Patient-Reported Outcomes With Belantamab Mafodotin Treatment in Patients With Triple-Class Refractory Multiple Myeloma

• Type of Material: Article
• Authors: Rakesh Popat, University College London; Sagar Lonial, Emory University; Peter M. Coorhees, Levine Cancer Institute; Simona Degli Esposti, University College London; Boris Gorsh, GlaxoSmithKline; Ira Gupta, GlaxoSmithKline; Joanna Opalinska, GlaxoSmithKline; Sandhya Sapra, GlaxoSmithKline; Trisha Piontek, GlaxoSmithKline; Zangdon He, GlaxoSmithKline; David Kleinman, University of Rochester; Debra Schaumberg, University of Utah, Salt Lake City; Antoin Regnault, Modus Outcomes; Juliette Meunier, Modus Outcomes; Laurie Eliason, GlaxoSmithKline
• Language: English
• Date: 2023-09-01
• Publisher: Conexiant
• Publication Version: Final Published Version
• Copyright Statement: © 2023 Harborside™
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): https://doi.org/10.6004/jadpro.2023.14.6.4
• Title of Journal or Parent Work: Journal of the Advanced Practitioner in Oncology
• Volume: 14
• Issue: 6
• Start Page: 503
• End Page: 518
• Grant/Funding Information: This study was funded by GSK (205678).
• Keywords: belantamab mafodotin; refractory relapsed/refractory multiple myeloma; patient-reported outcomes
• Research Categories: Health Sciences, Pharmacology; Health Sciences, Oncology

Abstract

In the randomized phase II DREAMM-2 study, single-agent belantamab mafodotin demonstrated deep and durable responses and a manageable safety profile in triple-class refractory relapsed/refractory multiple myeloma (RRMM). We present patient-reported outcomes (PROs) from this study for patients treated with the approved dose of belantamab mafodotin (2.5 mg/kg q3w). Disease and treatment-related symptoms, health-related quality of life (HRQOL), functioning, and patient-reported ocular changes were assessed using questionnaires (European Organisation for Research and Treatment of Cancer Quality of Life questionnaires EORTC-QLQ-C30 and EORTC-QLQ-MY20, Ocular Surface Disease Index [OSDI], and the National Eye Institute Visual Functioning Questionnaire 25 [NEI VFQ-25]) at baseline, during treatment (every 3 or 6 weeks), and at the end of treatment (EOT). Eye examinations were conducted at baseline, prior to each treatment cycle, and at EOT. Patients reported ocular symptoms in the OSDI and NEI VFQ-25 questionnaires, with the median time to worst severity of 45 to 64 days depending on symptoms considered. Some limitations in driving and reading were reported. Ocular symptoms were improved and median time to recovery was 23.5 to 44.0 days. EORTC-QLQ-C30 data suggest core MM symptoms (including fatigue and pain), overall HRQOL, and patient functioning were maintained while patients continued belantamab mafodotin treatment, even if meaningful worsening of vision-related symptoms occurred. These PRO results, together with the clinical efficacy of belantamab mafodotin, support its use in patients with RRMM and further evaluation of its use at earlier lines of therapy.