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Treatment with pemetrexed for injection continued until RECIST v1.1 (modified to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ)-defined progression of disease as determined by the investigator or unacceptable toxicity

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Daratumumab (DARA), a CD38-targeting IgG1 mAb approved for MM therapy in 2015 (U.S.) and 2016 (EU), was from Janssen Pharmaceuticals, while isatuximab (ISA) was from Sanofi ( 2.5 Reagents Nicotinamide adenine dinucleotide (NAD + ), nicotinamide guanine dinucleotide (NGD + ), adenosine diphosphate ribose (ADPR), adenosine (ADO), inosine (INO), potassium dihydrogen phosphate (KH 2 PO 4 ), and HPLC-grade acetonitrile (ACN) were obtained from Sigma-Aldrich (St