• Skip to main content
  • Skip to primary sidebar
Transfusion News
  • About Us
  • Topics
    • Adverse Events (non-infectious)
    • Blood Donation
    • Cell Therapy
    • Coagulation & Plasma Transfusion
    • Platelet Transfusion
    • Policy and Guidelines
    • Quality Control and Regulatory
    • RBC Transfusion
    • Serology/Genotyping
    • Special Transfusion Situations
    • Transfusion Transmitted Infections
  • Continuing Education
  • Archives
  • Podcasts
  • Question of the Day
  • Search
  • Subscribe to Email Alerts
  • Follow us on
  • Search
  • Subscribe to Email Alerts

Transfusion Testing Strategies for Multiple Myeloma Patients Undergoing Anti-CD38 Therapy

February 10, 2017

Anti-CD38 therapies such as daratumumab have increased survival time for patients with multiple myeloma.  This novel therapy, however, interferes with blood compatibility testing.  Anti-CD38-sensitized red blood cells agglutinate during testing which could mask the presence of alloantibodies or mimic a high-prevalence alloantibody. Several methods are used to provide safe transfusions for this patient group, including treating RBCs with thiol- or trypsin, neutralizing the antibody, and antigen matching by either serological phenotyping or genotyping.  In order to determine the most cost-effective strategy, researchers compared approaches in 62 patients including thiol-treated RBCs (n=28), genotyping (n=23), and a combination of thiol-treatments with antigen matching by genotyping (n=11).  The most cost-effective method for blood compatibility testing was found to vary depending on the transfusion needs of the patient.  Thiol-treated RBCs for transfusions was the least expensive method for the first transfusion.  However, antigen-matching by genotyping was more cost-effective for patients needing multiple transfusions and alloantibody screens.  Since anti-CD38 therapy for multiple myeloma is a fairly new therapeutic approach, the transfusion needs of these patients and the best compatibility testing method will need to be closely monitored.

Reference:

 

  1. Anani WQ, Marchan MG, Bensing KM, Schanen M, Piefer C, Gottschall JL, Denomme GA. Practical approaches and costs for provisioning safe transfusions during anti-CD38 therapy. Transfusion 2017.

 

Filed Under

  • News
  • Quality Control and Regulatory
  • Serology/Genotyping

Recommended

  • Annual U.K. SHOT Report on Serious Hazards of Transfusions

  • Is there a Role for Liberal Transfusion Strategies?

  • Platelet-Rich Plasma Is Superior to Platelets or Plasma for Wound Healing In Vitro

Show Comments

Comments on this article are closed.

Get the latest news. Subscribe to our mailing list. Sign Up

Primary Sidebar

Latest News

  • Plasma Equivalent to Clotting Factor Concentrates for Initial Resuscitation of Patients with Severe Trauma

  • Personalized Prediction Model of Prophylactic Platelet Transfusions for Preterm Infants

  • Caffeine in Donor Blood Reduces Quality of Stored RBCs

  • Ferritin Levels Needed to Assess Hemoglobin Recovery after Blood Donation

    Question of the Day

    Copyright © 2025 John Wiley & Sons, Inc. All Rights Reserved.
    Privacy Policy

    Association for the Advancement of Blood and Biotherapies Wiley