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NCT04162210: DREAMM-3

Study of Single Agent Belantamab Mafodotin Versus Pomalidomide Plus Low-dose Dexamethasone (Pom/Dex) in Participants With Relapsed/Refractory Multiple Myeloma (RRMM)

Active, enrolled Phase 3 Results posted Last updated 31 March 2026
What this trial tests

Phase 3 trial testing Belantamab mafodotin in Multiple Myeloma in 325 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
2 April 2020
Primary endpoint
12 September 2022
11 March 2027

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 3
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment325
Start date2 April 2020
Primary completion12 September 2022
Estimated completion11 March 2027
Sites102 locations across Italy, Japan, Poland, South Korea, Netherlands, Russia, Belgium, Bulgaria

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Multiple Myeloma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression-free Survival (PFS) Based on Investigator-assessed Response as Per International Myeloma Working Group (IMWG) Primary · Up to 27 months

PFS is time from randomization until earliest date of progressive disease (PD), or death due to any cause per investigator-assessed response per IMWG. PD is ≥25% increase from nadir in any of following: serum M-protein (absolute increase ≥0.5 gram per deciliter \[g/dL\]),urine M-protein(absolute increase ≥200 mg/24hr),difference between involved/uninvolved FLC levels (absolute increase \>10 mg/dL) in patients without measurable serum and urine M-protein levels, or bone marrow plasma-cell percentage irrespective of baseline status (absolute increase ≥10%) in patients without measurable serum an

GroupValue95% CI
Belantamab Mafodotin11.26.4 – 14.5
Pomalidomide Plus Dexamethasone7.04.6 – 10.6

Adverse events — posted to ClinicalTrials.gov

Time frame: All cause mortality, non-serious adverse events (Non-SAEs) and serious adverse events (SAEs) were collected maximum up to 27 months. Data collection is still ongoing and additional results will be provided after study completion.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Belantamab Mafodotin
Serious: 94/217 (43%)
Deaths: 83/217
Pomalidomide Plus Dexamethasone
Serious: 40/102 (39%)
Deaths: 38/102

Serious adverse events (108 terms)

ReactionSystemBelantamab MafodotinPomalidomide Plus Dexameth…
PneumoniaInfections and infestations
ThrombocytopeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
COVID-19Infections and infestations
COVID-19 pneumoniaInfections and infestations
AnaemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Infusion related reactionInjury, poisoning and procedural complications
Platelet count decreasedInvestigations
Septic shockInfections and infestations
Urinary tract infectionInfections and infestations
SepsisInfections and infestations
FallInjury, poisoning and procedural complications
Pathological fractureMusculoskeletal and connective tissue disorders
Spinal cord compressionNervous system disorders
Plasma cell myelomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Lower respiratory tract infectionInfections and infestations
OsteomyelitisInfections and infestations
Femur fractureInjury, poisoning and procedural complications
Bone painMusculoskeletal and connective tissue disorders
Atrial fibrillationCardiac disorders
Cardiac failureCardiac disorders
Gastrointestinal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other adverse events (46 terms — click to expand)

ReactionSystemBelantamab MafodotinPomalidomide Plus Dexameth…
Vision blurredEye disorders
ThrombocytopeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
Dry eyeEye disorders
Foreign body sensation in eyesEye disorders
Eye irritationEye disorders
PhotophobiaEye disorders
Visual acuity reducedEye disorders
NeutropeniaBlood and lymphatic system disorders
Eye painEye disorders
PyrexiaGeneral disorders
Blood lactate dehydrogenase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Platelet count decreasedInvestigations
KeratopathyEye disorders
NauseaGastrointestinal disorders
COVID-19Infections and infestations
Punctate keratitisEye disorders
Gamma-glutamyltransferase increasedInvestigations
DiarrhoeaGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
Neutrophil count decreasedInvestigations
VomitingGastrointestinal disorders
Infusion related reactionInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
Visual impairmentEye disorders
ChillsGeneral disorders
Back painMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
CataractEye disorders
KeratitisEye disorders
White blood cell count decreasedInvestigations
ConstipationGastrointestinal disorders
Urinary tract infectionInfections and infestations
EpistaxisRespiratory, thoracic and mediastinal disorders
Hepatic function abnormalHepatobiliary disorders
Blood creatinine increasedInvestigations
Oedema peripheralGeneral disorders

Most-reported serious reactions: Pneumonia, Thrombocytopenia, Pyrexia, COVID-19, COVID-19 pneumonia, Anaemia, Febrile neutropenia, Infusion related reaction.

Data from ClinicalTrials.gov NCT04162210 adverse events section.

Sponsor's own description

This open-label, randomized study for evaluating the efficacy and safety of single agent belantamab mafodotin when compared to pom/dex in participants with RRMM. Participants will be randomized in a 2:1 ratio to receive either single agent belantamab mafodotin or pom/dex. Belantamab mafodotin will be administered on Day 1 (D1) at every 3 weeks (Q3W) schedule. Pomalidomide will be administered daily on Days 1 to 21 of each 28-day cycle, with dexamethasone administered once weekly (Days 1, 8, 15, and 22). Participants in both arms will be treated until disease progression, death, unacceptable toxicity, withdrawal of consent, and lost to follow-up or end of study, whichever comes first.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Antibody-Drug Conjugates for Cancer Therapy.
    Hafeez U, Parakh S, Gan HK, Scott AM. · · 2020 · cited 283× · PMID 33081383 · DOI 10.3390/molecules25204764
  2. Longer term outcomes with single-agent belantamab mafodotin in patients with relapsed or refractory multiple myeloma: 13-month follow-up from the pivotal DREAMM-2 study.
    Lonial S, Lee HC, Badros A, Trudel S, et al · · 2021 · cited 112× · PMID 34314018 · DOI 10.1002/cncr.33809
  3. The Evolving Landscape of Antibody-Drug Conjugates: In Depth Analysis of Recent Research Progress.
    Sasso JM, Tenchov R, Bird R, Iyer KA, et al · · 2023 · cited 89× · PMID 37821099 · DOI 10.1021/acs.bioconjchem.3c00374
  4. Efficacy and safety of single-agent belantamab mafodotin versus pomalidomide plus low-dose dexamethasone in patients with relapsed or refractory multiple myeloma (DREAMM-3): a phase 3, open-label, randomised study.
    Dimopoulos MA, Hungria VTM, Radinoff A, Delimpasi S, et al · · 2023 · cited 88× · PMID 37793771 · DOI 10.1016/s2352-3026(23)00243-0
  5. Relapsed/Refractory Multiple Myeloma: A Review of Available Therapies and Clinical Scenarios Encountered in Myeloma Relapse.
    Bhatt P, Kloock C, Comenzo R. · · 2023 · cited 61× · PMID 36826140 · DOI 10.3390/curroncol30020179
  6. Single-agent belantamab mafodotin in patients with relapsed/refractory multiple myeloma: Final analysis of the DREAMM-2 trial.
    Nooka AK, Cohen AD, Lee HC, Badros A, et al · · 2023 · cited 52× · PMID 37622738 · DOI 10.1002/cncr.34987
  7. The emerging therapeutic landscape of relapsed/refractory multiple myeloma.
    Tanenbaum B, Miett T, Patel SA. · · 2023 · cited 46× · PMID 36462062 · DOI 10.1007/s00277-022-05058-5
  8. Minimal Residual Disease in Myeloma: Application for Clinical Care and New Drug Registration.
    Anderson KC, Auclair D, Adam SJ, Agarwal A, et al · · 2021 · cited 44× · PMID 34321279 · DOI 10.1158/1078-0432.ccr-21-1059

Verify or expand the search:

Other trials of Belantamab mafodotin

Trials testing the same drug.

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Trials by the same sponsor.

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