A Study of Belantamab Mafodotin Monotherapy in Multiple Myeloma Participants With Normal and Varying Degree of Impaired Renal Function
Phase 1
Active, not recruiting
NCT04398745
| Condition | Multiple Myeloma |
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| Phase | Phase 1 |
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| Sponsor | GlaxoSmithKline |
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| Status | Active, not recruiting |
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| Enrollment | 36 participants |
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| Interventions | Belantamab mafodotin |
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| Start date | Oct 9, 2020 |
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| Completion date | Apr 21, 2025 |
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| Results posted | Jul 1, 2026 |
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Summary
Belantamab mafodotin is an antibody-drug conjugate (ADC) containing humanized anti- B-cell maturation antigen (BCMA) monoclonal antibody (mAb). Renal impairment is a major complication of multiple myeloma (MM) and the majority of MM participants is either at risk or already has renal dysfunction at initial diagnosis. The purpose of this study is to assess the pharmacokinetics (PK), safety, and tolerability of belantamab mafodotin monotherapy in participants with RRMM, who have had at least 3 lines of prior treatment (or at least 2 lines of prior treatment if ineligible for autologous stem cell transplantation ) and have either normal or impaired renal functions. The study will consist of two parts: part 1 will include participants with normal/mildly impaired renal function and severe renal impairment and part 2 will include participants with end-stage renal disease (ESRD), where participants are either not undergoing or require hemodialysis. Participants will be administered belantamab mafodotin at a dose of 2.5 milligram per kilogram (mg/kg) intravenously once in three weeks (Q3W) dosing in Part 1. Based on the Part 1 Safety/Pharmacokinetic (PK) data, Part 2 participants will be a
Part 1: Area Under the Concentration-time Curve to Last Quantifiable Timepoint (AUC(0-tlast)) Following Administration of Belantamab Mafodotin (Antibody-drug Conjugate (ADC))
Pre-dose, end of infusion (EOI), start of infusion (SOI)+2hour (h), SOI+4h, SOI+8h and SOI+24h on Cycle(C) 1 Day(D) 1 and C3D1; Anytime on C1 D4, D8, D15, D22; Anytime on C3 D4, D8, D15, D22; Pre-dose on C2D1 and C4D1. · hour*microgram/millitre(h*ug/mL)
| Part 1: Belantamab Mafodotin 2.5 mg/kg (Normal/Mildly Impaired Renal Function) | 4021.3 ± 54.3 hour*microgram/millitre(h*ug/mL) |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Severely Impaired Renal Function) | 3704.7 ± 32.4 hour*microgram/millitre(h*ug/mL) |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Normal/Mildly Impaired Renal Function) | 6729.9 ± 32.1 hour*microgram/millitre(h*ug/mL) |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Severely Impaired Renal Function) | 4127.8 ± 30.4 hour*microgram/millitre(h*ug/mL) |
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Part 1: Area Under the Concentration-time Curve During the Dosing Interval (AUC(0-tau)) Following Administration of Belantamab Mafodotin (ADC)
Pre-dose, end of infusion (EOI), start of infusion (SOI)+2hour (h), SOI+4h, SOI+8h and SOI+24h on Cycle(C) 1 Day(D) 1 and C3D1; Anytime on C1 D4, D8, D15, D22; Anytime on C3 D4, D8, D15, D22; Pre-dose on C2D1 and C4D1. · h*ug/mL
| Part 1: Belantamab Mafodotin 2.5 mg/kg (Normal/Mildly Impaired Renal Function) | 4379.2 ± 32.4 h*ug/mL |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Severely Impaired Renal Function) | 3683.1 ± 32.6 h*ug/mL |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Normal/Mildly Impaired Renal Function) | 7245.1 ± 42.2 h*ug/mL |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Severely Impaired Renal Function) | 3731.4 ± 17.8 h*ug/mL |
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Part 1: Observed Plasma Concentration at the End of Infusion (C-EOI) Following Administration of Belantamab Mafodotin (ADC)
End of infusion on C1D1 and C3D1 · ug/mL
| Part 1: Belantamab Mafodotin 2.5 mg/kg (Normal/Mildly Impaired Renal Function) | 54.43 ± 31.5 ug/mL |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Severely Impaired Renal Function) | 45.66 ± 20.8 ug/mL |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Normal/Mildly Impaired Renal Function) | 48.07 ± 39.4 ug/mL |
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| Part 1: Belantamab Mafodotin 2.5 mg/kg (Severely Impaired Renal Function) | 32.70 ± 39.8 ug/mL |
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