Table 3.

Review of literature, daratumumab monotherapy in adult patients with primary and secondary AIHA (non–stem cell transplantation setting)

age/sexDiseasePrevious treatmentsDaratumumab scheduleBest responseTime to response Hb PR/CR and acrocyanosisDuration of responseReference
60, F wAIHA Steroids, rituximab azathioprine 4× 16 mg/kg IV weekly PR 10 wk 5 mo 19  
44, F wAIHA Steroids, rituximab, IVIG, HSA, splenectomy, cylcosporine, mycophenolate 6× 16 mg/kg IV weekly + 6× 16 mg/kg IV maintenance CR na 5 mo 17  
55, F wAIHA Steroids, rituximab 6× 16 mg/kg IV weekly CR na 2 mo 17  
55, F  wAIHA Steroids 6× 16 mg/kg IV weekly CR 1 wk Relapse after 9 mo 13  
55, F  wAIHA Steroids, azathioprine, cyclosporine, everolimus, bortezomib 8× 16 mg/kg IV weekly + 3× 2-weekly 16mg/kg IV No response No response 13  
64,F wAIHA Prednison, rituximab, splenectomy 8× 16 mg/kg IV weekly CR Na Ongoing response after 20 mo 20  
56, M  cAIHA Steroids, rituximab, bortezomib, cyclophosfamide, lenalidomide 8× weekly 16mg/kg IV
+ 16× 2-weekly 16mg/kg IV + monthly 16mg/kg IV maintenance 
CR Hb
PR acrocyanosis 
2 wk
2 wk improvement of acrocyanosis 
Ongoing response after 10 mo 22  
59, M  cAIHA Steroids, rituximab, EPO bortezomib 8× weekly 16mg/kg IV
+ 16× 2-weekly 16mg/kg IV + monthly 16mg/kg IV maintenance 
PR 12 wk Ongoing after 16 mo 12  
73, M cAIHA Rituximab, ibrutinib, bendamustine Na, maintenance therapy ongoing at 15 mo PR na Ongoing response after 15 mo 20  
64, F cAIHA Rituximab 8× weekly 16mg/kg IV
+ 8× 2-weekly 16mg/kg IV + monthly 16mg/kg IV maintenance
Combination with HSA 
CR 5 mo PR
6 mo CR 
Ongoing response after 8 mo 21  
age/sexDiseasePrevious treatmentsDaratumumab scheduleBest responseTime to response Hb PR/CR and acrocyanosisDuration of responseReference
60, F wAIHA Steroids, rituximab azathioprine 4× 16 mg/kg IV weekly PR 10 wk 5 mo 19  
44, F wAIHA Steroids, rituximab, IVIG, HSA, splenectomy, cylcosporine, mycophenolate 6× 16 mg/kg IV weekly + 6× 16 mg/kg IV maintenance CR na 5 mo 17  
55, F wAIHA Steroids, rituximab 6× 16 mg/kg IV weekly CR na 2 mo 17  
55, F  wAIHA Steroids 6× 16 mg/kg IV weekly CR 1 wk Relapse after 9 mo 13  
55, F  wAIHA Steroids, azathioprine, cyclosporine, everolimus, bortezomib 8× 16 mg/kg IV weekly + 3× 2-weekly 16mg/kg IV No response No response 13  
64,F wAIHA Prednison, rituximab, splenectomy 8× 16 mg/kg IV weekly CR Na Ongoing response after 20 mo 20  
56, M  cAIHA Steroids, rituximab, bortezomib, cyclophosfamide, lenalidomide 8× weekly 16mg/kg IV
+ 16× 2-weekly 16mg/kg IV + monthly 16mg/kg IV maintenance 
CR Hb
PR acrocyanosis 
2 wk
2 wk improvement of acrocyanosis 
Ongoing response after 10 mo 22  
59, M  cAIHA Steroids, rituximab, EPO bortezomib 8× weekly 16mg/kg IV
+ 16× 2-weekly 16mg/kg IV + monthly 16mg/kg IV maintenance 
PR 12 wk Ongoing after 16 mo 12  
73, M cAIHA Rituximab, ibrutinib, bendamustine Na, maintenance therapy ongoing at 15 mo PR na Ongoing response after 15 mo 20  
64, F cAIHA Rituximab 8× weekly 16mg/kg IV
+ 8× 2-weekly 16mg/kg IV + monthly 16mg/kg IV maintenance
Combination with HSA 
CR 5 mo PR
6 mo CR 
Ongoing response after 8 mo 21  

CR, complete response; F, female; HSA, haematopoiesis-stimulating agents; M, male; PR, partial response;

Hemoglobin (Hb) response was considered partial (PR; Hb, 10-12 g/dL) or complete (CR, Hb > 12 g/dL).

Case included and updated in our case series.

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