Evidence map›Paper›PMID 39357511›Full record

ReviewActa haematologica2025

Belantamab Mafodotin in Relapsed/Refractory AL Amyloidosis: Real-World Multi-Center Experience and Review of the Literature.

Eyal Lebel, Vladimir Vainstein, Paolo Milani, Giovanni Palladini, Tamir Shragai, Noa Lavi, Hila Magen, Miri Assayag, Irit Avivi, Moshe E Gatt

Abstract readMulticenter StudyReview
In one paragraph

Review in Acta haematologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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

10 authors.

Eyal LebelFaculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Vladimir VainsteinFaculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Paolo MilaniDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Giovanni PalladiniDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Tamir ShragaiDepartment of Hematology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Noa LaviDepartment of Hematology, Rambam Health Care Campus, Haifa, Israel.
Hila MagenSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Miri AssayagHematology Department, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Irit AviviDepartment of Hematology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Moshe E GattFaculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreatment for relapsed/refractory AL amyloidosis (AL) is an unmet need. The safety and efficacy of belantamab mafodotin (BLM) in multiple myeloma are known, whereas in AL data are limited.

methodsWe report a multi-center cohort of AL patients receiving BLM, and review all previous data on BLM therapy in AL.

resultsTwelve patients with a median of 3 (range 2-9) prior lines of therapy were included. The overall hematological response rate (ORR) was 75% (9/12), including 5 complete responses. Six of the 10 evaluable patients had organ responses. The median event-free survivals/overall survivals were 22.3 and 28.8 months, respectively. Grade 3 toxicities were mostly infections and keratopathy, occurring in 7/12 (58%). Hematological toxicities were rare. No grade 4/5 toxicities occurred. The review of the previous series reveals BLM provides an ORR of 60-83% with similar rates of corneal toxicity.

conclusionBLM, being an off-the-shelf therapy, with acceptable toxicity even in frail patients, may be a valuable option in AL, with a high ORR, and a signal for durable responses and high-quality organ responses.

Indexed as

Antibodies, Monoclonal, HumanizedImmunoglobulin Light-chain AmyloidosisAgedAged, 80 and overFemaleHumansMaleMiddle AgedRecurrenceTreatment OutcomeAntibodies, Monoclonal, Humanizedbelantamab mafodotinAL amyloidosisAntibody drug conjugateBCMABelantamab mafodotinReal-world experience

Identifiers

PMID39357511
PMCPMC12306947

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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.