Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review

Patients with relapsed and refractory multiple myeloma have poor prognosis. A recent analysis of patients with relapsed and refractory multiple myeloma who were refractory to both proteasome inhibitors and immunomodulatory drugs showed the median overall survival of 9 months only. Daratumumab is the...

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Main Authors: Muhammad Husnain, Sandra Kurtin, Nikki Barkett, Irbaz bin Riaz, Amit Agarwal
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2016/2490168
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author Muhammad Husnain
Sandra Kurtin
Nikki Barkett
Irbaz bin Riaz
Amit Agarwal
author_facet Muhammad Husnain
Sandra Kurtin
Nikki Barkett
Irbaz bin Riaz
Amit Agarwal
author_sort Muhammad Husnain
collection DOAJ
description Patients with relapsed and refractory multiple myeloma have poor prognosis. A recent analysis of patients with relapsed and refractory multiple myeloma who were refractory to both proteasome inhibitors and immunomodulatory drugs showed the median overall survival of 9 months only. Daratumumab is the first-in-class human monoclonal antibody against CD38 cells which was studied in phase I/II trials for treatment of these patients with relapsed refractory multiple myeloma. It showed an overall response rate of 36% and a median overall survival (OS) of 17 months in these patients. We report a case of 40-year-old man with immunoglobulin D (IgD) multiple myeloma whose disease was refractory to at least 5 different chemotherapy regimens including proteasome inhibitors and immunomodulatory drugs. The clinical studies assessing daratumumab did not include any patients with IgD myeloma which is a rare form of multiple myeloma and to our knowledge is the first study reporting use of daratumumab in IgD myeloma.
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institution Kabale University
issn 2090-6706
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language English
publishDate 2016-01-01
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series Case Reports in Oncological Medicine
spelling doaj-art-bc61fb07e4f64a7cb62327fe027cdbd72025-02-03T05:46:14ZengWileyCase Reports in Oncological Medicine2090-67062090-67142016-01-01201610.1155/2016/24901682490168Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature ReviewMuhammad Husnain0Sandra Kurtin1Nikki Barkett2Irbaz bin Riaz3Amit Agarwal4Department of Medicine, University of Arizona, Tucson, AZ, USABanner University Medical Center Tucson, Department of Hematology Oncology, University of Arizona, Tucson, AZ, USABanner University Medical Center Tucson, Department of Hematology Oncology, University of Arizona, Tucson, AZ, USADepartment of Medicine, University of Arizona, Tucson, AZ, USADepartment of Medicine, University of Arizona, Tucson, AZ, USAPatients with relapsed and refractory multiple myeloma have poor prognosis. A recent analysis of patients with relapsed and refractory multiple myeloma who were refractory to both proteasome inhibitors and immunomodulatory drugs showed the median overall survival of 9 months only. Daratumumab is the first-in-class human monoclonal antibody against CD38 cells which was studied in phase I/II trials for treatment of these patients with relapsed refractory multiple myeloma. It showed an overall response rate of 36% and a median overall survival (OS) of 17 months in these patients. We report a case of 40-year-old man with immunoglobulin D (IgD) multiple myeloma whose disease was refractory to at least 5 different chemotherapy regimens including proteasome inhibitors and immunomodulatory drugs. The clinical studies assessing daratumumab did not include any patients with IgD myeloma which is a rare form of multiple myeloma and to our knowledge is the first study reporting use of daratumumab in IgD myeloma.http://dx.doi.org/10.1155/2016/2490168
spellingShingle Muhammad Husnain
Sandra Kurtin
Nikki Barkett
Irbaz bin Riaz
Amit Agarwal
Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review
Case Reports in Oncological Medicine
title Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review
title_full Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review
title_fullStr Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review
title_full_unstemmed Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review
title_short Refractory IgD Multiple Myeloma Treated with Daratumumab: A Case Report and Literature Review
title_sort refractory igd multiple myeloma treated with daratumumab a case report and literature review
url http://dx.doi.org/10.1155/2016/2490168
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AT nikkibarkett refractoryigdmultiplemyelomatreatedwithdaratumumabacasereportandliteraturereview
AT irbazbinriaz refractoryigdmultiplemyelomatreatedwithdaratumumabacasereportandliteraturereview
AT amitagarwal refractoryigdmultiplemyelomatreatedwithdaratumumabacasereportandliteraturereview