Daratumumab for the treatment of AL amyloidosis.

Abstract:

:Autologous stem cell transplantation (ASCT) has been used as treatment for immunoglobulin light-chain (AL) amyloidosis for over two decades with improving outcomes; however, the majority of patients are not candidates for this therapy at diagnosis. Novel agents such as immunomodulatory drugs, proteasome inhibitors, and immunotherapy with monoclonal antibodies targeting CD38 have been adopted from the multiple myeloma spheres with encouraging results. Herein, we discuss the role of daratumumab, a monoclonal antibody to CD38, in the treatment of AL amyloidosis. We focus on its mechanism of action, tolerability, and the current published data on its use in AL amyloidosis. Early data from phase I and phase II studies show that daratumumab is tolerated well in this population and induces rapid and deep responses. Phase III trials are currently accruing and we envision daratumumab becoming a key component in the treatment of AL amyloidosis in the future.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Sidiqi MH,Gertz MA

doi

10.1080/10428194.2018.1485914

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

295-301

issue

2

eissn

1042-8194

issn

1029-2403

journal_volume

60

pub_type

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