Daratumumab: A review of current indications and future directions

Semin Oncol. 2022 Feb;49(1):48-59. doi: 10.1053/j.seminoncol.2022.01.008. Epub 2022 Jan 20.

Abstract

Daratumumab, a human IgG1 kappa monoclonal antibody targeting CD38 has transformed the treatment paradigm of multiple myeloma (MM). With the identification of CD38 as a crucial receptor involved in immune system function, it became an ideal target for monoclonal antibody (mAb) drug development in MM. Daratumumab's unique multifaceted mechanism of action has led to great success in the treatment of relapsed refractory multiple myeloma (RRMM) as well as newly diagnosed multiple myeloma (NDMM) patients. Along with its efficacy comes a low toxicity profile, improved further with the introduction of subcutaneous daratumumab. With such success within MM, daratumumab is now being explored in other disease states. This article will review daratumumab's drug development, practical use, and future potential indications.

Keywords: AL amyloidosis; CD38; Daratumumab; Monoclonal antibody; Multiple myeloma.

Publication types

  • Review

MeSH terms

  • ADP-ribosyl Cyclase 1 / therapeutic use
  • Antibodies, Monoclonal / pharmacology
  • Antibodies, Monoclonal / therapeutic use
  • Humans
  • Multiple Myeloma* / drug therapy

Substances

  • Antibodies, Monoclonal
  • daratumumab
  • ADP-ribosyl Cyclase 1