Belantamab mafodotin

Belantamab mafodotin
Monoclonal antibody
TypeWhole antibody
SourceHumanized
TargetB-cell maturation antigen (BCMA) (CD269)
Clinical data
Trade namesBlenrep
Other namesbelantamab mafodotin-blmf, GSK2857916
AHFS/Drugs.comMonograph
License data
Routes of
administration
Intravenous
Drug classAntineoplastic agent
ATC code
Legal status
Legal status
Identifiers
CAS Number
DrugBank
UNII
KEGG
Chemical and physical data
FormulaC6484H10008N1728O2030S44. (C49H66N6O11)4

Belantamab mafodotin, sold under the brand name Blenrep, is a monoclonal antibody conjugated with a cytotoxic agent for the treatment of relapsed and refractory multiple myeloma.[1][6][7][2]

The most common adverse reactions include keratopathy (corneal epithelium change on eye exam), decreased visual acuity, nausea, blurred vision, pyrexia, infusion-related reactions, and fatigue.[1][6]

Belantamab mafodotin is a humanized IgG1κ monoclonal antibody against the B-cell maturation antigen (BCMA) conjugated with a cytotoxic agent, maleimidocaproyl monomethyl auristatin F (mcMMAF).[2] The antibody-drug conjugate binds to BCMA on myeloma cell surfaces causing cell cycle arrest and inducing antibody-dependent cellular cytotoxicity.[2]

Belantamab mafodotin was approved for medical use in the United States and in the European Union in August 2020.[6][7][2] The U.S. Food and Drug Administration (FDA) considers it to be a first-in-class medication.[8][9]

In November 2022, GSK plc initiated the process for withdrawal of the United States marketing authorization for belantamab mafodotin following the request of the US FDA.[10] This request was based on the outcome of the DREAMM-3 phase III confirmatory trial,[11] which did not meet the requirements of the US FDA accelerated approval regulations.[12]

  1. ^ a b c "Blenrep- belantamab injection, powder, lyophilized, for solution". DailyMed. 5 August 2020. Archived from the original on 27 October 2020. Retrieved 11 August 2020.
  2. ^ a b c d e "Blenrep EPAR". European Medicines Agency (EMA). 23 July 2020. Archived from the original on 1 November 2020. Retrieved 24 September 2020.
  3. ^ "Blenrep Product information". Union Register of medicinal products. Archived from the original on 5 March 2023. Retrieved 3 March 2023.
  4. ^ Cite error: The named reference Blenrep EPAR 2 was invoked but never defined (see the help page).
  5. ^ Cite error: The named reference Blenrep PI 2 was invoked but never defined (see the help page).
  6. ^ a b c "FDA granted accelerated approval to belantamab mafodotin-blmf for multiple myeloma". U.S. Food and Drug Administration (FDA). 5 August 2020. Archived from the original on 6 August 2020. Retrieved 6 August 2020. This article incorporates text from this source, which is in the public domain.
  7. ^ a b "FDA Approves GSK's Blenrep (belantamab mafodotin-blmf) for the Treatment of Patients with Relapsed or Refractory Multiple Myeloma" (Press release). GlaxoSmithKline. 6 August 2020. Archived from the original on 6 August 2020. Retrieved 6 August 2020 – via Business Wire.
  8. ^ "New Drug Therapy Approvals 2020". U.S. Food and Drug Administration (FDA). 31 December 2020. Archived from the original on 18 January 2021. Retrieved 17 January 2021.
  9. ^ "Drug Approval Package: Blenrep". U.S. Food and Drug Administration (FDA). 1 August 2020. Archived from the original on 21 January 2021. Retrieved 17 January 2021.
  10. ^ "GSK provides an update on Blenrep (belantamab mafodotin-blmf) US marketing authorization" (Press release). GSK. 22 November 2022. Archived from the original on 23 November 2022. Retrieved 23 November 2022.
  11. ^ "GSK provides update on DREAMM-3 phase III trial for Blenrep in relapsed/refractory multiple myeloma" (Press release). GSK. 11 July 2022. Archived from the original on 23 November 2022. Retrieved 23 November 2022.
  12. ^ "GlaxoSmithKline Intellectual Property Development Ltd. England; Announcement of the Revocation of the Biologics License for Blenrep". Federal Register. 30 March 2023. Archived from the original on 30 March 2023. Retrieved 15 August 2024.