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Sudden cardiac arrest after daratumumab infusion

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301 Sir, Despite recent therapeutic advances, remission induction after myeloma relapse remains a major clinical challenge. Treatment of relapsed refractory multiple myeloma (RRMM) in the background of resistance to immunomodulators… Click to show full abstract

301 Sir, Despite recent therapeutic advances, remission induction after myeloma relapse remains a major clinical challenge. Treatment of relapsed refractory multiple myeloma (RRMM) in the background of resistance to immunomodulators and bortezomib usually results in inferior outcomes.[1] The use of newer drugs such as pomalidomide, carfilzomib, and daratumumab in the management of RRMM has yielded unprecedented results and provided hope of achieving deeper and durable responses. Daratumumab, a humanized monoclonal antibody that targets CD38 receptors present on myeloma cells, has shown exceptional efficacy in RRMM as monotherapy and combination with conventional anti‐myeloma regimens.[2] Combination of daratumumab with pomalidomide and dexamethasone has been recently approved by the US Food and Drug Administration in RRMM patients who have received at least two prior therapies.[3] Its recent availability in India has ushered a new optimism in the management of RRMM patients who otherwise had limited therapeutic options.[4]

Keywords: myeloma; sudden cardiac; cardiac arrest; arrest daratumumab; daratumumab; rrmm

Journal Title: Indian Journal of Medical and Paediatric Oncology
Year Published: 2019

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