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Belantamab mafodotin + venetoclax is a combination therapy being investigated for the treatment of relapsed and refractory multiple myeloma, particularly in patients with t(11;14) translocation. This combination pairs two distinct mechanisms of action: 1. **Belantamab mafodotin** is an antibody-drug conjugate (ADC) consisting of an afucosylated IgG1 monoclonal antibody targeting B-cell maturation antigen (BCMA) conjugated to monomethyl auristatin-F (MMAF), a potent microtubule inhibitor. It works by binding to BCMA on multiple myeloma cells, leading to internalization of the drug complex, release of MMAF, cell cycle arrest, and apoptosis. 2. **Venetoclax** is a selective BCL-2 inhibitor that has shown particular efficacy in multiple myeloma patients with t(11;14) translocation. The combination is being studied to potentially enhance efficacy in treating relapsed/refractory multiple myeloma through complementary mechanisms of action.
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