Evidence map›Paper›PMID 38895069›Full record

ArticleEJHaem2024

Belantamab mafodotin in triple-refractory multiple myeloma patients: A retro-prospective observational study in Italy.

Francesca Fazio, Maria Teresa Petrucci, Laura Corvatta, Alfonso Piciocchi, Roberta Della Pepa, Paola Tacchetti, Maurizio Musso, Renato Zambello, Angelo Belotti, Sara Bringhen and 10 more

Abstract read
In one paragraph

Article in EJHaem, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Francesca FazioHematology Unit, Department of Translational and Precision Medicine Azienda Ospedaliera Policlinico Umberto I Sapienza University of Rome Rome Italy.ORCID https://orcid.org/0000-0003-4187-8912
Maria Teresa PetrucciHematology Unit, Department of Translational and Precision Medicine Azienda Ospedaliera Policlinico Umberto I Sapienza University of Rome Rome Italy.
Laura CorvattaUnità Operativa Complessa di Medicina Ospedale Profili Fabriano Italy.
Alfonso PiciocchiGIMEMA Foundation Rome Italy.
Roberta Della PepaHematology Unit, Department of Clinical Medicine and Surgery University of Naples "Federico II" Naples Italy.
Paola TacchettiIRCCS Azienda Ospedaliero-Universitaria di Bologna-Istituto di Ematologia "Seràgnoli" Bologna Italy.
Maurizio MussoOncoematology and BMT Unit, Oncology Department Ospedale La maddalena Palermo Palermo Italy.
Renato ZambelloHematology Unit Department of Medicine University of Padova Padua Italy.ORCID https://orcid.org/0000-0002-8799-5324
Angelo BelottiDepartment of Hematology ASST Spedali Civili di Brescia Brescia Italy.
Sara BringhenSSD Clinical Trial in Oncoematologia e Mieloma Multiplo Department of Oncology Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino Turin Italy.
Elisabetta AntonioliHaematology Unit Careggi University Hospital Florence Italy.
Concetta ConticelloDivision of Haematology and BMT A.O.U. 'Policlinico-San Marco' Catania Italy.
Nicola Di RenzoHematology and Stem Cell Transplant Unit "Vito Fazzi" Hospital Lecce Italy.
Valerio De StefanoSection of Hematology Department of Radiological and Hematological Sciences Catholic University Fondazione Policlinico A Gemelli IRCCS Rome Italy.ORCID https://orcid.org/0000-0002-5178-5827
Pellegrino MustoDepartment of Precision and Regenerative Medicine and Ionian Area "Aldo Moro" University School of Medicine, and Unit of Hematology and Stem Cell Transplantation AOUC Policlinico Bari Italy.
Barbara GamberiHematology Unit Azienda USL- IRCCS di Reggio Emilia Reggio Emilia Italy.ORCID https://orcid.org/0000-0003-3616-5838
Daniele DerudasSC di Ematologia e CTMO - Oncologico Oncologico di Riferimento Regionale "A. Businco" - ARNAS "G. Brotzu" Cagliari Italy.
Mario BoccadoroEuropean Myeloma Network Turin Italy.
Massimo OffidaniDepartment of Hematology Azienda Ospedaliero Universitaria delle Marche Ancona Italy.ORCID https://orcid.org/0000-0003-2749-7347
Sonia MorèDepartment of Hematology Azienda Ospedaliero Universitaria delle Marche Ancona Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Belantamab mafodotin is the first-in-class antibody-drug conjugates targeting B-cell maturation antigen to have demonstrated effectiveness in triple-class refractory multiple myeloma (TCR-MM) patients. We performed a retrospective study including 78 TCR patients, with at least four prior lines of therapy (LOTs), who received belantamab mafodotin within named patient program and expanded access program in Italy between 2020 and 2022. Median age was 65 years (range 42-86 years), ECOG performance status was ≥1 in 45% of patients. Overall, a clinical benefit was obtained in 36 out of 74 evaluable patients (49%), with 43%, 28%, and 13.5% achieving at least partial response, very good partial response, and complete response, respectively. After a median follow-up of 12 months (range 6-21 months), median duration of response, progression-free survival (PFS), and overall survival (OS) were 14, 5.5, and 12 months, respectively. Age >70 years, good performance status and response were associated with longer PFS and OS. Keratopathy occurred in 58% of patients (G3 2.5%), corneal symptoms in 32% (G3 1.2%) and a reduction in visual acuity in 14%. Grade 3 thrombocytopenia occurred in 9% of patients. Only 3% of patients discontinued belantamab mafodotin because of side effects. This real-life study demonstrated significant and durable responses of belantamab in TCR-MM patients with four prior LOTs, otherwise ineligible for novel immunotherapies.

Indexed as

belantamab mafodotinmultiple myelomareal‐world

Identifiers

PMID38895069
PMCPMC11182418

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.