CD38-targeted antibody-drug conjugate 
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  • ||||||||||  Darzalex IV (daratumumab) / J&J
    Journal, IO biomarker:  CD38 deletion of human primary NK cells eliminates daratumumab-induced fratricide and boosts their effector activity. (Pubmed Central) -  Apr 7, 2021   
    Lastly, we evaluate the impact of exposure to all-trans retinoic acid (ATRA) on wild type NK and CD38KO NK cells function and highlight potential benefit and drawbacks of combining ATRA with DARA in patients with MM. Taken together, these findings provide proof of concept that adoptive immunotherapy using ex vivo expanded CD38KO NK cells has the potential to boost DARA activity in MM.
  • ||||||||||  Review, Journal:  Boosting Immunity against Multiple Myeloma. (Pubmed Central) -  Apr 7, 2021   
    In this sense, approaches that target not only myeloma cells but also the surrounding microenvironment are promising strategies to achieve a sustained MRD negativity with prolonged survival. This review provides an overview of current and future strategies used for immunomodulation of MM focusing on the impact on bone marrow (BM) immunome.
  • ||||||||||  Darzalex IV (daratumumab) / J&J
    Review, Journal:  Monoclonal Antibodies and Antibody Drug Conjugates in Multiple Myeloma. (Pubmed Central) -  Apr 7, 2021   
    Belantamab mafodotin is the first approved antibody drug conjugate directed against B cell maturation antigen and is currently used as a monotherapy for patients with advanced disease. This review focuses on clinical efficacy and safety of monoclonal antibodies as well as antibody drug conjugates in multiple myeloma.
  • ||||||||||  Darzalex IV (daratumumab) / J&J
    Review, Journal:  Targeted Therapy With Immunoconjugates for Multiple Myeloma. (Pubmed Central) -  Apr 2, 2021   
    This review will focus on the mechanisms of action, safety and efficacy of several promising immunoconjugates that are under investigation in preclinical and/or clinical MM studies. We will also include a discussion on combination therapy with immunoconjugates, resistance mechanisms, and future developments.
  • ||||||||||  Darzalex IV (daratumumab) / J&J
    [VIRTUAL] ASSESSMENT OF MINIMAL RESIDUAL DISEASE USING MULTIPARAMETRIC FLOW CYTOMETRY IN TREATED PATIENTS WITH AL AMYLOIDOSIS () -  Mar 27, 2021 - Abstract #ISOA2020ISOA_38;    
    For patients with AL amyloidosis in hemCR, MRD-negativity by MFC was associated with statistically higher probability of renal response, but not cardiac or any organ response, nor depth of organ improvement. Results may be confounded by higher baseline dFLC and MRD testing occurring at a later time point after hemCR achievement in the MRD-negative cohort (71 vs. 32 months, P=.27), thereby allowing more time for organ recovery.
  • ||||||||||  Blenrep (belantamab mafodotin) / GSK
    Journal:  Bispecifics, trispecifics, and other novel immune treatments in myeloma. (Pubmed Central) -  Mar 26, 2021   
    Belantamab mafodotin, a B-cell maturation antigen (BCMA)-targeted ADC, has shown response rates >30% in a phase 2 trial of highly refractory patients and is being investigated in a variety of settings and combinations...This is an area of active preclinical research at this time. Lastly, designed ankyrin repeat proteins, which are small antibody-mimetic proteins with high target-binding affinity, have the potential to block multiple pathways at once and provide stimulatory signals to the immune system.
  • ||||||||||  lenalidomide / Generic mfg., Darzalex IV (daratumumab) / J&J
    Journal:  Daratumumab in multiple myeloma: experience of the multiple myeloma GIMEMA Lazio group. (Pubmed Central) -  Mar 26, 2021   
    DARA was generally well tolerated; however, 2 patients interrupted their therapy due to adverse events. Present real-life experience confirms that DARA monotherapy is an effective strategy for heavily pre-treated and refractory patients with multiple myeloma, with a favorable safety profile.
  • ||||||||||  Melflufen (melphalan flufenamide) / Oncopeptides
    [VIRTUAL] How to overcome microenvironment induced drug resistance and novel agents in heavily pre-treated patients () -  Mar 25, 2021 - Abstract #EMN2021EMN_88;    
    Melflufen is a novel alkylator based peptide-drug conjugate (PDC) with DNA damaging effect but has also been described to have anti-angiogenic properties...In summary, although agents exclusively targeting the microenvironment in MM have not been very successful to date in monotherapy, many of the novel anti-MM agents that are currently under evaluation play also a role on the MM microenvironment, which contributes to their efficacy. Finding the best combination of agents targeting the myeloma, stromal, immune and bone compartments is one of the challenges facing the treatment of heavily-pretreated patients.
  • ||||||||||  Xpovio (selinexor) / Ono Pharma, Karyopharm, Antengene
    Journal, IO biomarker:  Selinexor: a first-in-class SINE compound for treatment of relapsed refractory multiple myeloma. (Pubmed Central) -  Mar 25, 2021   
    Selinexor represents a novel, oral agent with an innovative mechanism of action that offers a significant therapeutic advance in this group of heavily treated patients. Moreover, this novel mechanism may provide additional options for patients with less refractory disease.
  • ||||||||||  Review, Journal, IO biomarker:  CD38 and Regulation of the Immune Response Cells in Cancer. (Pubmed Central) -  Mar 18, 2021   
    Targeting CD38 with anti-CD38 monoclonal antibodies in hematological malignancies has shown excellent results. Bearing that in mind, targeting CD38 in other nonhematological cancer types, especially carcinomas, which are of epithelial origin with specific anti-CD38 antibodies alone or in combination with immunomodulatory drugs, is an interesting option that deserves profound consideration.
  • ||||||||||  Revlimid (lenalidomide) / BMS
    Journal:  Immunotherapy in multiple myeloma: when, where, and for who? (Pubmed Central) -  Mar 16, 2021   
    Bearing that in mind, targeting CD38 in other nonhematological cancer types, especially carcinomas, which are of epithelial origin with specific anti-CD38 antibodies alone or in combination with immunomodulatory drugs, is an interesting option that deserves profound consideration. Immunotherapy is incorporated into first-line and relapse regimens, and is improving the survival of both newly diagnosed and relapsed/refractory multiple myeloma patients.
  • ||||||||||  Abecma (idecabtagene vicleucel) / BMS, 2seventy bio
    Biomarker, Clinical Trial,Phase II, Journal:  Idecabtagene Vicleucel in Relapsed and Refractory Multiple Myeloma. (Pubmed Central) -  Mar 9, 2021   
    P2
    Almost all patients had grade 3 or 4 toxic effects, most commonly hematologic toxic effects and cytokine release syndrome. (Funded by bluebird bio and Celgene, a Bristol-Myers Squibb company; KarMMa ClinicalTrials.gov number, NCT03361748.).
  • ||||||||||  Melflufen (melphalan flufenamide) / Oncopeptides, Darzalex IV (daratumumab) / J&J
    Journal:  Melflufen for relapsed and refractory multiple myeloma. (Pubmed Central) -  Mar 4, 2021   
    The safety profile of melflufen, which is characterized primarily by clinically manageable hematologic adverse events, is described. Melflufen has potential to fill a gap in the myeloma treatment landscape by providing a new mechanism of action with clinically meaningful efficacy and a favorable safety profile in patients refractory to multiple novel agents.
  • ||||||||||  Darzalex Faspro (daratumumab/hyaluronidase) / J&J
    Review, Journal:  Subcutaneous daratumumab and hyaluronidase-fihj in newly diagnosed or relapsed/refractory multiple myeloma. (Pubmed Central) -  Feb 23, 2021   
    Otherwise, the pharmacokinetics, safety profile, and efficacy are comparable. This review summarizes the pivotal trials that led to the approval of Dara-SC, highlights important clinical considerations for the use of Dara-SC, and provides practical guidelines for the administration of Dara-SC in the clinic.
  • ||||||||||  Revlimid (lenalidomide) / BMS, Darzalex IV (daratumumab) / J&J
    Journal:  Emerging drugs for the treatment of light chain amyloidosis. (Pubmed Central) -  Feb 4, 2021   
    Other plasma cell-directed drugs that have prospective data on safety and efficacy in AL include proteasome inhibitors [bortezomib and ixazomib], immunomodulatory drugs [lenalidomide and pomalidomide], and alkylating agents [melphalan and bendamustine]...The most promising second line drugs are venetoclax [for t(11;14)] and pomalidomide, with several others in the pipeline, including antibody-drug conjugates. Minimal residual disease will emerge as a new endpoint for drug development and will potentially guide treatment duration.
  • ||||||||||  Darzalex IV (daratumumab) / J&J
    Clinical, Review, Journal:  Epidemiology, Staging, and Management of Multiple Myeloma. (Pubmed Central) -  Jan 28, 2021   
    Front-line management includes induction regimen, maintenance therapy and hematopoietic cell transplantation for eligible patients and bisphosphonates or bone-stimulating agents for the prevention of skeletal events. Treatment for relapsed disease includes newly approved monoclonal antibodies like the CD38-targeting daratumumab, proteasome inhibitors, immunomodulating agents, and investigational therapies such as B cell maturation antigen Chimeric antigen receptor T cells.