Disclosed herein includes a method for treating
antibody-mediated
kidney allograft rejection, comprising treating a subject determined to suffer from
antibody-mediated
kidney allograft rejection more than 6 months after
transplantation by administering an anti-CD38
antibody or
antigen-binding fragment thereof (e.g., daratumumab, felzartamab, or isatuximab) to the subject; extracting
cell-
free DNA from a blood,
plasma, serum or
urine sample collected from the subject after conclusion of the treatment; quantifying an amount of donor-derived
cell-
free DNA, a percentage of donor-derived
cell-
free DNA out of
total cell-free
DNA, or both, in the extracted
DNA; and retreating the subject with an anti-CD38 antibody or
antigen-binding fragment thereof if the amount of donor-derived cell-free
DNA, the percentage of donor-derived cell-free DNA out of
total cell-free DNA, or both, exceed one or more threshold values.