Daratumumab

Indications and Usage

Daratumumab is FDA approved for the treatment of adult patients with multiple myeloma:

• In combination with lenalidomide and dexamethasone in newly diagnosed patients who are ineligible for autologous stem cell transplant and in patients with relapsed or refractory multiple myeloma who have received at least one prior therapy
• In combination with bortezomib, melphalan and prednisone in newly diagnosed patients who are ineligible for autologous stem cell transplant
• In combination with bortezomib, thalidomide, and dexamethasone in newly diagnosed patients who are eligible for autologous stem cell transplant
• In combination with bortezomib and dexamethasone in patients who have received at least one prior therapy
• In combination with pomalidomide and dexamethasone in patients who have received at least two prior therapies including lenalidomide and a proteasome inhibitor 
• As monotherapy, in patients who have received at least three prior lines of therapy including a proteasome inhibitor (PI) and an immunomodulatory agent or who are double-refractory to a PI and an immunomodulatory agent. 

Side effects needing medical attention

Infusion reactions (such as shortness of breath or trouble breathing, headache, dizziness or lightheadedness (hypotension), rash or hives, cough, itching, wheezing, nausea, throat tightness, vomiting, runny or stuffy nose, chills), fatigue, nausea, back pain, fever, cough, cold-like symptoms (upper respiratory infection).