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DARZALEX FASPRO® (daratumumab and hyaluronidase-fihj)

Medical Information

Dosage and Administration of DARZALEX FASPRO - Missed Dose

Last Updated: 08/01/2024

SUMMARY  

  • The recommended dose of DARZALEX FASPRO is 1,800 mg/30,000 units (1,800 mg daratumumab and 30,000 units hyaluronidase) administered subcutaneously over approximately 3-5 minutes.1
  • If a dose of DARZALEX FASPRO is missed, administer the dose as soon as possible and adjust the dosing schedule to maintain the dosing interval.1
  • When DARZALEX FASPRO is administered as part of a combination therapy, see Clinical Studies (Section 14) and the prescribing information for dosage recommendations for the other drugs.1

PRODUCT LABELING

Recommended Dosage for Multiple Myeloma

  • DARZALEX FASPRO dosing schedule for monotherapy and in combination therapy with lenalidomide or pomalidomide or carfilzomib and dexamethasone ([Rd or Pd or Kd]; 4-week cycle)1:
    • Weeks 1 to 8: weekly (total of 8 doses)
    • Weeks 9 to 24: every 2 weeks (total of 8 doses; first dose of the every-2-week dosing schedule is given at Week 9)
    • Week 25 onwards until disease progression: every 4 weeks (first dose of the every-4-week dosing schedule is given at Week 25)
  • DARZALEX FASPRO dosing schedule for combination therapy with bortezomib, melphalan and prednisone ([VMP]; 6-week cycle)1:
    • Weeks 1 to 6: weekly (total of 6 doses)
    • Weeks 7 to 54: every 3 weeks (total of 16 doses; first dose of the every-3-week dosing schedule is given at Week 7)
    • Week 55 onwards until disease progression: every 4 weeks (first dose of the every-4-week dosing schedule is given at Week 55)
  • DARZALEX FASPRO dosing schedule for combination therapy with bortezomib, thalidomide and dexamethasone ([VTd]; 4-week cycle)1:
    • Induction Phase:
      • Weeks 1 to 8: weekly (total of 8 doses)
      • Weeks 9 to 16: every two weeks (total of 4 doses; first dose of the every-2-week dosing schedule is given at Week 9)
    • Stop for high dose chemotherapy and autologous stem cell transplant (ASCT):
    • Consolidation Phase:
      • Weeks 1 to 8: every two weeks (total of 4 doses; first dose of the every-2-week dosing schedule is given at Week 1 upon re-initiation of treatment following ASCT)
  • DARZALEX FASPRO dosing schedule for combination therapy with bortezomib, lenalidomide, and dexamethasone ([VRd]; 4-week cycle)1:
    • Induction Phase:
      • Weeks 1 to 8: weekly (total of 8 doses)
      • Weeks 9 to 16: every two weeks (total of 4 doses; first dose of the every-2-week dosing schedule is given at Week 9)
    • Stop for high dose chemotherapy and ASCT


    • Consolidation Phase:
      • Weeks 1 to 8: every two weeks (total of 4 doses; first dose of the every-2-week dosing schedule is given at Week 1 upon re-initiation of treatment following ASCT)
  • DARZALEX FASPRO dosing schedule for combination therapy with bortezomib and dexamethasone ([Vd]; 3-week cycle)1:
    • Weeks 1 to 9: weekly (total of 9 doses)
    • Weeks 10 to 24: every 3 weeks (total of 5 doses; first dose of the every-3-week dosing schedule is given at Week 10)
    • Week 25 onwards until disease progression: every 4 weeks (first dose of the every-4-week dosing schedule is given at Week 25)
  • When DARZALEX FASPRO is administered as part of a combination therapy, see the prescribing information for dosage recommendations for the other drugs.1

Recommended Dosage for Light Chain Amyloidosis

  • DARZALEX FASPRO dosing schedule for combination therapy with bortezomib, cyclophosphamide and dexamethasone ([VCd]; 4-week cycle)1:
    • Weeks 1 to 8: weekly (total of 8 doses)
    • Weeks 9 to 24: every two weeks (total of 8 doses; first dose of the every-2-week dosing schedule is given at Week 9)
    • Week 25 onwards until disease progression or a maximum of 2 years: every 4 weeks (first dose of the every-4-week dosing schedule is given at Week 25)
  • When DARZALEX FASPRO is administered as part of a combination therapy, see Clinical Studies (Section 14) and the prescribing information for dosage recommendations for the other drugs.1

Literature Search

A literature search of MEDLINE®, Embase®, BIOSIS Previews®, and Derwent Drug File databases (and/or other resources, including internal/external databases) was conducted on 31 July 2024.

 

References

1 DARZALEX FASPRO (daratumumab and hyaluronidase-fihj) [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc.;https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/DARZALEX+Faspro-pi.pdf.