A Dose-Finding and Proof-of-Concept Phase 1/2a Study of Belantamab Mafodotin in Relapsed or Refractory AL Amyloidosis
University of Texas Southwestern Medical Center
Summary
The goal of this study is to test the safety of drug, Belantamab Mafodotin, and see what effects (good and bad) it has on people who take it and have amyloidosis, and to determine the most effective dose of the drug. The study will have 2 phases (parts). The first phase of the study will test different doses of Belantamab Mafodotin. The second phase will test Belantamab Mafodotin at the dose level found to be safe and effective in phase 1
Description
Amyloid light chain amyloidosis (AL amyloidosis, ALA) is a rare plasma cell dyscrasia with an incidence ranging from 9.7-14.0 cases per million person-years. 75% of patients have cardiac involvement at diagnosis as evaluated by plasma cardiac biomarkers. The most common cause of morbidity and mortality is cardiac dysfunction. Belantamab mafodotin has not been evaluated previously in patients with AL amyloidosis. Although Belantamab mafodotin has previously been or is currently being evaluated in patients with relapsed multiple myeloma (MM), these MM studies do not enroll participants with cli…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Participants medically diagnosed with relapsed or refractory Amyloid Light Chain Amyloidosis (AL amyloidosis) with one or more line of treatment as below: 1. Must have received a proteosome inhibitor, alkylator and anti-cluster of differentiation 38 (CD38) antibody (e.g., daratumumab - for patients who were eligible to receive in newly diagnosed AL Amyloidosis) and autologous stem cell transplant (for transplant eligible candidates). OR 2. Failed treatment and/or intolerant/ineligible for above agents NOTE: Patients who fail to achieve Partial Hematolo…
Interventions
- DrugBelantamab mafodotin 2.5 mg/kg (8 weeks)
2.5 mg/kg IV Belantamab mafodotin IV every 8 weeks for Part 1
- DrugBelantamab mafodotin 1.9 mg/kg (8 weeks)
1.9 mg/kg IV Belantamab mafodotin IV every 8weeks for Part 1
- DrugBelantamab mafodotin 1.4 mg/kg (12 weeks)
1.4 mg/kg Belantamab mafodotin IV every 12 weeks for Part 1
- DrugBelantamab mafodotin 1.9 mg/kg (12 weeks)
1.9 mg/kg Belantamab mafodotin IV every 12 weeks for Part 1
- DrugBelantamab mafodotin every 8 weeks or 12 weeks as determined by Part 1 recommended dosages
Belantamab mafodotin Dose 1.0 mg/kg, 1.4 mg/kg, 1.9mg/kg or 2.5mg/kg every 8 weeks or 12 weeks as determined by Part 1 recommended dosages.
- Drug
Locations (3)
- Vanderbilt Ingram Cancer CenterNashville, Tennessee
- UT Southwestern Medical CenterDallas, Texas
- Huntsman Cancer Institute, University of UtahSalt Lake City, Utah