On November 21, 2017 AbbVie (NYSE: ABBV), a global research and development-based biopharmaceutical company, reported that the American Society of Hematology (ASH) (Free ASH Whitepaper) has accepted data from the Phase 3 MURANO study evaluating venetoclax tablets in combination with rituximab in patients with relapsed/refractory chronic lymphocytic leukemia (R/R CLL), as an oral, late-breaking presentation during the upcoming 59th ASH (Free ASH Whitepaper) Annual Meeting & Exposition, December 9-12, in Atlanta, GA (Press release, AbbVie, NOV 21, 2017, View Source [SID1234522205]). The abstract is one of six late-breaking abstracts accepted for presentation at the meeting.
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In total, 28 AbbVie abstracts have been accepted for ASH (Free ASH Whitepaper) 2017. These abstracts include data from investigational studies of the company’s portfolio of medicines for investigational or new use in various blood cancers and diseases, including CLL, acute myeloid leukemia (AML), multiple myeloma (MM) and chronic graft-versus-host-disease (cGVHD), among others.
Data will be presented about venetoclax, a B-cell lymphoma-2 (BCL-2) inhibitor, being developed by AbbVie and Genentech, a member of the Roche Group; ibrutinib, an inhibitor of Bruton’s tyrosine kinase (BTK) being developed by Pharmacyclics, an AbbVie company, and Janssen Biotech, Inc.; elotuzumab, an immunostimulatory antibody that specifically targets Signaling Lymphocyte Activation Molecule Family member 7 (SLAMF7), a cell-surface glycoprotein co-developed by Bristol-Myers Squibb and AbbVie; and other early-stage investigational compounds.
"Our data presentations at this year’s ASH (Free ASH Whitepaper) Annual Meeting underscore our continued commitment to patients and deep expertise in researching hematologic malignancies across various difficult-to-treat blood cancers," said Gary Gordon, M.D., Ph.D., vice president, oncology clinical development, AbbVie. "We are especially encouraged by the Phase 3 venetoclax data that ASH (Free ASH Whitepaper) accepted for presentation in the late-breaking abstract session. We believe clinical study data for this medicine show the potential of improving treatment across a wide range of blood cancers, including CLL."
Venetoclax clinical data will also be featured in the 2018 "Highlights of ASH (Free ASH Whitepaper)" meeting series. These symposia, which are held in the United States, Asia-Pacific and Latin America, feature select hematology research presented at the most recent ASH (Free ASH Whitepaper) Annual Meeting in an effort to improve patient management and care strategies.
AbbVie abstracts:
Ibrutinib
Single-agent Ibrutinib vs Chemoimmunotherapy Regimens for Treatment-naïve Patients with Chronic Lymphocytic Leukemia (CLL): A Cross-trial Comparison; Robak et al.; Abstract 1750; Poster Session; Saturday, December 9; 5:30-7:30 p.m. ET
Prolonged Improvement in Patient-reported Outcomes (PROs) and Well-being in Older Patients with Treatment-naïve (TN) Chronic Lymphocytic Leukemia Treated with Ibrutinib (Ibr): 3-year Follow-up of the RESONATE-2 Study; Tedeschi et al.; Abstract 1746; Poster Session; Saturday, December 9; 5:30-7:30 p.m. ET
Incidence of and Risk Factors for Major Hemorrhage in Patients Treated with Ibrutinib: Results from an Integrated Analysis; Brown et al.; Abstract 1743; Poster Session; Saturday, December 9; 5:30-7:30 p.m. ET
Ibrutinib Therapy in Patients with Relapsed/Refractory Marginal Zone Lymphoma: Analysis by Prior Rituximab Treatment and Baseline Mutations; Chen et al.; Abstract 3026; Poster Session; Sunday, December 10; 6:00-8:00 p.m. ET
Initial Phase 2 Results of Ibrutinib Combined with Carfilzomib/Dexamethasone in Patients with Relapsed/Refractory Multiple Myeloma; Chari et al.; Abstract 3111; Poster Session; Sunday, December 10; 6:00-8:00 p.m. ET
Ibrutinib Inhibits cGVHD Pathogenic Pre-germinal Center B-cells and Follicular Helper Cells While Preserving Immune Memory and Th1 T-cells; Sahaf et al.; Abstract 4481; Poster Session; Monday, December 11; 6:00-8:00 p.m. ET
Tolerability and Outcomes of Ibrutinib-treated Patients in Canada: Retrospective Analysis of Real World Patients; Merali et al.; Online Publication
Venetoclax
Venetoclax Plus Rituximab is Superior to Bendamustine Plus Rituximab in Patients with Relapsed/ Refractory Chronic Lymphocytic Leukemia – Results from Pre-planned Interim Analysis of the Randomized Phase 3 Murano Study; Seymour et al.; Abstract 109076; Late-Breaking Abstract Oral Session; Tuesday, December 12; 7:45 a.m. ET
Sequencing Therapy in Chronic Lymphocytic Leukemia (CLL): Treatment Patterns and Associated Outcomes in Community Practice for Patients with Relapsed/Refractory CLL in the United States; Kapustyan et al.; Abstract 1749; Poster Session; Saturday, December 9; 5:30-7:30 p.m. ET
Do Statins Enhance the Anti-cancer Activity of Venetoclax?; Roberts et al.; Abstract 1737; Poster Session; Saturday, December 9; 5:30-7:30 p.m. ET
Clinical Benefits of Achieving Deep Remission to Second-line Therapy in Patients with Relapsed/Refractory (R/R) Chronic Lymphocytic Leukemia (CLL) – a Real-world Study; Wierda et al.; Abstract 2130; Poster Session; Saturday, December 9; 5:30-7:30 p.m. ET
BCL2 Expression Identifies a Population with Unmet Medical Need in Previously Untreated (1L) Patients with DLBCL; Szafer-Glusman et al.; Abstract 418; Oral Session; Sunday, December 10; 12:45 p.m. ET
Safety, Efficacy and MRD Negativity of a Combination of Venetoclax and Obinutuzumab in Patients with Previously Untreated Chronic Lymphocytic Leukemia – Results from a Phase 1b Study (GP28331); Flinn et al.; Abstract 430; Oral Session; Sunday, December 10; 12:45 p.m. ET
A Simulation Analysis to Evaluate the Effect of Prospective Biomarker Testing on Progression-free Survival (PFS) in DLBCL; Szafer-Glusman et al.; Abstract 419; Oral Session; Sunday, December 10; 1:00 p.m. ET
Phase 1 Study of Venetoclax in Combination with Dexamethasone as Targeted Therapy for t(11;14) Relapsed/Refractory Multiple Myeloma; Kaufman et al.; Abstract 3131; Poster Session; Sunday, December 10; 6:00-8:00 p.m. ET
Updated Safety and Efficacy of Venetoclax with Decitabine or Azacitidine in Treatment-naive, Elderly Patients with Acute Myeloid Leukemia; DiNardo et al.; Abstract 2628; Poster Session; Sunday, December 10; 6:00-8:00 p.m. ET
Venetoclax (VEN) is Active in CLL Relapsed or Refractory to More Than One B-cell Receptor Pathway Inhibitor (BCRi); Wierda et al.; Abstract 3025; Poster Session; Sunday, December 10; 6:00-8:00 p.m. ET
Preliminary Results from a Phase Ib Study Evaluating BCL-2 Inhibitor Venetoclax in Combination with MEK Inhibitor Cobimetinib or MDM2 Inhibitor Idasanutlin in Patients with Relapsed or Refractory (R/R) AML; Daver et al.; Abstract 813; Oral Session; Monday, December 11; 5:00 p.m. ET
Analysis of PET-CT to Identify Richter’s Transformation in 167 Patients with Disease Progression Following Kinase-inhibitor Therapy; Mato et al.; Abstract 834; Oral Session; Monday, December 11; 5:45 p.m. ET
Phase 1/2 Study of Venetoclax With Low-dose Cytarabine in Treatment-Naive, Elderly Patients with Acute Myeloid Leukemia Unfit for Standard Induction Therapy: Long-term Outcomes; Wei et al.; Abstract 890; Oral Session; Monday, December 11; 6:30 p.m. ET
Drivers of Treatment Patterns in Patients with Chronic Lymphocytic Leukemia (CLL) Treated with B-cell Receptor Inhibitors (BCRis) – A Medical Chart Review Study; Mato et al.; Abstract 4681; Poster Session; Monday, December 11; 6:00-8:00 p.m. ET
Impact of Number of Prior Therapies and Bulk of Disease on Outcomes with Venetoclax (VEN) Monotherapy for Relapsed/Refractory Chronic Lymphocytic Leukemia (CLL); Wierda et al.; Abstract 4329; Poster Session; Monday, December 11; 6:00-8:00 p.m. ET
Sustained Minimal Residual Disease Negativity Predicted in Chronic Lymphocytic Leukemia Patients Treated with Venetoclax Combination Therapy for 2 Years: An Integrated Mechanistic Analysis of Multiple Phase I and II Studies; Gopalakrishnan et al.; Abstract 4318; Poster Session; Monday, December 11; 6:00-8:00 p.m. ET
Lifetime Costs of Chronic Lymphocytic Leukemia Patients; Sail et al.; Abstract 5621; Online Publication
Phase 1/2 Study Evaluating the Safety, Pharmacokinetics, and Preliminary Efficacy of Venetoclax in Japanese Subjects with Chronic Lymphocytic Leukemia; Hatake et al.; Abstract 5352; Online Publication
Treatment Outcomes Among Chronic Lymphocytic Leukemia Patients with 17p Deletion or TP53 Mutation in Argentina: A Retrospective Chart Review; Chiattone et al.; Abstract 5617; Online Publication
Elotuzumab
Elotuzumab Plus Lenalidomide/Dexamethasone (ELd) vs Ld in Patients with Newly Diagnosed Multiple Myeloma: Phase 2, Randomized, Open-label Study in Japan; Takezako et al.; Abstract 434; Oral Session; Sunday, December 10; 12:15 p.m. ET
ABBV-621
Abbv-621 is a Novel and Potent TRAIL Receptor Agonist Fusion Protein that Induces Apoptosis Alone and in Combination with Navitoclax and Venetoclax in Hematological Tumors; Tahir et al.; Abstract 2812; Poster Session; Sunday, December 10; 6:00-8:00 p.m. ET
The ASH (Free ASH Whitepaper) 2017 Annual Meeting abstracts are available at View Source
About IMBRUVICA (ibrutinib) in the U.S.
IMBRUVICA is a first-in-class, oral, once-daily therapy that inhibits a protein called Bruton’s tyrosine kinase (BTK). BTK is a key signaling molecule in the B-cell receptor signaling complex that plays an important role in the survival and spread of malignant B cells as well as other serious, debilitating conditions.1,2 IMBRUVICA blocks signals that tell malignant B cells to multiply and spread uncontrollably.1
IMBRUVICA has been granted four Breakthrough Therapy Designations from the FDA, including in cGVHD. This designation is intended to expedite the development and review of a potential new drug for serious or life-threatening diseases.3 IMBRUVICA was one of the first medicines to receive U.S. FDA approval via the new Breakthrough Therapy Designation pathway.
IMBRUVICA is FDA-approved in six distinct patient populations: CLL, small lymphocytic lymphoma (SLL), Waldenström’s macroglobulinemia (WM), along with previously-treated mantle cell lymphoma (MCL), previously-treated marginal zone lymphoma (MZL) and cGVHD.1
IMBRUVICA was first approved for adult patients with MCL who have received at least one prior therapy in November 2013.
Soon after, IMBRUVICA was initially approved in CLL patients who have received at least one prior therapy in February 2014. By July 2014, the therapy received approval for adult CLL patients with 17p deletion, and by March 2016, the therapy was approved as a frontline CLL treatment.
IMBRUVICA was approved for adult patients with WM in January 2015.
In May 2016, IMBRUVICA was approved in combination with bendamustine and rituximab (BR) for adult patients with previously treated CLL/SLL.
In January 2017, IMBRUVICA was approved for adult patients with MZL who require systemic therapy and have received at least one prior anti-CD20-based therapy.
In August 2017, IMBRUVICA was approved for adult patients with cGVHD that failed to respond to one or more lines of systemic therapy.
Accelerated approval was granted for the MCL and MZL indication based on overall response rate. Continued approval for MCL and MZL may be contingent upon verification and description of clinical benefit in confirmatory trials.1
IMBRUVICA is being studied alone and in combination with other treatments in several blood and solid tumor cancers and other serious illnesses. IMBRUVICA has one of the most robust clinical oncology development programs for a single molecule in the industry, with more than 130 ongoing clinical trials. There are approximately 30 ongoing company-sponsored trials, 14 of which are in Phase 3, and more than 100 investigator-sponsored trials and external collaborations that are active around the world. To date, 90,000 patients around the world have been treated with IMBRUVICA in clinical practice and clinical trials.
Patient Access to IMBRUVICA
AbbVie and Janssen strive to make access to IMBRUVICA easy by helping patients in the U.S. understand their insurance benefits for IMBRUVICA. The YOU&i Support Program is a program that includes information on access and affordability support options, nurse call support and resources for patients being treated with IMBRUVICA.
IMBRUVICA (ibrutinib) U.S. IMPORTANT SAFETY INFORMATION
WARNINGS AND PRECAUTIONS
Hemorrhage: Fatal bleeding events have occurred in patients treated with IMBRUVICA. Grade 3 or higher bleeding events (intracranial hemorrhage [including subdural hematoma], gastrointestinal bleeding, hematuria, and post-procedural hemorrhage) have occurred in up to 6% of patients. Bleeding events of any grade, including bruising and petechiae, occurred in approximately half of patients treated with IMBRUVICA.
The mechanism for the bleeding events is not well understood.
IMBRUVICA may increase the risk of hemorrhage in patients receiving antiplatelet or anticoagulant therapies and patients should be monitored for signs of bleeding.
Consider the benefit-risk of withholding IMBRUVICA for at least 3 to 7 days pre- and post-surgery depending upon the type of surgery and the risk of bleeding.
Infections: Fatal and non-fatal infections (including bacterial, viral, or fungal) have occurred with IMBRUVICA therapy. Grade 3 or greater infections occurred in 14% to 29% of patients. Cases of progressive multifocal leukoencephalopathy (PML) and Pneumocystis jirovecii pneumonia (PJP) have occurred in patients treated with IMBRUVICA. Consider prophylaxis according to standard of care in patients who are at increased risk for opportunistic infections.
Monitor and evaluate patients for fever and infections and treat appropriately.
Cytopenias: Treatment-emergent Grade 3 or 4 cytopenias including neutropenia (range, 13 to 29%), thrombocytopenia (range, 5 to 17%), and anemia (range, 0 to 13%) based on laboratory measurements occurred in patients with B-cell malignancies treated with single agent IMBRUVICA.
Monitor complete blood counts monthly.
Atrial Fibrillation: Atrial fibrillation and atrial flutter (range, 6 to 9%) have occurred in patients treated with IMBRUVICA, particularly in patients with cardiac risk factors, hypertension, acute infections, and a previous history of atrial fibrillation. Periodically monitor patients clinically for atrial fibrillation. Patients who develop arrhythmic symptoms (e.g., palpitations, lightheadedness) or new onset dyspnea should have an ECG performed. Atrial fibrillation should be managed appropriately, and if it persists, consider the risks and benefits of IMBRUVICA treatment and follow dose modification guidelines.
Hypertension: Hypertension (range, 6 to 17%) has occurred in patients treated with IMBRUVICA with a median time to onset of 4.6 months (range, 0.03 to 22 months). Monitor patients for new onset hypertension or hypertension that is not adequately controlled after starting IMBRUVICA.
Adjust existing anti-hypertensive medications and/or initiate anti-hypertensive treatment as appropriate.
Second Primary Malignancies: Other malignancies (range, 3 to 16%) including non-skin carcinomas (range, 1 to 4%) have occurred in patients treated with IMBRUVICA. The most frequent second primary malignancy was non-melanoma skin cancer (range, 2 to 13%).
Tumor Lysis Syndrome: Tumor lysis syndrome has been infrequently reported with IMBRUVICA therapy. Assess the baseline risk (e.g., high tumor burden) and take appropriate precautions.
Monitor patients closely and treat as appropriate.
Embryo-Fetal Toxicity: Based on findings in animals, IMBRUVICA can cause fetal harm when administered to a pregnant woman. Advise women to avoid becoming pregnant while taking IMBRUVICA and for 1 month after cessation of therapy. If this drug is used during pregnancy or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to a fetus. Advise men to avoid fathering a child during the same time period.
ADVERSE REACTIONS
B-cell malignancies: The most common adverse reactions (≥20%) in patients with B-cell malignancies (MCL, CLL/SLL, WM and MZL) were thrombocytopenia (62%), neutropenia (61%), diarrhea (43%), anemia (41%), musculoskeletal pain (30%), rash (30%), bruising (30%), nausea (29%), fatigue (29%), hemorrhage (22%), and pyrexia (21%).
The most common Grade 3 or 4 adverse reactions (≥5%) in patients with B-cell malignancies (MCL, CLL/SLL, WM and MZL) were neutropenia (39%), thrombocytopenia (16%), and pneumonia (10%).
Approximately 6% (CLL/SLL), 14% (MCL), 11% (WM) and 10% (MZL) of patients had a dose reduction due to adverse reactions. Approximately 4%-10% (CLL/SLL), 9% (MCL), and 9% (WM [6%] and MZL [13%]) of patients discontinued due to adverse reactions.
cGVHD: The most common adverse reactions (≥20%) in patients with cGVHD were fatigue (57%), bruising (40%), diarrhea (36%), thrombocytopenia (33%), muscle spasms (29%), stomatitis (29%), nausea (26%), hemorrhage (26%), anemia (24%), and pneumonia (21%).
The most common Grade 3 or 4 adverse reactions (≥5%) reported in patients with cGVHD were fatigue (12%), diarrhea (10%), neutropenia (10%), pneumonia (10%), sepsis (10%), hypokalemia (7%), headache (5%), musculoskeletal pain (5%), and pyrexia (5%).
Twenty-four percent of patients receiving IMBRUVICA in the cGVHD trial discontinued treatment due to adverse reactions. Adverse reactions leading to dose reduction occurred in 26% of patients.
DRUG INTERACTIONS
CYP3A Inducers: Avoid coadministration with strong CYP3A inducers.
CYP3A Inhibitors: Dose adjustment may be recommended.
SPECIFIC POPULATIONS
Hepatic Impairment (based on Child-Pugh criteria): Avoid use of IMBRUVICA in patients with moderate or severe baseline hepatic impairment. In patients with mild impairment, reduce IMBRUVICA dose.
Please see Full Prescribing Information: View Source
About VENCLEXTA (venetoclax) in the U.S.
VENCLEXTA is an oral B-cell lymphoma-2 (BCL-2) inhibitor developed by AbbVie and Genentech, a member of the Roche Group. VENCLEXTA targets a specific protein in the body called BCL-2.4 When you have CLL, BCL-2 may build up and prevent cancer cells from self-destructing naturally. VENCLEXTA targets BCL-2 in order to help restore the process of apoptosis.4 Through apoptosis, your body allows cancer cells and normal cells to self-destruct.
VENCLEXTA has been granted four Breakthrough Therapy Designations from the FDA including for the combination treatment of patients with untreated AML not eligible for standard induction chemotherapy. This designation is intended to expedite the development and review of therapies for serious or life-threatening conditions.3 In January 2016, AbbVie announced that the FDA granted priority review for the single agent NDA application for VENCLEXTA.
In April 2016, U.S. FDA granted accelerated approval of VENCLEXTA for the treatment of patients with relapsed/refractory CLL with 17p deletion, as detected by an FDA-approved test.4 This indication is approved under accelerated approval based on overall response rate.4 Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial. 4
AbbVie and Genentech are committed to BCL-2 research with venetoclax, which is currently being evaluated in combination with other agents in Phase 3 clinical trials for the treatment of relapsed/refractory and first-line CLL,5 along with early phase studies in several cancers.4, 6, 7, 8, 9
Venetoclax is under evaluation by health authorities in multiple countries, and is currently approved in more than 49 nations, including the U.S.
What is VENCLEXTA (venetoclax)?
VENCLEXTA (venetoclax) is a prescription medicine used to treat people with chronic lymphocytic leukemia (CLL) with 17p deletion who have received at least one prior treatment.
VENCLEXTA was approved based on response rate. There is an ongoing study to find out how VENCLEXTA works over a longer period of time.
It is not known if VENCLEXTA is safe and effective in children.
Important Safety Information
What is the most important information I should know about VENCLEXTA?
VENCLEXTA can cause serious side effects, including:
Tumor lysis syndrome (TLS). TLS is caused by the fast breakdown of cancer cells. TLS can cause kidney failure, the need for dialysis treatment, and may lead to death. Your doctor will do tests for TLS. It is important to keep your appointments for blood tests. You will receive other medicines before starting and during treatment with VENCLEXTA to help reduce your risk of TLS. You may also need to receive intravenous (IV) fluids into your vein. Tell your doctor right away if you have any symptoms of TLS during treatment with VENCLEXTA, including fever, chills, nausea, vomiting, confusion, shortness of breath, seizures, irregular heartbeat, dark or cloudy urine, unusual tiredness, or muscle or joint pain.
Drink plenty of water when taking VENCLEXTA to help reduce your risk of getting TLS. Drink 6 to 8 glasses (about 56 ounces total) of water each day, starting 2 days before your first dose, on the day of your first dose of VENCLEXTA, and each time your dose is increased.
Who should not take VENCLEXTA?
Certain medicines must not be taken when you first start taking VENCLEXTA and while your dose is being slowly increased.
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. VENCLEXTA and other medicines may affect each other, causing serious side effects.
Do not start new medicines during treatment with VENCLEXTA without first talking with your doctor.
What should I tell my doctor before taking VENCLEXTA?
Before taking VENCLEXTA, tell your doctor about all of your medical conditions, including if you:
Have kidney or liver problems.
Have problems with your body salts or electrolytes, such as potassium, phosphorus, or calcium
Have a history of high uric acid levels in your blood or gout
Are scheduled to receive a vaccine. You should not receive a "live vaccine" before, during or after treatment with VENCLEXTA until your doctor tells you it is okay. If you are not sure about the type of immunization or vaccine, ask your doctor. These vaccines may not be safe or may not work as well during treatment with VENCLEXTA.
Are pregnant or plan to become pregnant. VENCLEXTA may harm your unborn baby. If you are able to become pregnant, your doctor should do a pregnancy test before you start treatment with VENCLEXTA, and you should use effective birth control during treatment and for 30 days after the last dose of VENCLEXTA.
Are breastfeeding or plan to breastfeed. It is not known if VENCLEXTA passes into your breast milk. Do not breastfeed during treatment with VENCLEXTA.
What should I avoid while taking VENCLEXTA?
You should not drink grapefruit juice or eat grapefruit, Seville oranges (often used in marmalades), or starfruit while you are taking VENCLEXTA. These products may increase the amount of VENCLEXTA in your blood.
What are the possible side effects of VENCLEXTA?
VENCLEXTA can cause serious side effects, including:
Low white blood cell count (neutropenia). Low white blood cell counts are common with VENCLEXTA, but can also be severe. Your doctor will do blood tests to check your blood counts during treatment with VENCLEXTA. Tell your doctor right away if you have a fever or any signs of an infection.
The most common side effects of VENCLEXTA include low white blood cell count, diarrhea, nausea, low red blood cell count, upper respiratory tract infection, low platelet count, and feeling tired.
VENCLEXTA may cause fertility problems in males. This may affect your ability to father a child. Talk to your doctor if you have concerns about fertility.
These are not all the possible side effects of VENCLEXTA. Tell your doctor if you have any side effect that bothers you or that does not go away.
The full U.S. prescribing information for VENCLEXTA can be found here.
Patient Assistance Program
For those who qualify, AbbVie and Genentech offer patient assistance programs for people taking Venclexta in the U.S.
About EMPLICITI (elotuzumab) in the U.S.
EMPLICITI is an immunostimulatory antibody that specifically targets Signaling Lymphocyte Activation Molecule Family member 7 (SLAMF7), a cell-surface glycoprotein. SLAMF7 is expressed on myeloma cells independent of cytogenetic abnormalities. SLAMF7 is also expressed on Natural Killer cells, plasma cells and at lower levels on specific immune cell subsets of differentiated cells within the hematopoietic lineage.10
EMPLICITI has a dual mechanism-of-action. It directly activates the immune system through Natural Killer cells via the SLAMF7 pathway. EMPLICITI also targets SLAMF7 on myeloma cells, tagging these malignant cells for Natural Killer cell-mediated destruction via antibody-dependent cellular toxicity.
On November 30, 2015, the U.S. Food and Drug Administration (FDA) approved EMPLICITI in combination with lenalidomide and dexamethasone in patients with multiple myeloma who have received one to three prior therapies. The safety and efficacy of EMPLICITI is still being evaluated by other health authorities. Bristol-Myers Squibb and AbbVie are co-developing EMPLICITI, with Bristol-Myers Squibb solely responsible for commercial activities.
EMPLICITI (elotuzumab) U.S. IMPORTANT SAFETY INFORMATION
WHAT IS EMPLICITI?
EMPLICITI (elotuzumab) is a prescription medicine used to treat multiple myeloma in combination with the medicines REVLIMID (lenalidomide) and dexamethasone in people who have received one to three prior treatments for their multiple myeloma.
It is not known if EMPLICITI is safe and effective in children.
IMPORTANT SAFETY INFORMATION
EMPLICITI is used in combination with REVLIMID and dexamethasone. It is important to remember that the safety information for these medications also applies to EMPLICITI combination therapy.
Before you receive EMPLICITI, tell your healthcare provider about all of your medical conditions, including if you:
have an infection
are pregnant or plan to become pregnant. It is not known if EMPLICITI may harm your unborn baby. However, REVLIMID may cause birth defects or death of an unborn baby.
Before receiving EMPLICITI with REVLIMID and dexamethasone, females and males must agree to the instructions in the REVLIMID REMS program. This program has specific requirements about birth control (contraception), pregnancy testing, blood donation, and sperm donation that you need to know. Talk to your healthcare provider to learn more about REVLIMID.
are breastfeeding or plan to breastfeed. It is not known if EMPLICITI passes into breast milk. You should not breastfeed during treatment with EMPLICITI and REVLIMID and dexamethasone.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Serious side effects that can occur with EMPLICITI treatment are:
Infusion reactions
Infusion reactions can happen during your infusion or within 24 hours after your infusion of EMPLICITI. Your healthcare provider will give you medicines before each infusion of EMPLICITI to help reduce the risk of an infusion reaction.
If you have an infusion reaction while receiving EMPLICITI, your healthcare provider will slow or stop your infusion and treat your reaction. If you have a severe infusion reaction your healthcare provider may stop your treatment completely.
Tell your healthcare provider or get medical help right away if you have any of these symptoms after your infusion with EMPLICITI: fever, chills, rash, trouble breathing, dizziness, light-headedness.
Infections
Those receiving EMPLICITI with REVLIMID and dexamethasone may develop infections; some can be serious.
Tell your healthcare provider right away if you have any of the signs and symptoms of an infection, including: fever, flu-like symptoms, cough, shortness of breath, burning with urination, or a painful skin rash.
Risk of new cancers (malignancies)
Those receiving EMPLICITI with REVLIMID and dexamethasone have a risk of developing new cancers.
Talk with your healthcare provider about your risk of developing new cancers if you receive EMPLICITI.
Your healthcare provider will check you for new cancers during your treatment with EMPLICITI.
Liver problems
EMPLICITI may cause liver problems. Your healthcare provider will do blood tests to check your liver during treatment with EMPLICITI.
Tell your healthcare provider if you have signs and symptoms of liver problems, including: tiredness, weakness, loss of appetite, yellowing of your skin or eyes, color changes in your stools, confusion, or swelling of the stomach area.
The most common side effects of EMPLICITI include:
fatigue
diarrhea
fever
constipation
cough
numbness, weakness, tingling, or burning pain in your arms or legs
sore throat or runny nose
upper respiratory tract infection
decreased appetite
pneumonia
These are not all of the possible side effects of EMPLICITI. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Please read Patient Information in the full Prescribing Information.
About ABBV-621
ABBV-621 is a first-in-class, second-generation TRAIL-receptor agonist under development for the treatment of solid and hematologic tumors.
About Pharmacyclics, An AbbVie Company
Pharmacyclics LLC, a wholly-owned subsidiary of AbbVie (NYSE: ABBV), is focused on developing and commercializing innovative small-molecule drugs for the treatment of cancer and immune-mediated diseases. Pharmacyclics’ mission is to develop and commercialize novel therapies intended to improve quality of life, increase duration of life and resolve serious unmet medical needs.
Pharmacyclics markets IMBRUVICA and has two product candidates in clinical development and several preclinical molecules in lead optimization. Pharmacyclics is committed to high standards of ethics, scientific rigor and operational efficiency as it moves each of these programs toward commercialization. To learn more, please visit www.pharmacyclics.com.
About AbbVie in Oncology
At AbbVie, we strive to discover and develop medicines that deliver transformational improvements in cancer treatment by uniquely combining our deep knowledge in core areas of biology with cutting-edge technologies, and by working together with our partners – scientists, clinical experts, industry peers, advocates, and patients. We remain focused on delivering these transformative advances in treatment across some of the most debilitating and widespread cancers. We are also committed to exploring solutions to help patients obtain access to our cancer medicines. With the acquisitions of Pharmacyclics in 2015 and Stemcentrx in 2016, our research and development efforts, and through collaborations, AbbVie’s oncology portfolio now consists of marketed medicines and a pipeline containing multiple new molecules being evaluated worldwide in more than 200 clinical trials and more than 20 different tumor types. For more information, please visit View Source