Janssen sBLA for Darzalex in Real Time Review Pilot
Janssen Biotech has submitted the first part of a supplemental BLA for a label expansion to include the use of Darzalex (daratumumab) in combination with lenalidomide and dexamethasone for treating patients with newly diagnosed multiple myeloma who are not candidates for high dose chemotherapy and autologous stem cell transplant. The agency plans to review the submission under its Real-Time Oncology Review pilot program, according to the company.
The filing is based on data from the Phase 3 MAIA (MMY3008) study of daratumumab in combination with lenalidomide and dexamethasone as treatment for patients with newly diagnosed multiple myeloma. Patients in the two treatment arms will continue treatment with lenalidomide and dexamethasone until disease progression or unacceptable toxicity. The primary endpoint of the study is progression free survival, according to the company.
Darzalex is currently indicated in combination with bortezomib, melphalan and prednisone for treating patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant; 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 combination with pomalidomide and dexamethasone for treating patients with multiple myeloma who have received at least two prior therapies, including lenalidomide and a proteasome inhibitor; and as a monotherapy for treating patients with multiple myeloma who have received at least three prior lines of therapy.