Drug intelligence / Profile preview

daratumumab + dexamethasone + ixazomib + pomalidomide

Development stage
Discontinued
Lead developer
Johnson & Johnson
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Irreversible Covalent Inhibitors → Covalent Small Molecules → Small Molecules, Reversible Covalent Inhibitors → Covalent Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Subcutaneous, Oral
01

Overview

The combination of daratumumab, dexamethasone, ixazomib, and pomalidomide is an investigational quadruplet regimen studied primarily for the treatment of relapsed or refractory multiple myeloma. Daratumumab is a monoclonal antibody targeting CD38 on plasma cells; it induces cell death through immune-mediated mechanisms. Ixazomib is an oral proteasome inhibitor that disrupts protein degradation in cancer cells, leading to apoptosis. Pomalidomide is an immunomodulatory agent that enhances immune response against myeloma cells and inhibits angiogenesis. Dexamethasone is a synthetic glucocorticoid with anti-inflammatory and cytotoxic effects on lymphoid malignancies. This combination aims to leverage complementary mechanisms to improve response rates in patients who have received prior therapies[1][2][4].

Brand names
Darzalex (daratumumab)Ninlaro (ixazomib)Pomalyst (pomalidomide)Decadron (dexamethasone)
Other names
DIPd
02

Targets

CD38 (Cluster of Differentiation 38)CRBN (Cereblon)GR (Glucocorticoid receptor)PSMB5 (Proteasome subunit beta Type-5)

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