Issued: 13 September 2024, London
UK
Blenrep
(belantamab
mafodotin) in combination receives Breakthrough Therapy Designation
in China for treatment of relapsed/refractory multiple
myeloma
- Granted based on results from phase
III head-to-head DREAMM-7 trial
- Designation expedites development
of investigational drugs with potential for substantial improvement
over available therapies
- Novel therapies needed in multiple
myeloma as patients typically relapse or stop responding to initial
treatments[1]
GSK plc (LSE/NYSE: GSK) today announced
that the Center for Drug Evaluation (CDE) of the National Medical
Products Administration (NMPA) in China has granted Breakthrough
Therapy Designation (BTD) for Blenrep (belantamab mafodotin)
combined with bortezomib plus dexamethasone (BorDex) for the
treatment of relapsed or refractory multiple myeloma. NMPA BTD is
intended to expedite the development of therapies for serious and
life-threatening diseases for which there are no existing
treatments or where initial evidence has shown an improvement in
patient outcomes over available treatment options.[2]
Hesham Abdullah, Senior Vice President, Global Head Oncology,
R&D, GSK, said: “Breakthrough
Therapy Designation in China underscores the potential for
Blenrep to redefine
outcomes for patients with multiple myeloma at or after their first
relapse. We look forward to continuing to work with the health
authority in China and others worldwide to bring Blenrep-based combinations to patients
as expeditiously as possible.”
BTD was granted based on the interim
results of the phase III head-to-head DREAMM-7 trial, which met its
primary endpoint, showing statistically
significant and clinically meaningful improvements in
progression-free survival (PFS) for belantamab mafodotin combined
with BorDex compared to daratumumab plus BorDex in relapsed or
refractory multiple myeloma.
A positive overall survival (OS)
trend was observed but was not statistically significant at the
time of interim analysis. Follow-up for OS continues. Results also
showed clinically meaningful improvements across all other
secondary efficacy endpoints, including deeper and more durable
responses compared to the standard of care combinations. The safety
and tolerability profile of the belantamab mafodotin combination in
the DREAMM-7 trial was broadly consistent with the known profiles
of the individual agents.
Multiple myeloma is a growing health
concern in China with approximately 30,000 new cases each
year[3]. The incidence in China has doubled and
mortality has increased 1.5-fold in the past three
decades.[4] This
underscores the need for novel, efficacious treatment options for
patients in China, particularly those with progressing disease that
has become resistant to the current standard of care.
About multiple myeloma
Multiple myeloma is the third most
common blood cancer globally and is generally considered treatable
but not curable.[5],[6] There are approximately more than 180,000
new cases of multiple myeloma diagnosed globally each
year.[7] Research into new therapies
is needed as multiple myeloma commonly becomes refractory to
available treatments.[8]
About DREAMM-7
The DREAMM-7 phase III clinical trial
is a multicentre, open-label, randomised trial evaluating the
efficacy and safety of belantamab mafodotin in combination with
BorDex compared to a combination of daratumumab and BorDex in
patients with relapsed/refractory multiple myeloma who previously
were treated with at least one prior line of multiple myeloma
therapy, with documented disease progression during or after their
most recent therapy.
A total of 494 participants were
randomised at a 1:1 ratio to receive either belantamab mafodotin in
combination with BorDex or a combination of daratumumab and BorDex.
Belantamab mafodotin was scheduled to be dosed at 2.5mg/kg
intravenously every three weeks.
The primary endpoint is PFS as per an
independent review committee. The key secondary endpoints include
OS, duration of response (DOR), and minimal residual disease (MRD)
negativity rate as assessed by next-generation sequencing. Other
secondary endpoints include overall response rate (ORR), safety,
and patient reported and quality of life outcomes.
Results from DREAMM-7 were
first
presented[9] at the American Society of Clinical Oncology (ASCO) Plenary
Series in February 2024, shared in an encore presentation at the
2024 ASCO Annual Meeting, and published in the New England Journal of
Medicine.
About Blenrep
Blenrep is an
antibody-drug conjugate comprising a humanised B-cell maturation
antigen monoclonal antibody conjugated to the cytotoxic agent
auristatin F via a non-cleavable linker. The drug linker technology
is licensed from Seagen Inc.; the monoclonal antibody is produced
using POTELLIGENT Technology licensed from BioWa Inc., a member of
the Kyowa Kirin Group.
Blenrep is approved as
monotherapy in Hong Kong, Israel and Singapore. Refer to the local
Summary of Product Characteristics for a full list of adverse
events and complete important safety information.
GSK
in oncology
Oncology is an emerging therapeutic
area for GSK where we are committed to maximising patient survival
with a current focus on haematologic malignancies, gynaecologic
cancers, and other solid tumours through breakthroughs in
immuno-oncology and tumour-cell targeting therapies.
About GSK
GSK is a global biopharma company
with a purpose to unite science, technology, and talent to get
ahead of disease together. Find out more at gsk.com.
GSK
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Cautionary statement regarding forward-looking
statements
GSK cautions
investors that any forward-looking statements or projections made
by GSK, including those made in this announcement, are subject to
risks and uncertainties that may cause actual results to differ
materially from those projected. Such factors include, but are not
limited to, those described under Item 3.D ''Risk factors'' in
GSK's Annual Report on Form 20-F for 2023, and GSK's Q2 Results for
2024.
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[1] Moreau P., Kumar
S, San Miguel J, et al. Treatment of relapsed and refractory
multiple myeloma: recommendations from the International Myeloma
Working Group. The Lancet Oncology, Volume 22, Issue 3,
e105-e118.doi:10.1016/S1470-2045(20)30756-7.
[2] China Drug
Registration Regulation. Available at:
http://www.gov.cn/gongbao/content/2020/content_5512563.htm.
Accessed 12 September 2024.
[3] Global Cancer
Observatory. International Agency for Research on Cancer. World
Health Organization. China fact sheet. Available at:
https://gco.iarc.who.int/media/globocan/factsheets/populations/160-china-fact-sheet.pdf.
Accessed 12 September 2024.
[4] Liu J, Liu W, Mi
L, et al. Burden of multiple myeloma in China: an analysis of the
Global Burden of Disease, Injuries, and Risk Factors Study 2019.
Chin Med J (Engl). 2023;136(23):2834-2838. Published 2023 Dec 5.
doi:10.1097/CM9.0000000000002600.
[5] Sung H, Ferlay J,
Siegel R, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates
of Incidence and Mortality Worldwide for 36 Cancers in 185
Countries. CA Cancer J Clin. 2021;71(3):209-249.
doi:10.3322/caac.21660.
[6] Kazandjian D.
Multiple myeloma epidemiology and survival: A unique malignancy.
Semin Oncol.
2016;43(6):676Ð681.doi:10.1053/j.seminoncol.2016.11.004.
[7] Global Cancer
Observatory. International Agency for Research on Cancer. World
Health Organization. Multiple Myeloma fact sheet. Available at:
https://gco.iarc.who.int/media/globocan/factsheets/cancers/35-multiple-myeloma-fact-sheet.pdf.
Accessed 12 September 2024.
[8] Nooka AK,
Kastritis E, Dimopoulos MA. Treatment options for relapsed and
refractory multiple myeloma. Blood. 2015;125(20).
doi:10.1182/blood-2014-11-568923.
[9] GSK press release
issued 05 February 2024. DREAMM-7 phase III trial shows Blenrep
combination nearly tripled median progression-free survival versus
standard of care combination in patients with relapsed/refractory
multiple myeloma. Available at:
https://www.gsk.com/en-gb/media/press-releases/dreamm-7-phase-iii-trial-shows-pfs-improvement-and-strong-os-trend-for-blenrep-combo-versus-soc-combo-in-multiple-myeloma/.
Accessed 12 September 2024.