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FDA approves Darzalex (daratumumab)

by Beacon Staff on Mon Nov 16, 2015 3:07 pm

Breaking news - The FDA today approved daratumumab as a new treatment for multiple myeloma. The drug, which will be sold under the brand name "Darzalex", had been approved for use in patients who have had at least three prior therapies for their multiple myeloma.

For the Beacon news article on the approval, see:

"Darzalex (Daratumumab) Approved By FDA For Multiple Myeloma," The Myeloma Beacon, Nov 17, 2015

(Yes, the link to the Beacon news article was added to this posting once the article was published. We thought it might be useful, however, to have it in this thread.)

This FDA press release also has basic information about the approval:

"FDA Approves Darzalex For Patients With Previously Treated Multiple Myeloma", Nov 16, 2015

Key excerpts from the press release:

Today the U.S. Food and Drug Administration granted accelerated approval for Darzalex (daratumumab) to treat patients with multiple myeloma who have received at least three prior treatments. Darzalex is the first monoclonal antibody approved for treating multiple myeloma ...

Darzalex injection, given as an infusion, is a monoclonal antibody that works by helping certain cells in the immune system attack cancer cells.

The safety and efficacy of Darzalex were demonstrated in two open-label studies. In one study of 106 participants receiving Darzalex, 29 percent of patients experienced a complete or partial reduction in their tumor burden, which lasted for an average of 7.4 months. In the second study of 42 participants receiving Darzalex, 36 percent had a complete or partial reduction in their tumor burden.

The most common side effects of Darzalex were infusion-related reactions, fatigue, nausea, back pain, fever and cough. Darzalex may also result in low counts of infection-fighting white blood cells (lymphopenia, neutropenia, and leukopenia) or red blood cells (anemia) and low levels of blood platelets (thrombo­cyto­penia).

Blood banks should be informed that patients are receiving Darzalex because the drug may interfere with certain tests that are done by blood banks (such as antibody screening) for patients who need a blood transfusion. Women who are pregnant should not use Darzalex, and women planning to become pregnant should use effective contraceptives during and for at least three months after treatment.

Update (May 24, 2016): Darzalex also has now been approved in Europe; see this Beacon news article with additional information:

"Darzalex approved in Europe," The Myeloma Beacon, May 24, 2016

Beacon Staff

Re: FDA approves Darzalex (daratumumab)

by Multibilly on Mon Nov 16, 2015 3:41 pm

Woooo hooooo! I think it's pretty exciting to have the first MAB approved for use in multiple myeloma.

Multibilly
Name: Multibilly
Who do you know with myeloma?: Me
When were you/they diagnosed?: Smoldering, Nov, 2012

Re: FDA approves Darzalex (daratumumab)

by Ellen Harris on Mon Nov 16, 2015 3:58 pm

This is great news!

Ellen Harris

Re: FDA approves Darzalex (daratumumab)

by Beacon Staff on Mon Nov 16, 2015 4:16 pm

You can find more details about the FDA approval of Darzalex in this press release from Genmab, the company that initially developed the drug:

"Genmab Announces U.S. FDA Approval Of DARZALEX™ (Daratumumab) For Multiple Myeloma And Updates Financial Guidance", Nov 16, 2015

It outlines in more detail the prior therapy requirements associated with the approval, and also includes safety precautions.

Beacon Staff

Re: FDA approves Darzalex (daratumumab)

by JPC on Mon Nov 16, 2015 4:45 pm

One quick point on this.

Reading the Genmab press release, there are financials included. Based on today's approval, they project $45M in sales for this year. I am not sure what the exact unit cost of a line of treatment will be, however, I am guessing that somewhere between 1,000 and 5,000 people will be getting the treatment this year.

Having a group that large coming up the learning curve on this MAB is a vey good thing. It will accelerate the acceptance of the use of the drug not only in its approved use, but also for "off-label" settings. The natural course of drug approvals for multiple myeloma in recent years is that the good drugs are initially approved for treatment at late stage (multiple relapses), and used for that purpose at first, but over time, moves into the front line. I hope that occurs as quickly as possible. As the MAB's (there are several more in the pipeline) move into the front line, I expect that PFS and OS will over time move up very well as a result of this.

JPC
Name: JPC

Re: FDA approves Darzalex (daratumumab)

by Little Monkey on Mon Nov 16, 2015 5:00 pm

I wonder how long before Health Canada approves this medicine.

Little Monkey
Name: Little Monkey
Who do you know with myeloma?: Father-stage 1 multiple myeloma
When were you/they diagnosed?: March/April of 2015

Re: FDA approves Darzalex (daratumumab)

by RadiantTiger on Mon Nov 16, 2015 6:06 pm

Does daratumumab work equally well for both IgG and IgA myeloma?

RT
Peace to all suffering from the symptoms of myeloma and its pharmaceutical interventions.

RadiantTiger
Name: Radiant Tiger
Who do you know with myeloma?: Myself, my deceased uncle
When were you/they diagnosed?: Feb 2015
Age at diagnosis: 54

Re: FDA approves Darzalex (daratumumab)

by Bar-none on Mon Nov 16, 2015 7:05 pm

Great news! Approval was faster than I expected!

Best to all! BN

Bar-none
Who do you know with myeloma?: Me
When were you/they diagnosed?: 3/14

Re: FDA approves Darzalex (daratumumab)

by Beacon Staff on Mon Nov 16, 2015 8:37 pm

Here is the official, FDA-approved prescribing information for Darzalex:

DarzalexPrescribingInformation.pdf
(93 KiB) Downloaded 127 times


Anyone see anything interesting or surprising in the document?

Beacon Staff

Re: FDA approves Darzalex (daratumumab)

by Tracy J on Mon Nov 16, 2015 8:52 pm

NO contraindications? That's sort of extreme.

Tracy J
Name: Tracy Jalbuena
Who do you know with myeloma?: Me
When were you/they diagnosed?: 2014
Age at diagnosis: 42

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