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CompletedNCT05887206Updated Jun 2, 2023

Corneal Toxicity in Patients Treated by Belantamab Mafodotin

An observational study in Myeloma Multiple, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Completed at 10 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-02.

Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
43
Ages
18 Years and older
Sex
All
01

Study summary

Belantamab Mafodotin is the first antibody conjugate targeting B-cell maturation antigen (BCMA) in relapsed or refractory multiple myeloma (RRMM). It is used in multiple myeloma refractory to an immunomodulatory drug or proteasome inhibitor and refractory and/or intolerant to an anti-CD38 monoclonal antibody.

It has been found that the immunotherapy causes corneal side effects, Microcyst-like Epithelial Changes (MECs). They are round-shaped corneal inclusions that migrate from the peripheral cornea to the center, causing blurry vision, dryness and refractive shifts depending on their location and density.

Read the detailed description

This study aims at analysing the refractive shifts caused by Microcyst-like Epithelial Changes (MECs) and whether it can be used to monitor patients and facilitate their follow up.

Constitution of a French multicenter cohort.

02

Conditions studied

  • Myeloma Multiple

Keywords

  • Myeloma
  • relapsed or refractory multiple myeloma (RRMM)
  • Belantamab mafodotin
  • microcyst-like epithelial changes (MECs)
  • microcyst
  • corneal toxicity
  • refractive shift
03

In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's enrollment of 43 is below the median of 140 across 468 observational studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne is the lead sponsor of 578 studies on the registry; 128 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with a refractory multiple myeloma, treated by Belantamab Mafodotin, and an ophthalmologic follow-up between January 2020 and February 2022 will be included.

Inclusion criteria

  • French patients with a refractory multiple myeloma and an ophthalmologic follow-up between January 2020 and February 2022
  • Patients treated by Belantamab Mafodotin

Exclusion criteria

Exclusion Criteria:

  • Patients with more than 50% of missing ophthalmologic data.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
43 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients treated by Belantamab Mafodotin

    patients treated by Belantamab Mafodotin with a refractory multiple myeloma and an ophthalmologic follow-up between January 2020 and February 2022 will be included. Data will be collected for patients coming from multiple French centers which followed patients treated by Belantamab Mafodotin between January 2020 and February 2022. They will be obtained by contacting centers through an email sent with a secure mail address.

    Other: Collection of datas

Interventions

  • OtherCollection of datas

    The collected data are : sex, age, date of first immunotherapy cycle, dose, date of first consultation, objective refraction in spheric equivalent, keratometry, visual acuity, microcyst-like epithelial changes (MECs), location and density, corneal toxicity grade and complementary exams (topography, in vivo confocal microscopy).

06

What researchers measure

Primary outcomes

  1. Keratopathy and Visual Acuity (KVA) scale

    This scale is defined by 4 values : G1, G2, G3 and G4 (the best value is G1) The severity grade of microcyst-like epithelial changes (MECs) is rated using the Keratopathy and Visual Acuity (KVA) scale after slit lamp examination. The aim is to show a correlation between refractive shift and severity grade of microcyst-like epithelial changes (MECs)

    Time frame: Months: 24

  2. Refraction (no unit)

    The refraction is measured in spheric equivalent (SEQ) with an automated refractometer The aim is to show a correlation between refractive shift and severity grade of microcyst-like epithelial changes (MECs)

    Time frame: Months: 24

Secondary outcomes

  1. Monoyer scale

    The score is from 10/10 (best visual acuity) to 1/10 (worth visual acuity) Correlation between visual acuity and severity grade of microcyst-like epithelial changes (MECs)

    Time frame: Months: 24

  2. Parinaud scale

    The score is from 10/10 (best visual acuity) to 1/10 (worth visual acuity) Correlation between visual acuity and severity grade of microcyst-like epithelial changes (MECs)

    Time frame: Months: 24

  3. Keratometry (diopter = 1/m)

    Keratometry is measured in diopter using an autorefractometer or a topograph. This device measures the curvature of the anterior corneal surface based on the power of a reflecting surface. It does this by measuring the size of an image reflected from 2 paracentral points and utilizes doubling prisms to stabilize the image enabling more accurate focusing. Correlation between keratometry and severity grade of microcyst-like epithelial changes (MECs)

    Time frame: Months: 24

  4. Epithelial pachymetry (µm)

    Epithelial pachymetry is measured in micrometer (µm) using a topograph Correlation between epithelial pachymetry and severity grade of microcyst-like epithelial changes (MECs)

    Time frame: Months: 24

07

Study locations

10 sites
  • CHU Dijon
    Dijon, France
  • CHU de Limoges - Hôpital Dupuytren
    Limoges, France
  • HCL- Croix Rousse
    Lyon, France
  • Clinique Monticelli-Vélodrome
    Marseille, France
  • CHRU de Nancy
    Nancy, France
  • CHU Nice
    Nice, France
  • APHP - Kremlin-Bicêtre
    Paris, France
  • CHU Saint-Etienne
    Saint-Étienne, France
  • CHRU Strasbourg
    Strasbourg, France
  • CHU Toulouse
    Toulouse, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05887206
Lead sponsor
Centre Hospitalier Universitaire de Saint Etienne
Responsible party
Sponsor
First posted
Jun 2, 2023
Start date
May 2, 2022
Primary completion
May 2, 2023
Completion
May 2, 2023
Last update
Jun 2, 2023

Study contacts

Marie Caroline TRONE, MD
principal investigator · CHU Saint-Etienne

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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