Daratumumab, isatuximab (CD38 drugs)

Just wanted to put this all in one spot:

Subcutaneous Daratumumab injection schedules from Fluge’s group.

Pilot group 1 Week 0,2,8,10
Pilot group 2 0,2,4,6,14,22,30

Amendment to pilot: 0, [10], 24, 48
(Week 10 only if no response)

Phase 2 0,2,4,24,26

Based on what Fluge et al. wrote in their dara article and comments by @Jonathan Edwards that dara likely kills cells very quickly, I’d posit that the amendment protocol would be/should be effective and the most cost effective.

In the pilot there wasn’t much/any difference between the 4 and the 7 injection treatments.

Plus dara has a long half life of about three weeks.
 
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Also Fluge note that even with the high dara dosage protocols for Multiple myeloma, NK cells are not completely depleted.

They also note in their article that for other autoimmune diseases there didn’t appear to be a relationship between effectiveness and the number of dara injections.
 
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