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples will be collected for concentrations of GSK3174998. |
Measure: | DE Phase and CE Phase: feladilimab concentration when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples will be collected for concentrations of feladilimab. |
Measure: | DE Phase and CE Phase: Nirogacestat concentration when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples will be collected for concentrations of nirogacestat. |
Measure: | DE Phase and CE Phase: Dostarlimab concentration when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples will be collected for concentrations of dostarlimab. |
Measure: | DE Phase and CE Phase: Isatuximab concentration when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples will be collected for concentrations of isatuximab. |
Measure: | DE Phase and CE Phase: Concentration of anti-drug antibodies (ADAs) against belantamab mafodotin when administered in combination with anti-cancer treatments |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples for concentrations for ADAs will be collected. |
Measure: | DE Phase and CE Phase: Concentration of ADAs against GSK3174998 when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples for concentrations for ADAs will be collected. |
Measure: | DE Phase and CE Phase: Concentration of ADAs against feladilimab when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples for concentrations for ADAs will be collected. |
Measure: | DE Phase and CE Phase: Concentration of ADAs against dostarlimab when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples for concentrations for ADAs will be collected. |
Measure: | DE Phase and CE Phase: Concentration of ADAs against isatuximab when administered in combination with belantamab mafodotin |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood samples for concentrations for ADAs will be collected. |
Measure: | DE Phase and CE Phase: Number of participants with adverse events of special interest (AESI) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | AESIs will be collected. |
Measure: | DE Phase and CE Phase: Number of participants with abnormal ocular findings on ophthalmic examination |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Ophthalmic examination will assess abnormal findings. |
Measure: | CE Phase: Number of participants achieving Progression-free survival (PFS) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | PFS is defined as the time from randomization until the earliest date of confirmed progressive disease (PD) per IMWG, or death due to any cause. |
Measure: | CE Phase: Duration of response (DoR) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | DoR is defined as the time from first documented evidence or PR or better until progressive disease per IMWG or death due to progressive disease among participants who achieve confirmed partial response or better. |
Measure: | CE Phase: Time to response (TTR) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | TTR is defined as the time between the date of randomization and the first documented evidence of response (PR or better), among participants who achieve a response (confirmed PR or better). |
Measure: | CE Phase: Number of participants achieving Overall survival (OS) |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | OS is defined as the time from randomization until death due to any cause. |
Measure: | CE Phase: Number of participants with AEs and SAEs |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | AEs and SAEs will be collected. |
Measure: | CE Phase: Number of participants with AEs leading to discontinuation |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Number of participants with AEs leading to discontinuation will be evaluated. |
Measure: | CE Phase: Number of participants with dose reduction or delay |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Number of participants with dose reduction or delay will be evaluated. |
Measure: | CE Phase: Number of participants with abnormality in vital signs |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Vital sign measurements will include systolic and diastolic blood pressure, temperature, respiratory rate and pulse rate. |
Measure: | CE Phase: Number of participants with clinically significant changes in hematology, clinical chemistry and urinalysis lab parameters |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | Blood and urine samples will be collected to evaluate hematology, clinical chemistry and urinalysis lab parameters. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | GlaxoSmithKline |
Trial Keywords
- Belantamab mafodotin
- GSK2857916
- GSK3174998
- Feladilimab
- Nirogacestat
- Dostarlimab
- Isatuximab
- Platform study
- Relapsed/Refractory Multiple Myeloma
Last Updated
July 20, 2021