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Daratumumab earned approval for monotherapy due to its efficacy, safety profile and durable responses demonstrated in the phase 1/2 GEN501 and the phase 2 SIRIUS clinical trials on heavily pretreated RRMM patients [71, 72]

However, to date there is no in vivo evidence that therapeutic anti-CD38 mAb exert their effects via inhibition of the CD38 NADase activity
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