Darzalex OK’d for Multiple Myeloma Combo Therapy
FDA has approved a Janssen Biotech supplemental BLA for the use of Darzalex (daratumumab) in combination with Amgen’s Kyprolis (carfilzomib) and dexamethasone for relapsed/refractory multiple myeloma in those who have received one to three previous therapies. Approval was based on data from the Phase 3 CANDOR study that evaluated 466 relapsed or refractory patients with multiple myeloma at 120 global sites. Patients were treated until disease progression, and the primary endpoint was progression-free survival, according to the company. Key secondary endpoints were overall response rate, minimal residual disease and overall survival. CANDOR is an Amgen-sponsored study and is co-funded by Janssen.
In the U.S., Darzalex is approved as a monotherapy for patients with multiple myeloma who have received at least three prior lines of therapy, including a proteasome inhibitor (PI ) and an immunomodulatory agent, or who are double refractory to a PI and an immunomodulatory agent. In 2016, it was approved in combination with lenalidomide and dexamethasone, or bortezomib and dexamethasone, for treating patients with multiple myeloma who have received at least one prior therapy. In 2017, it was approved in combination with pomalidomide and dexamethasone for treating patients with multiple myeloma who have received at least two prior therapies, including lenalidomide and a PI.