About this trial
Doctors leading this study hope to learn if the combination of belantamab mafodotin, carfilzomib, pomalidomide, and dexamethasone is effective and safe when given to people who have multiple myeloma that has gotten worse and is not responding to standard drugs that are used for treating multiple myeloma, including chimeric antigen receptor T-cell therapy.
Participation in this research will last about 6 -24 months, but it may be less or more depending on your response to treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subject must be ≥ 18 years of age.
Life expectancy of more than three months.
Subject must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2
Subject must have adequate organ function, defined by clinically confirmed lab values set by the study team.
Disqualifiers
Waldenström's macroglobulinemia, systemic amyloidosis, POEMS syndrome, or plasma cell leukemia at the time of screening.
Radiotherapy to multiple sites within 3 weeks before start of protocol treatment (localized radiotherapy to a single site 1 week before start is permissible).
Subject must not have used an investigational drug or approved systemic anti-myeloma therapy (including systemic steroids) within 14 days preceding the first dose of study drug.
Prior refractory status to belantamab mafodotin. Concurrent Conditions
Trial design
Parallel
Treatments tested in this trial
Belantamab mafodotin
DrugCycles 1, 3, 5, 7, etc. (odd numbered cycles): 1.9 mg/kg IV on Day 1 (28-day cycles)
Carfilzomib
DrugCycle 1: 20 mg/m2 on Day 1, then 56 mg/m2 on Days 8/15 Cycles 2-8: 56 mg/m2 on Days 1/8/15 Cycles 9+: 56 mg/m2 on Days 1/15
Pomalidomide
Drug3 mg Day 1-21 of 28-day Cycle
Dexamethasone
DrugCycles 1-4: 40 mg Days 1/8/15/22 Cycles 5+: 20 mg Days 1/8/15/22
Treatment groups
Trial outcomes
Primary outcomes
Rate of Very Good Partial Response (No Prior CAR T-Cell Therapy Cohort)
No prior CAR T-cell therapy cohort: Rate of very good partial response (VGPR) or better after 6 cycles according to the 2016 International Myeloma Working Group (IMWG) Response Criteria by Independent Review Committee (IRC).
Rate of Overall Response (Prior CAR T-Cell Therapy Cohort)
Prior CAR T-cell therapy cohort: Rate of overall response (ORR) as determined by investigator assessment.
Secondary outcomes
Overall Response Rate
Overall response rate as determined by the 2016 International Myeloma Working Group (IMWG) Response Criteria by Independent Review Committee (IRC) and investigator assessment.
Minimal Residual Disease Negativity Rate
Minimal Residual Disease (MRD) negativity rate as assessed by next generation sequencing (limit of detection \< 10-5).
Progression-Free Survival
Progression-free survival of participants as determined by investigator assessment.
Overall Survival Among Participants
Overall survival of participants as determined by investigator assessment.
Sponsors and contacts
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