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Data updated: Mar 10, 2026

DARZALEX FASPRO

DARATUMUMAB AND HYALURONIDASE-FIHJ CD38-directed Antibody Interactions
Oncology Approved 2020-05-01

DARZALEX FASPRO is a combination of a CD38-directed cytolytic antibody and an endoglycosidase indicated for the treatment of adult patients with multiple myeloma and light chain (AL) amyloidosis. The therapy is used across various stages of multiple myeloma, including newly diagnosed cases in both transplant-eligible and ineligible patients, relapsed or refractory disease, and high-risk smoldering multiple myeloma. It is administered as a monotherapy or in combination with other therapeutic agents such as proteasome inhibitors, immunomodulatory drugs, and corticosteroids.

Source: FDA Label • Johnson & Johnson • CD38-directed Cytolytic Antibody

How DARZALEX FASPRO Works

Daratumumab is a monoclonal antibody that targets CD38, a glycoprotein expressed on the surface of hematopoietic and clonal plasma cells, inducing tumor cell death through direct apoptosis and immune-mediated lysis. These immune-mediated effects include complement-dependent cytotoxicity, antibody-dependent cell-mediated cytotoxicity, and antibody-dependent cellular phagocytosis. The hyaluronidase component acts locally to depolymerize hyaluronan in the extracellular matrix, temporarily increasing subcutaneous tissue permeability to facilitate drug delivery. The treatment also reduces specific subsets of CD38-positive suppressor cells and regulatory T and B cells.

Source: FDA Label
9
Indications
--
Phase 3 Trials
2
Priority Reviews
5
Years on Market

Details

Status
Prescription
First Approved
2020-05-01
Routes
INJECTION
Dosage Forms
INJECTABLE

DARZALEX FASPRO Approval History

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What DARZALEX FASPRO Treats

1 indications

DARZALEX FASPRO is approved for 1 conditions since its original approval in 2020. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Multiple Myeloma
Source: FDA Label

DARZALEX FASPRO Target & Pathway

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Target

CD38 (Cyclic ADP Ribose Hydrolase) Cell Surface Marker

A protein highly expressed on multiple myeloma cells. Anti-CD38 antibodies target and kill myeloma cells through multiple mechanisms, becoming a backbone of myeloma treatment across disease stages.

DARZALEX FASPRO Competitors

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2 other drugs also target CD38. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (CD38). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to DARZALEX FASPRO

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

APHEXDA
MOTIXAFORTIDE ACETATE
1 shared
AYRMID PHARMA
Shared indications:
Multiple Myeloma
AUKELSO
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1 shared
BIOCON BIOLOGICS INC
Shared indications:
Multiple Myeloma
BICNU
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1 shared
AVET LIFESCIENCES
Shared indications:
Multiple Myeloma
BILPREVDA
DENOSUMAB-NXXP
1 shared
SHANGHAI HENLIUS BIOTECH
Shared indications:
Multiple Myeloma
BLENREP
BELANTAMAB MAFODOTIN-BLMF
1 shared
GSK
Shared indications:
Multiple Myeloma
BOMYNTRA
DENOSUMAB-BNHT
1 shared
Fresenius Kabi
Shared indications:
Multiple Myeloma
CARMUSTINE
CARMUSTINE
1 shared
PENN LIFE
Shared indications:
Multiple Myeloma
CYCLOPHOSPHAMIDE
CYCLOPHOSPHAMIDE
1 shared
Hikma
Shared indications:
Multiple Myeloma
CYTOXAN
CYCLOPHOSPHAMIDE
1 shared
Baxter
Shared indications:
Multiple Myeloma
ELREXFIO
ELRANATAMAB
1 shared
Pfizer
Shared indications:
Multiple Myeloma
EMPLICITI
ELOTUZUMAB
1 shared
Bristol-Myers Squibb
Shared indications:
Multiple Myeloma
EVOMELA
MELPHALAN HYDROCHLORIDE
1 shared
ACROTECH BIOPHARMA
Shared indications:
Multiple Myeloma
FRINDOVYX
CYCLOPHOSPHAMIDE
1 shared
AVYXA HOLDINGS
Shared indications:
Multiple Myeloma
HEMADY
DEXAMETHASONE
1 shared
DEXCEL
Shared indications:
Multiple Myeloma
HEPZATO
MELPHALAN HYDROCHLORIDE
1 shared
DELCATH SYSTEMS INC
Shared indications:
Multiple Myeloma
IVRA
MELPHALAN HYDROCHLORIDE
1 shared
Apotex
Shared indications:
Multiple Myeloma
KYPROLIS
CARFILZOMIB
1 shared
ONYX PHARMS AMGEN
Shared indications:
Multiple Myeloma
LENALIDOMIDE
LENALIDOMIDE
1 shared
Cipla
Shared indications:
Multiple Myeloma
LYNOZYFIC
LINVOSELTAMAB-GCPT
1 shared
RENGENERON PHARMACEUTICALS, INC.
Shared indications:
Multiple Myeloma
MOZOBIL
PLERIXAFOR
1 shared
Sanofi
Shared indications:
Multiple Myeloma
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

DARZALEX FASPRO FDA Label Details

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Indications & Usage

FDA Label (PDF)

DARZALEX FASPRO is a combination of daratumumab, a CD38-directed cytolytic antibody, and hyaluronidase, an endoglycosidase, indicated for the treatment of adult patients with: multiple myeloma in combination with bortezomib, lenalidomide, and dexamethasone for induction and consolidation in newly diagnosed patients who are eligible for autologous stem cell transplant multiple myeloma in combination with bortezomib, lenalidomide, and dexamethasone in newly diagnosed patients who are ineligible for autologous stem cell transplant multiple myeloma in combination with bortezomib, melphalan and pre...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.