• The DREAMM-7 study demonstrated that belantamab mafodotin, bortezomib, and dexamethasone (BVd) significantly improved progression-free survival in relapsed/refractory multiple myeloma patients compared to daratumumab, bortezomib, and dexamethasone (DVd).
• Median progression-free survival was 36.6 months in the BVd arm versus 13.4 months in the DVd arm (HR = 0.41; P < .0001), with consistent benefits across subgroups, including lenalidomide-refractory and high-risk cytogenetic myeloma.
• An early, strong trend toward better overall survival was observed with BVd (HR = 0.57; P = .00049), alongside a doubling in response rates and undetectable measurable residual disease.
• While ocular adverse effects were more frequent with BVd, they were generally manageable and reversible, suggesting BVd as a potential new standard of care in second-line or later relapsed/refractory multiple myeloma.