Janssen sBLA for Darzalex Combo Myeloma Treatment

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Janssen Pharmaceutical has submitted a supplemental BLA for Darzalex (daratumumab) in combination with lenalidomide and dexamethasone for treating patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant. The submission, which is based on data from the Phase 3 MAIA (MMY3008) clinical study, is being reviewed by the agency under its Real-Time Oncology Review pilot program. This allows FDA to review data before the applicant formally submits the complete application. It aims to explore a more efficient review process to help ensure treatments are available as soon as possible for patients.

 

Data submitted show that at a median follow-up of 28 months, the combination therapy reduced the risk of disease progression or death by 44% compared to treatment with lenalidomide and dexamethasone alone. The addition of Darzalex resulted in “deeper responses” compared to lenalidomide and dexamethasone alone, including increased rates of complete response or better, Janssen says.

 

The most common treatment-emergent severe adverse events for the combination therpy included neutropenia (50%), lymphopenia (15%), pneumonia (14%) and anemia (12%), the company says.

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