TheraRadar
Data updated: May 26, 2026

DARZALEX FASPRO (daratumumab and hyaluronidase-fihj)

CD38-directed Antibody Interactions Genetically Validated Trial Activity: Growth 8 active trials
Oncology Approved 2020-05-01

DARZALEX FASPRO is indicated for the treatment of Multiple Myeloma.

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.

Development Insights

SWOG Cancer Research Network conducting 2 trials (15%)
17 indications explored (Broad Platform)
plasma cell myeloma (3 trials)
multiple myeloma (2 trials)
riss stage i plasma cell myeloma (1 trials)
9
Indications
--
Phase 3 Trials
2
Priority Reviews
6
Years on Market

Details

Status
Prescription
First Approved
2020-05-01
Patent Cliff
2028

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Routes
INJECTION
Dosage Forms
INJECTABLE

DARZALEX FASPRO Approval History

2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
15 FDA actions from 2020 to 2026 · 8 indication expansions
Feb 2026 SUPPL
Label · Labeling
Jan 2026 SUPPL
Efficacy
Nov 2025 SUPPL
Efficacy

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 Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in DARZALEX FASPRO's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications DARZALEX FASPRO treats. First-in-class if their pivotal trials read out positive.

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Clinical Trial Registry

232 trials
Trial Sponsor ID Phase Status Title
NCT06615479 CA088-1007 Ph 3 recruiting A Study to Compare the Efficacy and Safety of BMS-986393 Versus Standard Regimens in Adult Participants With Relapsed or Refractory and Lenalidomide-exposed Multiple Myeloma (QUINTESSENTIAL-2)
NCT05497804 MC210811 P50CA186781, 22-002687 Ph 2 active not recruiting Combination Treatment Therapy Approaches for the Treatment of High-Risk Multiple Myeloma, REACH Trial
NCT07095452 M25-586 2025-520897-21, 2025-520897-21-00 Ph 2, Ph 3 recruiting A Study to Assess A Change in Disease Activity and Adverse Events of Intravenous Etentamig and Daratumumab (Etentamig+D) Compared to Daratumumab, Lenalidomide, and Dexamethasone (DRd) in Adult Participants With Newly Diagnosed Multiple Myeloma Not Eligible for Transplant
NCT06182774 MY13 Ph 3 recruiting Fixed Duration vs Continuous Anti-CD38 Antibody Therapy Among Transplant Ineligible Older Adults With Newly-Diagnosed Multiple Myeloma
NCT05849610 GEM-TECTAL GEM-TECTAL Ph 2 active not recruiting Teclistamab-Daratumumab and Talquestamab-Daratumumab in Newly Diagnosed High-risk Multiple Myeloma
NCT04973605 BGB-11417-105 2023-507751-30-00, 2021-003614-39 Ph 1, Ph 2 recruiting A Phase 1b/2 Study of Sonrotoclax (BGB-11417) as Monotherapy and in Various Combinations With Dexamethasone Plus Carfilzomib, Dexamethasone Plus Daratumumab, and Dexamethasone Plus Pomalidomide in Multiple Myeloma
NCT04181827 CARTITUDE-4 results posted CR108695 68284528MMY3002, 2019-001413-16 Ph 3 active not recruiting A Study Comparing JNJ-68284528, a CAR-T Therapy Directed Against B-cell Maturation Antigen (BCMA), Versus Pomalidomide, Bortezomib and Dexamethasone (PVd) or Daratumumab, Pomalidomide and Dexamethasone (DPd) in Participants With Relapsed and Lenalidomide-Refractory Multiple Myeloma
NCT05083169 MajesTEC-3 CR109049 64007957MMY3001, 2020-004742-11 Ph 3 active not recruiting A Study of Teclistamab in Combination With Daratumumab Subcutaneously (SC) (Tec-Dara) Versus Daratumumab SC, Pomalidomide, and Dexamethasone (DPd) or Daratumumab SC, Bortezomib, and Dexamethasone (DVd) in Participants With Relapsed or Refractory Multiple Myeloma
NCT05527340 GEM-IBERDARAX 2021-002190-25 Ph 2 active not recruiting Iberdomide-dexamethasone Alone or in Combination With Standard MM Treatment Regimens in Transplant Ineligible Newly Diagnosed Patients.
NCT07222761 LINKER-MM5 R5458-ONC-2246 2024-519504-27-00 Ph 3 recruiting A Study to Compare Linvoseltamab Monotherapy and Linvoseltamab + Carfilzomib Combination Therapy With Standard-of-Care Combination Regimens in Adult Participants With Relapsed/Refractory Multiple Myeloma (RRMM)
NCT03901963 AURIGA results posted CR108599 54767414MMY3021 Ph 3 active not recruiting A Study of Daratumumab Plus Lenalidomide Versus Lenalidomide Alone as Maintenance Treatment in Participants With Newly Diagnosed Multiple Myeloma Who Are Minimal Residual Disease Positive After Frontline Autologous Stem Cell Transplant
NCT04108195 CR108620 64407564MMY1002, 2019-000330-19 Ph 1 active not recruiting A Study of Subcutaneous Daratumumab Regimens in Combination With Bispecific T Cell Redirection Antibodies for the Treatment of Participants With Multiple Myeloma
NCT06577025 aMMbition 54767414MMY2093 54767414MMY2093, 2023-505792-71-00 Ph 2 active not recruiting A Study of Different Sequences of Cilta-cel, Talquetamab in Combination With Daratumumab and Teclistamab in Combination With Daratumumab Following Induction With Daratumumab, Bortezomib, Lenalidomide and Dexamethasone in Participants With Standard-risk Newly Diagnosed Multiple Myeloma
NCT05438043 CR109200 54767414MMY3030, 2021-006494-33 Ph 3 recruiting A Study of Daratumumab
NCT05552222 MajesTEC-7 CR109237 64007957MMY3005, 2022-000909-28 Ph 3 recruiting A Study of Teclistamab in Combination With Daratumumab and Lenalidomide (Tec-DR) and Talquetamab in Combination With Daratumumab and Lenalidomide (Tal-DR) in Participants With Newly Diagnosed Multiple Myeloma
NCT04722146 MajesTEC-2 CR108927 64007957MMY1004, 2020-004404-33 Ph 1 active not recruiting A Study of Teclistamab With Other Anticancer Therapies in Participants With Multiple Myeloma
NCT06768489 79635322MMY1002 79635322MMY1002, 2024-515316-44-00 Ph 1 recruiting A Study of JNJ-79635322 in Combination With Daratumumab With or Without Lenalidomide or in Combination With Pomalidomide for Multiple Myeloma
NCT06413498 iMMagine-3 KT-US-679-0788 2024-511188-26, jRCT2043240170 Ph 3 recruiting A Study Comparing Anitocabtagene Autoleucel to Standard of Care Therapy in Participants With Relapsed/ Refractory Multiple Myeloma
NCT06022939 S2213 NCI-2023-04234, S2213 Ph 3 recruiting Comparing Dara-VCD Chemotherapy Plus Stem Cell Transplant to Dara-VCD Chemotherapy Alone for People Who Have Newly Diagnosed AL Amyloidosis
NCT04566328 EAA181 NCI-2020-06647, EAA181 Ph 3 recruiting Testing the Use of Combination Therapy in Adult Patients With Newly Diagnosed Multiple Myeloma, the EQUATE Trial
NCT03556332 17-493 Ph 2 active not recruiting A Study of Carfilzomib, Lenalidomide, Dexamethasone and Daratumumab for Patients With Relapsed/Refractory Myeloma With Salvage Autologous Hematopoietic Cell Transplantation
NCT03937635 EAA173 NCI-2018-02611, EAA173 Ph 3 recruiting Lenalidomide, and Dexamethasone With or Without Daratumumab in Treating Patients With High-Risk Smoldering Myeloma
NCT03477539 results posted MC1785 NCI-2018-00332, MC1785 Ph 2 completed Daratumumab in Treating Transplant-Eligible Patients With Multiple Myeloma
NCT05623020 MagnetisMM-6 C1071006 MAGNETISMM-6, 2024-514139-50-00 Ph 3 recruiting A Study to Learn About the Effects of the Combination of Elranatamab, Daratumumab and Lenalidomide Compared With Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone in Patients With Newly Diagnosed Multiple Myeloma Who Are Not Candidates for Transplant
NCT05020236 MAGNETISMM-5 C1071005 MAGNETISMM-5, 2023-509208-14-00 Ph 3 recruiting A Study to Learn About the Study Medicine Elranatamab Alone and With Daratumumab in People With Multiple Myeloma Who Have Received Other Treatments
NCT06348147 LCCC2323 Ph 2 suspended Dara-RVd Induction for Newly Diagnosed Multiple Myeloma With Autologous Stem Cell Transplantation
NCT02343042 STOMP KCP-330-017 Ph 1, Ph 2 active not recruiting Selinexor and Backbone Treatments of Multiple Myeloma Patients
NCT04933539 210024 21-C-0024 Ph 2 active not recruiting Subcutaneous Daratumumab, Once Weekly Carfilzomib, and Dexamethasone (DKd) in Patients With High-Risk Smoldering Multiple Myeloma
NCT07391657 DURGA-4 D8311C00001 AZD0120 Ph 3 recruiting A Study Comparing AZD0120, a Dual-targeted CAR-T Against B-cell Maturation Antigen (BCMA) and CD19, Versus Standard Regimens in Participants With Relapsed Refractory Multiple Myeloma (DURGA-4)
NCT07555938 CEVOLUTION CO46096 2025-524028-23-00 Ph 3 not yet recruiting Cevostamab in Combination With Pomalidomide and Dexamethasone Versus Standard of Care in Participants With Previously Treated Multiple Myeloma
NCT04922723 PRIDE 2109412076 IND# Pending Ph 1, Ph 2 active not recruiting Radiation/Temozolomide and Immunotherapy With Daratumumab to Improve Antitumor Efficacy in Glioblastoma
NCT03622775 results posted 2016-0681 NCI-2018-01432, 2016-0681 Ph 2 terminated Daratumumab in Treating Participants With Relapsed Multiple Myeloma After Stem Cell Transplant
NCT06974786 FASTER MM 195 Ph 2 recruiting Frontline T-cell Engager vs Autologous Stem Cell Transplant (ASCT) and Measurable Residual Disease (MRD)-Guided Sequential Intensification thERapy in Multiple Myeloma
NCT06868654 DREAMM 7 results posted 207503-CHN Ph 3 active not recruiting China Subpopulation: Evaluation of Efficacy and Safety of Belantamab Mafodotin, Bortezomib and Dexamethasone Versus Daratumumab, Bortezomib and Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma
NCT06868667 DREAMM 7 results posted 207503-JPN Ph 3 active not recruiting Japan Expansion Cohort: Evaluation of Efficacy and Safety of Belantamab Mafodotin, Bortezomib and Dexamethasone Versus Daratumumab, Bortezomib and Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma
NCT02316106 results posted CR106449 54767414SMM2001, 2014-005139-14 Ph 2 completed A Study to Evaluate 3 Dose Schedules of Daratumumab in Participants With Smoldering Multiple Myeloma
NCT04246047 DREAMM 7 results posted 207503 2023-510537-28-00 Ph 3 active not recruiting Evaluation of Efficacy and Safety of Belantamab Mafodotin, Bortezomib and Dexamethasone Versus Daratumumab, Bortezomib and Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma
NCT06679101 DREAMM-10 214828 2024-516030-35 Ph 3 recruiting A Study of Belantamab Mafodotin Administered in Combination With Lenalidomide and Dexamethasone (BRd) Versus Daratumumab, Lenalidomide, and Dexamethasone (DRd) in Participants With Newly Diagnosed Multiple Myeloma (NDMM) Who Are Ineligible for Autologous Stem Cell Transplantation (TI-NDMM)
NCT05392946 MC200807 21-006604 Ph 1, Ph 2 active not recruiting Iberdomide, Daratumumab, Bortezomib, and Dexamethasone for Treatment of Newly Diagnosed Multiple Myeloma, IDEAL Study
NCT07513129 2025-1869 NCI-2026-02416 Ph 1 not yet recruiting Venetoclax, Dexamethasone, Bortezomib, and Daratumumab For The Treatment Of Adolescent And Young Adults With Relapsed Or Refractory T-Cell Acute Lymphoblastic Leukemia And T-cell Acute Lymphoblastic Lymphoma
NCT04166565 EMN19 EMN19 2019-000991-41 Ph 2 active not recruiting Daratumumab Combined With Bortezomib, Cyclophosphamide and Dexamethasone for the Treatment of Multiple Myeloma Patients Presenting With Extramedullary Disease
NCT06083922 22-424 Ph 2 recruiting A Study of CyBorD (Cyclophosphamide, Bortezomib, Dexamethasone) Plus Daratumumab in People With Monoclonal Gammopathy of Renal Significance (MGRS)
NCT03763162 2018-0512 NCI-2018-02830, 2018-0512 Ph 2 active not recruiting Daratumumab, Bortezomib, and Dexamethasone Followed by Daratumumab, Ixazomib, and Dexamethasone in Treating Patients With Relapsed or Refractory Multiple Myeloma
NCT07107529 EMN37 2024-520433-76-00 Ph 2 recruiting Study for Frail Patients With Newly Diagnosed Multiple Myeloma Treated With Daratumumab With Teclistamab or Talquetamab.
NCT04972942 ALLO-T-DART NYMC-598 Ph 1 recruiting Targeted Immunotherapy After Myeloablative TBI-Based Conditioning & AlloHCT in CAYA With High Risk T-Cell ALL & Lymphoma
NCT05434689 COMMANDER UAB-21113 Amgen, Inc, BMS Ph 1, Ph 2 active not recruiting COMbination Regimens in MM Post AHCT to elimiNate MRD Utilizing IbERdomide
NCT04667663 CPD-DARA CTRIAL-IE-19-17 2019-004386-40 Ph 1 active not recruiting CPD-DARA in Patients With Relapsed/Refractory Multiple Myeloma.
NCT05455320 MonumenTAL-3 CR109082 64407564MMY3002, 2021-000202-22 Ph 3 active not recruiting A Study Comparing Talquetamab in Combination With Daratumumab or in Combination With Daratumumab and Pomalidomide Versus Daratumumab in Combination With Pomalidomide and Dexamethasone in Participants With Multiple Myeloma That Returns After Treatment or is Resistant to Treatment
NCT03500445 IRB17-1097 Ph 2 active not recruiting Daratumumab, Carfilzomib, Lenalidomide and Low Dose Dexamethasone (DKRd) in Newly Diagnosed, Multiple Myeloma
NCT05250973 AQUARIUS CR109160 54767414AMY2009, 2021-002639-48 Ph 2 active not recruiting A Study of Daratumumab-Based Therapies in Participants With Amyloid Light Chain (AL) Amyloidosis

Showing 50 of 232 trials

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Active Pipeline

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Key Completed Trials

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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

Indications & Usage

FDA Label (PDF)

DARZALEX FASPRO is indicated for the treatment of Multiple Myeloma.

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Data Sources

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

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment