PMID- 32370462 OWN - NLM STAT- MEDLINE DCOM- 20200812 LR - 20200812 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 59 IP - 5 DP - 2020 May 1 TI - [The efficacy and safety of daratumumab in relapsed and refractory multiple myeloma]. PG - 347-352 LID - 10.3760/cma.j.cn112138-20191217-00821 [doi] AB - Objective: To investigate the efficacy and safety of daratumumab in relapsed and refractory multiple myeloma (RRMM). Methods: The efficacy and adverse events (AEs) of daratumumab based regimens were retrospectively analyzed in 37 patients with RRMM from Peking University People's Hospital, Beijing Hospital and Fu Xing Hospital affiliated to Capital Medical University in China. The deadline for inclusion was December, 2019. Results: Among the 37 patients, 35 patients were available for response evaluation. The overall response rate (ORR) was 68.6%, which was better in patients receiving 16 mg/kg daratumumab than in those with fixed doses of 800 mg daratumumab [ORR: 78.3%(18/23) vs. 40.0%(4/10)]. The percentage of infusion related reactions of daratumumab was 27.0%(10/37). The most common hematological AEs were lymphocytopenia and thrombocytopenia, with the incidences of grade 3 or more severe 59.5%(22/37) and 43.2%(16/37) respectively. Pulmonary infections(37.8%, 14/37) were the most common non-hematological AEs. One patient with positive hepatitis B surface antigen (HBsAg) and two patients dependent on dialysis were safely treated with daratumumab. Conclusion: Daratumumab is highly effective in relapsed and refractory multiple myeloma. Adverse reactions are mild and well tolerable. FAU - Jia, Y J AU - Jia YJ AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China; Department of Hematology, The First Hospital of Fangshan District, Beijing 102400, China. FAU - Liu, H AU - Liu H AD - Department of Hematology, Beijing Hospital, Beijing 100730, China. FAU - Wang, L R AU - Wang LR AD - Department of Hematology, Fu Xing Hospital, Capital Medical University, Beijing 100045, China. FAU - Wang, T AU - Wang T AD - Department of Hematology, Beijing Hospital, Beijing 100730, China. FAU - Feng, R AU - Feng R AD - Department of Hematology, Beijing Hospital, Beijing 100730, China. FAU - Chen, Y J AU - Chen YJ AD - Department of Hematology, Fu Xing Hospital, Capital Medical University, Beijing 100045, China. FAU - Wang, M AU - Wang M AD - Department of Hematology, Fu Xing Hospital, Capital Medical University, Beijing 100045, China. FAU - Guo, H X AU - Guo HX AD - Department of Hematology, Fu Xing Hospital, Capital Medical University, Beijing 100045, China. FAU - Wen, L AU - Wen L AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Duan, W B AU - Duan WB AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Yang, Y Z AU - Yang YZ AD - Department of Hematology, Beijing Hospital, Beijing 100730, China. FAU - Wang, F R AU - Wang FR AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Chen, Y Y AU - Chen YY AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Huang, X J AU - Huang XJ AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Lu, J AU - Lu J AD - Department of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China; Center for Collaborative Innovation in Hematology, Suzhou 215006, China. LA - chi PT - Journal Article PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 4Z63YK6E0E (daratumumab) SB - IM MH - Antibodies, Monoclonal/adverse effects/*therapeutic use MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - China MH - Humans MH - Multiple Myeloma/*therapy MH - Retrospective Studies OTO - NOTNLM OT - Daratumumab OT - Multiple myeloma OT - Refractory OT - Relapsed EDAT- 2020/05/07 06:00 MHDA- 2020/08/13 06:00 CRDT- 2020/05/07 06:00 PHST- 2020/05/07 06:00 [entrez] PHST- 2020/05/07 06:00 [pubmed] PHST- 2020/08/13 06:00 [medline] AID - 10.3760/cma.j.cn112138-20191217-00821 [doi] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2020 May 1;59(5):347-352. doi: 10.3760/cma.j.cn112138-20191217-00821.