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Multiple MyelomaPhase 3DREAMM 7NCT04246047

Evaluation of Efficacy and Safety of Belantamab Mafodotin, Bortezomib and Dexamethasone Versus Daratumumab, Bortezomib and Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma

A Phase 3 study testing Belantamab mafodotin, Daratumumab and Bortezomib in people with Multiple Myeloma, run by GlaxoSmithKline at 69 sites in 13 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is a Phase 3, randomized, open-label study designed to evaluate safety and efficacy of belantamab mafodotin in combination with bortezomib/dexamethasone (Arm A) versus daratumumab in combination with bortezomib/dexamethasone (Arm B) in the participants with relapsed recurrent multiple myeloma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
Belantamab mafodotin, Daratumumab and Bortezomib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
494 participants
Where
69 sitesin 13 countries
Study dates
7 May 2020to 30 Jun 2028
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of multiple myeloma as defined by the International Myeloma Working Group (IMWG) criteria.
  • Previously treated with at least 1 prior line of multiple myeloma (MM) therapy, and must have documented disease progression during or after their most recent therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • Must have at least 1 aspect of measurable disease, defined as one of the following;
  • Urine M-protein excretion >=200 mg per 24-hour, or
  • Serum M-protein concentration >=0.5 grams per deciliter (g/dL), or
Show all 9Show fewer
  • Serum free light chain (FLC) assay: involved FLC level >=10 mg per dL (>=100 mg per liter) and an abnormal serum free light chain ratio (<0.26 or >1.65).
  • All prior treatment-related toxicities (defined by National Cancer Institute Common Toxicity Criteria for Adverse Events [NCI-CTCAE] version 5.0) must be <=Grade 1 at the time of enrollment, except for alopecia.
  • Adequate organ function

Who cannot join

  • Intolerant to daratumumab.
  • Refractory to daratumumab or any other anti-CD38 therapy (defined as progressive disease during treatment with anti-CD38 therapy, or within 60 days of completing that treatment).
  • Intolerant to bortezomib, or refractory to bortezomib (defined as progressive disease during treatment with a bortezomib-containing regimen of 1.3 mg/m^2 twice weekly, or within 60 days of completing that treatment). Note: participants with progressive disease during treatment with a weekly bortezomib regimen are allowed.
  • Ongoing Grade 2 or higher peripheral neuropathy or neuropathic pain.
  • Prior treatment with anti-B-cell maturation antigen (anti-BCMA) therapy.
  • Prior allogenic stem cell transplant.
  • Any serious and/or unstable pre-existing medical, psychiatric disorder or other conditions, including renal, liver, cardiovascular, or certain prior malignancies.
  • Corneal epithelial disease.

Trial locations and contacts

69 sites in 13 countries.

69 sites in 13 countries

Japan19 sites
  • GSK Investigational Site

    Aichi, 441-8570

  • GSK Investigational Site

    Aichi, 467-8602

  • GSK Investigational Site

    Aomori, 030-8553

  • GSK Investigational Site

    Ehime, 790-8524

  • GSK Investigational Site

    Fukuoka, 806-8501

  • GSK Investigational Site

    Fukuoka, 807-8555

  • GSK Investigational Site

    Fukuoka, 810-8563

  • GSK Investigational Site

    Fukuoka, 815-8555

  • GSK Investigational Site

    Gifu, 503-8502

  • GSK Investigational Site

    Gunma, 377-0280

  • GSK Investigational Site

    Hyōgo, 670-8540

  • GSK Investigational Site

    Kanagawa, 221-0855

  • GSK Investigational Site

    Kanagawa, 247-8533

  • GSK Investigational Site

    Kochi, 781-8555

  • GSK Investigational Site

    Nagano, 392-8510

  • GSK Investigational Site

    Okayama, 701-1192

  • GSK Investigational Site

    Osaka, 530-0012

  • GSK Investigational Site

    Osaka, 545-8586

  • GSK Investigational Site

    Shizuoka, 411-8777

Other trials in Japan

Poland8 sites
  • GSK Investigational Site

    Chorzów, 41-500

  • GSK Investigational Site

    Krakow, 30510

  • GSK Investigational Site

    Lodz, 93-513

  • GSK Investigational Site

    Lublin, 20-081

  • GSK Investigational Site

    Lublin, 20-090

  • GSK Investigational Site

    Nowy Sącz, 33-300

  • GSK Investigational Site

    Poznan, 60-569

  • GSK Investigational Site

    Warsaw, 02-781

Other trials in Poland

Spain8 sites
  • GSK Investigational Site

    Barcelona, 08035

  • GSK Investigational Site

    Barcelona, 08916

  • GSK Investigational Site

    Cáceres, 10003

  • GSK Investigational Site

    Gijón, 33394

  • GSK Investigational Site

    L'Hospitalet de Llobrega, 08908

  • GSK Investigational Site

    Murcia, 30008

  • GSK Investigational Site

    PamplonaNavarra, 31008

  • GSK Investigational Site

    Salamanca, 37007

Other trials in Spain

Russia7 sites
  • GSK Investigational Site

    Moscow, 125284

  • GSK Investigational Site

    Nizhny Novgorod, 603126

  • GSK Investigational Site

    Novosibirsk, 630087

  • GSK Investigational Site

    Saint Petersburg, 191024

  • GSK Investigational Site

    Saint Petersburg, 197 089

  • GSK Investigational Site

    Saratov, 410028

  • GSK Investigational Site

    Ufa, 450083

Other trials in Russia

United States5 sites
  • GSK Investigational Site

    Denver, Colorado, 80218

  • GSK Investigational Site

    Fairfield, Ohio, 45242

  • GSK Investigational Site

    Kansas City, Kansas, 66205

  • GSK Investigational Site

    Tyler, Texas, 75702

  • GSK Investigational Site

    Yuma, Arizona, 85364

Other trials in United States

Belgium4 sites
  • GSK Investigational Site

    Brussels, 1090

  • GSK Investigational Site

    Brussels, 1200

  • GSK Investigational Site

    Ghent, 9000

  • GSK Investigational Site

    Roeselare, 8800

Other trials in Belgium

Italy4 sites
  • GSK Investigational Site

    Bergamo, 24127

  • GSK Investigational Site

    Meldola FC, 47014

  • GSK Investigational Site

    Milan, 20133

  • GSK Investigational Site

    Siena, 53100

Other trials in Italy

Australia3 sites
  • GSK Investigational Site

    Benowa, Queensland, 4217

  • GSK Investigational Site

    Liverpool, New South Wales, 2170

  • GSK Investigational Site

    Wollongong, New South Wales, 2500

Other trials in Australia

China3 sites
  • GSK Investigational Site

    Beijing, 100191

  • GSK Investigational Site

    Jinan, 250012

  • GSK Investigational Site

    Shenyang, 110001

Other trials in China

Greece3 sites
  • GSK Investigational Site

    Alexandroupoli, 68 100

  • GSK Investigational Site

    Athens, 11528

  • GSK Investigational Site

    Thessaloniki, 54007

Other trials in Greece

Netherlands2 sites
  • GSK Investigational Site

    Dordrecht, 3318 AT

  • GSK Investigational Site

    Groningen, 9713 GZ

Other trials in Netherlands

South Korea2 sites
  • GSK Investigational Site

    Pusan, 49241

  • GSK Investigational Site

    Ulsan, 44033

Other trials in South Korea

Israel1 site
  • GSK Investigational Site

    Tel Aviv, 64239

Other trials in Israel

About this study

Official title: DREAMM 7: A Multicenter, Open-Label, Randomized Phase III Study to Evaluate the Efficacy and Safety of the Combination of Belantamab Mafodotin, Bortezomib, and Dexamethasone (B-Vd) Compared With the Combination of Daratumumab, Bortezomib and Dexamethasone (D-Vd) in Participants With Relapsed/Refractory Multiple Myeloma

This is a Phase 3, randomized, open-label study designed to evaluate safety and efficacy of belantamab mafodotin in combination with bortezomib/dexamethasone (Arm A) versus daratumumab in combination with bortezomib/dexamethasone (Arm B) in the participants with relapsed recurrent multiple myeloma.

Being tested
Belantamab mafodotin, Daratumumab, Bortezomib, Dexamethasone
Keywords
Global Cohort, Belantamab mafodotin, Relapsed/refractory multiple myeloma, Daratumumab, Bortezomib, Dexamethasone, Multiple Myeloma
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Belantamab mafodotinDrug

    Humanized anti-B-cell maturation antigen (BCMA) antibody/drug conjugate

  • DaratumumabDrug

    Anti-cluster of differentiation 38 [CD-38] monoclonal antibody

  • BortezomibDrug

    Proteasome Inhibitor

  • DexamethasoneDrug

    Synthetic glucocorticoid with anti-tumor activity

Study groups in NCT04246047
Study groupRoleWhat they receive
Belantamab mafodotin and Bortezomib plus Dexamethasone (Arm A)ExperimentalNot described
Receives: Drug: Belantamab mafodotin; Drug: Bortezomib; Drug: Dexamethasone
Daratumumab and Bortezomib plus Dexamethasone (Arm B)Active comparatorNot described
Receives: Drug: Daratumumab; Drug: Bortezomib; Drug: Dexamethasone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival (PFS)

    PFS is defined as time from randomization until earliest date of disease progression (PD), determined by Independent Review Committee (IRC), according to the International Myeloma Working Group (IMWG) Response Criteria, or death due to any cause. PD= increase of >=25% from lowest value in >=1 of following (serum M-protein [absolute increase >=0.5 grams per deciliter {g/dL}]; serum M-protein increase >=1g/dL [when lowest M-protein >=5g/dL]; urine M-protein [absolute increase >=200 milligrams per 24 hours {mg/24h}]; participants without measurable serum \& urine M-protein levels, difference between involved \& uninvolved serum free light chains (sFLC) levels [absolute increase >10mg/dL]; appearance of new lesion,>=50% increase from nadir in Sum of the products of the maximal perpendicular diameters of measured lesions (SPD) of >1 lesion, or >=50% increase in longest diameter of previous lesion >1 centimeter (cm) in short axis.

    Measured: Up to approximately 41 months

Secondary outcomes (22)
  1. Complete Response Rate (CRR)

    CRR is defined as percentage of participants with a confirmed complete response or better.

    Measured: Up to 73 months

  2. Overall Response Rate (ORR)

    ORR is defined as percentage of participants with a confirmed partial response or better.

    Measured: Up to 73 months

  3. Clinical Benefit Rate (CBR)

    CBR is defined as percentage of participants with a confirmed minimal response (MR) or better

    Measured: Up to 73 months

  4. Duration of Response (DoR)

    DOR is defined as time from first documented evidence of partial response or better until first documented progression or death, whichever occurs first.

    Measured: Up to 73 months

  5. Time to Response (TTR)

    TTR is defined as time from the date of randomization and the first documented evidence of response (PR or better) among participants who achieve partial response or better.

    Measured: Up to 73 months

  6. Time to Progression (TTP)

    TTP is defined as time from the date of randomization until the earliest date of documented date of disease progression or death, whichever occurs first.

    Measured: Up to 73 months

  7. Overall Survival (OS)

    OS is defined as time from the date of randomization until the date of death due to any cause.

    Measured: Up to 73 months

  8. Progression-free Survival on Subsequent Line of Therapy (PFS2)

    Progression-free survival on subsequent line of therapy is defined as time from randomization to disease progression after initiation of new anti-myeloma therapy or death from any cause, whichever occurs first. If disease progression after new antimyeloma therapy cannot be measured, a PFS event is defined as the date of discontinuation of new anti-myeloma therapy, or death from any cause, whichever is earlier.

    Measured: Up to 73 months

  9. Minimal Residual Disease (MRD) Negativity Rate

    Minimal Residual Disease (MRD) negativity rate is defined as the percentage of participants who are MRD negative status by next generation sequencing (NGS).

    Measured: Up to 73 months

  10. Number of Participants With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment.

    Measured: Up to 73 months

  11. Number of Participants With Clinically Significant Changes in Hematology Parameters

    Blood samples will be collected for the analysis of hematology parameters.

    Measured: Up to 73 months

  12. Number of Participants With Clinically Significant Changes in Clinical Chemistry

    Blood samples will be collected for the analysis of clinical chemistry parameters.

    Measured: Up to 73 months

  13. Number of Participants With Clinically Significant Changes in Urine Dipstick

    Urine samples will be collected for the urine dipstick analysis.

    Measured: Up to 73 months

  14. Number of Participants With Abnormal Ocular Findings on Ophthalmic Examination

    Measured: Up to 73 months

  15. Plasma Concentrations of Belantamab Mafodotin (Total Antibody) at Indicated Time Points

    Blood samples will be collected for PK analysis of belantamab mafodotin.

    Measured: Up to 73 months

  16. Plasma Concentrations of Belantamab Mafodotin (ADC) at Indicated Time Points

    Blood samples will be collected for PK analysis of belantamab mafodotin.

    Measured: Up to 73 months

  17. Plasma Concentrations of Monomethyl Auristatin-F With a Cysteine Linker (Cys-mcMMAF) at Indicated Time Points

    Blood samples will be collected for PK analysis of belantamab mafodotin.

    Measured: Up to 73 months

  18. Number of Participants With Positive Anti-drug Antibodies (ADAs) Against Belantamab Mafodotin

    Serum samples collected for the analysis of the presence of ADAs using validated immunoassays. All samples will be tested in screening assay, and positive samples will be further characterized for antibody titers.

    Measured: Up to 73 months

  19. Titers of ADAs Against Belantamab Mafodotin

    Serum samples collected for the analysis of the presence of ADAs using validated immunoassays. All samples will be to be further tested in screening assay, and positive samples will be further to be characterized for antibody titers.

    Measured: Up to 73 months

  20. Number of Participants With Maximum Post-baseline Change From Baseline in Individual Items of Patient-Reported Outcome Version of the Common Term Criteria for Adverse Events (PRO-CTCAE)

    The PRO-CTCAE is a patient-reported outcome measure developed to evaluate symptomatic toxicity in participants on cancer clinical trials. The PRO-CTCAE includes an item library of 124 items representing 78 symptomatic toxicities drawn from the CTCAE.

    Measured: Up to 73 months

  21. Change From Baseline in Health Related Quality of Life (HRQoL) as Measured by EuropeanOrganization for Research and Treatment of Cancer Quality of Life Questionnaire 30-item Core Module (EORTC QLQ-C30)

    The EORTC QLQ-C30 includes 30-items with single and multi-item scales. These included five functional scales (physical functioning [PF], role functioning [RF], cognitive functioning [CF], emotional functioning [EF] and social functioning [SF]), three symptom scales (fatigue, pain and nausea/vomiting [N/V]), a global health status (GHS)/ Quality-of-Life (QoL) scale, and six single items (constipation, diarrhoea, insomnia, dyspnoea, appetite loss [AL] and financial difficulties [FD]). Response options are 1 to 4. Scores were averaged and transformed to 0 to 100, a high score for functional scales/ GHS/QoL represent better functioning ability or health-related quality-of-life (HRQoL), whereas a high score for symptom scales/ single items represent significant symptomatology. Baseline was defined as latest pre-dose assessment (Day 1) with a non-missing value, including unscheduled visits. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.

    Measured: Up to 73 months

  22. Change From Baseline in HRQoL as Measured by EORTC IL52

    The EORTC Quality of Life Questionnaire 20-item Multiple Myeloma module (QLQMY20) is a supplement to the QLQ-C30 instrument used in participants with multiple myeloma. For the EORTC IL52, disease symptoms domain of the QLQ-MY20 will be used for bone aches or pain, back pain, hip pain, arm or shoulder pain, chest pain, and pain increasing with activity. The individual component scores in the disease symptom domain are averaged and transformed linearly to a score ranging from 0 to100. A high score for disease symptoms represents a high level of symptomatology or problems. A high score represents a high/healthy level of functioning.

    Measured: Up to 73 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jan 2020
  2. Study start7 May 2020
  3. Primary completion2 Oct 2023
  4. Study completion30 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
494 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04246047
Sponsor's protocol ID
207503
Other IDs
2023-510537-28-00, 2023
Acronym
DREAMM 7
Status last verified
Apr 2026
First submitted
27 Jan 2020
Last updated
23 Apr 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: GSK will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About\_GSK\_Patient\_Level\_Data\_Sharing\_Final\_13July2023.pdf.
Expanded access
Available

Publications

  • Zhang X, Xing X, Wang Z, Wang K, Hua Y, Zhang L, Dong X. Threshold Price of Belantamab for Relapsed/Refractory Multiple Myeloma in China: A Cost-Effectiveness Analysis. Pharmacoecon Open. 2026 Sep 11. doi: 10.1007/s41669-026-00681-8. Online ahead of print.

    PubMed 42726457
  • Mateos MV, Trudel S, Quach H, Robak P, Beksac M, Pour L, Hus M, Kim K, Zherebtsova V, Delimpasi S, Jelinek T, Ward C, Ho PJ, Vorobyev V, Pitombeira de Lacerda M, Aparecida-Martinez G, Spicka I, Radocha J, Cavo M, Cerchione C, Fu C, Suzuki K, Rogers R, Phillips-Jones A, Wang Z, Baig H, Wilkes J, Zhou XL, Lewis E, Eccersley L, Sule N, Paka P, Opalinska JB, Mukhopadhyay P, Hungria V, Dimopoulos MA. Modification of belantamab mafodotin dosing to balance efficacy and tolerability in the DREAMM-7 and DREAMM-8 trials. Blood Adv. 2025 Nov 25;9(22):5708-5719. doi: 10.1182/bloodadvances.2025016949.

    PubMed 40763276
  • Hungria V, Robak P, Hus M, Zherebtsova V, Ward C, Ho PJ, Hajek R, Kim K, Grosicki S, Sia H, Bryant A, Pitombeira de Lacerda M, Martinez GA, Sureda Balari A, Sandhu I, Cerchione C, Ganly P, Dimopoulos MA, Fu C, Garg M, Abdallah AO, Gatt ME, Oriol Rocafiguera A, Cavo M, Rifkin R, Fujisaki T, Mielnik M, Ficek J, Mantero A, Pirooz N, Varghese S, Lee J, McKeown A, Rogers R, Baig H, Eccersley L, Roy-Ghanta S, Mukhopadhyay P, Nielsen J, Opalinska J, Mateos MV; DREAMM-7 study investigators. Belantamab mafodotin plus bortezomib and dexamethasone in patients with relapsed or refractory multiple myeloma (DREAMM-7): updated overall survival analysis from a global, randomised, open-label, phase 3 trial. Lancet Oncol. 2025 Aug;26(8):1067-1080. doi: 10.1016/S1470-2045(25)00330-4. Epub 2025 Jul 15.

    PubMed 40680754
  • Hungria V, Hus M, Fu C, Zherebtsova V, Ward C, Ho PJ, Mikulski D, Muronova L, Cerchione C, Loubert A, Bunod L, M'Hari M, Pirooz N, Rogers R, Lin CP, Roy-Ghanta S, Opalinska JB, Purser M, McKeown A, McNamara S, Baig H, Eccersley L, Pompilus F, Mateos MV; DREAMM-7 trial study group. Patient-reported outcomes with belantamab mafodotin, bortezomib, and dexamethasone versus daratumumab, bortezomib, and dexamethasone in patients with relapsed or refractory multiple myeloma (DREAMM-7): results from a phase 3, open-label, randomised controlled trial. Lancet Haematol. 2025 Aug;12(8):e599-e610. doi: 10.1016/S2352-3026(25)00163-2. Epub 2025 Jul 15.

    PubMed 40680752
  • Hungria V, Robak P, Hus M, Zherebtsova V, Ward C, Ho PJ, Ribas de Almeida AC, Hajek R, Kim K, Grosicki S, Sia H, Bryant A, Pitombeira de Lacerda M, Aparecida Martinez G, Sureda Balari AM, Sandhu I, Cerchione C, Ganly P, Dimopoulos M, Fu C, Garg M, Abdallah AO, Oriol A, Gatt ME, Cavo M, Rifkin R, Fujisaki T, Mielnik M, Pirooz N, McKeown A, McNamara S, Zhou X, Nichols M, Lewis E, Rogers R, Baig H, Eccersley L, Roy-Ghanta S, Opalinska J, Mateos MV; DREAMM-7 Investigators. Belantamab Mafodotin, Bortezomib, and Dexamethasone for Multiple Myeloma. N Engl J Med. 2024 Aug 1;391(5):393-407. doi: 10.1056/NEJMoa2405090. Epub 2024 Jun 1.

    PubMed 38828933

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Belantamab mafodotin, Daratumumab and Bortezomib in people with Multiple Myeloma, run by GlaxoSmithKline at 69 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in Japan, Poland, Spain, Russia, United States and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free Survival (PFS) (time frame: Up to approximately 41 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04246047, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Apr 2026.

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