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Belantamab mafodotin + elotuzumab is an investigational combination therapy being evaluated for the treatment of relapsed or refractory multiple myeloma. Belantamab mafodotin is a B-cell maturation antigen (BCMA)-targeted antibody-drug conjugate (ADC) that delivers the cytotoxic agent monomethyl auristatin F (MMAF) directly to plasma cells, inducing apoptosis and enhancing immune-mediated cell death. Elotuzumab is a humanized monoclonal antibody targeting Signaling Lymphocytic Activation Molecule Family member 7 (SLAMF7), which activates Natural Killer (NK) cells and tags myeloma cells for antibody-dependent cellular cytotoxicity (ADCC). This combination, currently being studied in the Phase Ib/II Bela-Elo trial sponsored by Yale University in collaboration with GSK, aims to leverage synergistic immune-mediated mechanisms to overcome resistance in heavily pretreated, triple-class refractory patients.
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