Daratumumab
Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.
| ID | DRUG-DARATUMUMAB |
|---|---|
| Type | Médicament |
| Alias | DarzalexDarzalex Faspro (SC)Даратумумаб |
| État | reviewed 2026-04-26 | pending_clinical_signoff |
| Maladies | DIS-MM |
| Sources | SRC-NCCN-MM-2025 |
Faits sur les drogues
| Catégorie | monoclonal_antibody — anti-CD38 IgG1κ (fully human) |
|---|---|
| Mécanisme | Binds CD38, which is highly expressed on plasma cells. Induces myeloma cell death through complement-dependent cytotoxicity (CDC), antibody- dependent cellular cytotoxicity (ADCC), antibody-dependent cellular phagocytosis (ADCP), apoptosis, and immunomodulation via depletion of CD38+ regulatory T-cells. |
| Dose typique | IV: 16 mg/kg weekly cycles 1-2, every 2 weeks cycles 3-6, then every 4 weeks. SC (Faspro): 1800 mg with hyaluronidase, same schedule — preferred where available due to shorter administration time and fewer infusion reactions. |
| Ukraine enregistrée | Vrai |
| NSZU remboursé | Vrai |
| Ukraine vérifiée pour la dernière fois | 2026-04-27 |
Notes
Reimbursement under НСЗУ in Ukraine is currently NOT in place — this is a meaningful access constraint. Patients selected for D-VRd in 1L need documented funding pathway (clinical trial, charitable scheme, or out-of-pocket). HBV screening (HBsAg + anti-HBc) mandatory before first dose; entecavir prophylaxis if HBsAg+ or anti-HBc+. Type and screen for red-cell antibodies BEFORE first dose to avoid daratumumab interference with crossmatching.
Utilisé par
Contraindications
CI-HBV-NO-PROPHYLAXIS- CI-HBV-NO-PROPHYLAXIS
Protocole thérapeutique
REG-D-RD-MAIA- Daratumumab + Lenalidomide + Dexamethasone (D-Rd, MAIA — MM 1L non admissible à la transplantation)REG-DARA-LEN-MAINTENANCE- Daratumumab + Lenalidomide de l ' entretienASCT (PERSEUS horaire)REG-DARA-VRD- Daratumumab + Bortezomib + Lenalidomide + Dexamethasone (D-VRD), 4-6 cycles d'inductionREG-DKD- Daratumumab + Carfilzomib + Dexamethasone (DKd / D-Kd / Isa-Kd analogique), 28- cycles journaliers