OnCo
trialsTrialPositive

DREAMM-7

The trial that brought the withdrawn myeloma ADC back, beating a daratumumab-based standard on progression and survival.

PFS 36.6 vs 13.4 months (HR 0.41); OS HR 0.58 (2024 update). Ocular events in ~80% (grade 3+ ~35%) managed by dose holds. Re-approved US and EU 2025 (US label restricted to Pd combination initially after ODAC concerns on dosing).

Setting
Relapsed myeloma after ≥1 line: belantamab-Vd vs Dara-Vd
Phase
Phase 3
Sponsor
GSK
Registry
Headline result
PFS 36.6 vs 13.4 months, HR 0.41; OS HR 0.58.
Reported
2024
Enrolled
494
Replication
DREAMM-8 (belantamab-Pd vs Pom-Vd) concordant, PFS HR 0.52.

Outcomes

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In plain words
What these results mean for people, not percentages
494 people took part
Progression-free survival (median)primarysurrogate endpoint
  • Median 36.6 vs 13.4 months with Belantamab-Vd compared with Dara-Vd; about 23.2 months longer for half the group.
  • A median is a midpoint: half the people did better than this and half did worse, so it is not a prediction for any one person.
  • Put another way, the treated group had about 59 percent lower chance of the event at any given time (hazard ratio 0.41, likely range 0.31 to 0.53).
  • This is a surrogate endpoint: it measures the cancer being controlled or absent on scans and tests, which often, but not always, translates into living longer.
Overall survivalsurvival endpoint
  • The treated group had about 42 percent lower chance of the event at any given time (hazard ratio 0.58).
  • The absolute difference, how many more people out of 100 were helped, is not reported here.
  • Overall survival counts deaths from any cause, so it is the most direct measure of whether a treatment helps people live longer.
Be careful
  • These results apply to the people the trial enrolled: Relapsed myeloma after ≥1 line: belantamab-Vd vs Dara-Vd. People in a different situation may not see the same effect.

Numbers are from the trial as recorded here; see the source links in the table below. This is orientation, not medical advice: ask your team how closely the trial population matches you.

494 participants enrolled.

Progression-free survival (median)primary
HR 0.41 (0.31–0.53)
Belantamab-Vd
36.6 mo
Dara-Vd
13.4 mo
Source
Overall survival
HR 0.58 (0.43–0.79)

Numbers not yet public.

EndpointArmnValueHR (95% CI)pSource
Progression-free survival (median)primaryBelantamab-Vd24336.6 months0.41 (0.31–0.53)link
Dara-Vd25113.4 months
Overall survivalBelantamab-Vd0.58 (0.43–0.79)
Dara-Vd
Replication
DREAMM-8 (belantamab-Pd vs Pom-Vd) concordant, PFS HR 0.52.

Connected

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