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Daratumumab for smoldering multiple myeloma?

by Jane Z on Fri Jan 08, 2016 3:05 pm

Now that daratumumab (Darzalex) has been approved for relapsed myeloma, I am wondering if off label use is possible for smoldering multiple myeloma or untreated myeloma, such that a person could personally pay for the medication and be under a specialist's care for administration.

How much would this cost?

Thanks

Jane Z

Re: Daratumumab for smoldering multiple myeloma?

by TerryH on Fri Jan 08, 2016 4:05 pm

Hi Jane,

Welcome to the forum.

There is a clinical trial testing different doses of daratumumab in smoldering multiple myeloma patients. You can find information about it here:

https://clinicaltrials.gov/ct2/show/NCT02316106

Near the page at that link is a link which, if you click on it, will show you locations where the trial is available.

If you're willing to pay for the daratumumab yourself, you might be able to get a specialist to prescribe you the drug for smoldering myeloma outside the trial setting, but they probably would recommend participating in the trial as the first option.

Information about the cost of daratumumab in patients with relapsed multiple myeloma can be found in this Beacon article about the drug's U.S. approval:

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

The cost per month depends on how frequently the drug is dosed and the patient's weight. For someone who is about 175 pounds, the cost per infusion is about $6,000, and the frequency of infusion ranges from once per week at the beginning of treatment to once every 4 weeks after a few months of treatment.

TerryH


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