Results from two trials (ELOQUENT-2 & 009) in which elotuzumab’s
novel mechanism of action demonstrated a significant and sustained
reduction in the risk of disease progression or death in patients with
relapsed or refractory multiple myeloma to be presented
Updated data from Opdivo (nivolumab) early-stage
research in relapsed or refractory lymphoid malignancies to be presented
Real-world data for multiple compounds which advance the
understanding of chronic myeloid leukemia and multiple myeloma patient
care to be presented
PRINCETON, N.J.--(BUSINESS WIRE)--
Bristol-Myers
Squibb Company (NYSE:BMY) today announced the presentation of
clinical research from its hematology portfolio at the 20th
Congress of the European Hematology Association (EHA) in Vienna, Austria
from June 11-14. Bristol-Myers Squibb will present data for elotuzumab,
an investigational immunostimulatory antibody, in relapsed or refractory
multiple myeloma; Opdivo (nivolumab), in patients with
relapsed or refractory lymphoid malignancies; and Sprycel (dasatinib),
in chronic myeloid leukemia.
Data to be presented at EHA exemplify Bristol-Myers Squibb’s commitment
to advancing the treatment of blood cancers through its experience in
hematology and its transformative science of Immuno-Oncology.
Key oral presentations include:
-
ELOQUENT-2: A Phase 3, open-label study [Abstract #S471]
comparing elotuzumab in combination with lenalidomide and
dexamethasone (ELd) versus lenalidomide and dexamethasone alone (Ld)
in patients with relapsed or refractory multiple myeloma, will be
featured in the EHA press briefing on Friday, June 12 at 8:30 a.m.
CEST and will be presented during the Presidential Symposium, also on
June 12, at 3:45 p.m. CEST. The ELOQUENT-2 study was published in the New
England Journal of Medicine on June 2.
-
Study 009: A Phase 2, open-label study [Abstract #S103]
comparing elotuzumab in combination with bortezomib (a proteasome
inhibitor) and dexamethasone versus bortezomib and dexamethasone in
patients with relapsed or refractory multiple myeloma will be
presented in an oral session on June 12 at 12:00 p.m. CEST.
-
PREAMBLE: A preliminary analysis of an ongoing, multinational,
observational study [Abstract #S148] evaluating the real-world
clinical effectiveness of standard treatments, including
immunomodulatory drugs (IMiDs) and proteasome inhibitors (PIs), in
patients with relapsed or refractory multiple myeloma will be
presented in an oral session on June 12 at 12:00 p.m. CEST.
-
CheckMate -039: Updated data from a Phase 1 study [Abstract
#S808] evaluating the safety, tolerability and potential efficacy of Opdivo
in several hematologic malignancies, including classical Hodgkin
Lymphoma will be presented in an oral session on Sunday, June 14 at
8:45 a.m. CEST.
“Bristol-Myers Squibb is leveraging its broad experience in oncology and
leading Immuno-Oncology science to develop a portfolio of innovative
therapies, including a novel modality for multiple myeloma, because we
believe patients with blood cancers deserve more,” said Michael
Giordano, senior vice president, Head of Development, Oncology,
Bristol-Myers Squibb. “These data at EHA illustrate our commitment to
transforming survival expectations for more patients with a variety of
hematologic malignancies.”
The full set of data to be presented by Bristol-Myers Squibb includes:
|
Title
|
|
Date/Time
|
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Multiple Myeloma
|
|
An Ongoing Multinational Observational Study in Multiple
Myeloma (PREAMBLE): A Preliminary Report of Disease Impact on
Quality of Life
Abstract #S148
|
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Oral Presentation
Friday, June 12
12:00-12:15 p.m. CEST
|
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A Randomized, Open-label Phase 2 Study of
Bortezomib/Dexamethasone with or without Elotuzumab in
Patients with Relapsed/Refractory Multiple Myeloma Abstract #S103
|
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Oral Presentation
Friday, June 12
12:00-12:15 p.m. CEST
|
|
ELOQUENT-2: A Phase 3, Randomized, Open-label Study of
Lenalidomide/Dexamethasone with or without Elotuzumab in
Patients with Relapsed/Refractory Multiple Myeloma
Abstract #S471
|
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Presidential Symposium
Friday, June 12
3:45-4:00 p.m. CEST
|
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Lymphoma
|
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Nivolumab in Patients with Relapsed or Refractory Lymphoid
Malignancies and Classical Hodgkin Lymphoma: Updated Safety
and Efficacy Results of a Phase 1 Study (CA209-039)
Abstract #S80
|
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Oral Presentation
Sunday, June 14
8:45-9:00 a.m. CEST
|
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Chronic Myeloid Leukemia
|
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Cardiovascular (CV) and Pulmonary Adverse Events (AEs)
in Patients (Pts) Treated with BCR-ABL Tyrosine Kinase Inhibitors
(TKIs): Updated Analysis from the FDA Adverse Event Reporting
System (FAERS)
Abstract #P601
|
|
Poster Presentation
Saturday, June 13
5:15–6:45 p.m. CEST
|
|
Cardiovascular (CV)-Related Hospitalization in Patients with
Chronic-Phase Chronic Myeloid Leukemia (CP-CML) in
SIMPLICITY, a Prospective Observational Study
Abstract #E1099
|
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Eposter Presentation
Available to view Friday, June 12, 9:30 a.m. to Saturday,
June 13, 6:45 p.m. CEST
|
|
Efficacy and Safety of Dasatinib vs. Imatinib in Latin American Subpopulation
from the DASISION Trial in Patients with Newly Diagnosed
Chronic Myeloid Leukemia (CML) in Chronic Phase (CP)
Abstract #E1119
|
|
Eposter Presentation
Available to view Friday, June 12, 9:30 a.m. to Saturday,
June 13, 6:45 p.m. CEST
|
|
Estimated Glomerular Filtration Rates of Chronic Myeloid Leukemia
(CML) Patients Treated with Tyrosine Kinase Inhibitors (TKIs) in
Dasatinib Trials: DASISION (CA180-056), CA180-034, And CA180-035
Abstract #E1100
|
|
Eposter Presentation
Available to view Friday, June 12, 9:30 a.m. to Saturday,
June 13, 6:45 p.m. CEST
|
About Elotuzumab
Elotuzumab is an investigational immunostimulatory antibody targeted
against Signaling Lymphocyte Activation Molecule (SLAMF7), a
cell-surface glycoprotein that is highly and uniformly expressed on
myeloma cells and Natural Killer (NK) cells, but is not detected on
normal solid tissues or on hematopoietic stem cells. Elotuzumab is being
investigated to determine whether the compound may selectively target
myeloma cells. It is believed that elotuzumab works through a dual
mechanism of action: binding to SLAMF7 on NK cells, directly activating
them and binding to SLAMF7 on myeloma cells, flagging them for NK cell
recognition and destruction.
In May 2014, the U.S. Food and Drug Administration (FDA) granted
elotuzumab Breakthrough Therapy Designation for use in combination with
one of the chemotherapy treatments for multiple myeloma (lenalidomide,
used in combination with dexamethasone) in patients who have received
one or more prior treatments. Elotuzumab is an investigational compound,
and its safety and efficacy have not been evaluated by the FDA or any
other health authority.
Bristol-Myers Squibb and AbbVie are co-developing elotuzumab, with
Bristol-Myers Squibb solely responsible for commercial activities.
About Opdivo
Bristol-Myers Squibb has a broad, global development program to study Opdivo in
multiple tumor types consisting of more than 50 trials – as monotherapy
or in combination with other therapies – in which more than 8,000
patients have been enrolled worldwide.
In May 2014, the FDA granted Opdivo Breakthrough Therapy
Designation for the treatment of patients with Hodgkin Lymphoma after
failure of autologous stem cell transplant and brentuximab. Opdivo became
the first PD-1 immune checkpoint inhibitor to receive regulatory
approval anywhere in the world on July 4, 2014 when Ono Pharmaceutical
Co. announced that it received manufacturing and marketing approval in
Japan for the treatment of patients with unresectable melanoma. In the
U.S., the (FDA) granted its first approval for Opdivo for
the treatment of patients with unresectable or metastatic melanoma and
disease progression following Yervoy (ipilimumab) and, if
BRAF V600 mutation positive, a BRAF inhibitor. On March 4, 2015, Opdivo received
its second FDA approval for the treatment of patients with metastatic
squamous non-small cell lung cancer with progression on or after
platinum-based chemotherapy.
OPDIVO (nivolumab) IMPORTANT SAFETY INFORMATION
Immune-Mediated Pneumonitis
-
Severe pneumonitis or interstitial lung disease, including fatal
cases, occurred with OPDIVO treatment. Across the clinical trial
experience in 691 patients with solid tumors, fatal immune-mediated
pneumonitis occurred in 0.7% (5/691) of patients receiving OPDIVO; no
cases occurred in Trial 1 or Trial 3. In Trial 1, pneumonitis,
including interstitial lung disease, occurred in 3.4% (9/268) of
patients receiving OPDIVO and none of the 102 patients receiving
chemotherapy. Immune-mediated pneumonitis occurred in 2.2% (6/268) of
patients receiving OPDIVO; one with Grade 3 and five with Grade 2. In
Trial 3, immune-mediated pneumonitis occurred in 6% (7/117) of
patients receiving OPDIVO, including, five Grade 3 and two Grade 2
cases. Monitor patients for signs and symptoms of pneumonitis.
Administer corticosteroids for Grade 2 or greater pneumonitis.
Permanently discontinue OPDIVO for Grade 3 or 4 and withhold OPDIVO
until resolution for Grade 2.
Immune-Mediated Colitis
-
In Trial 1, diarrhea or colitis occurred in 21% (57/268) of patients
receiving OPDIVO and 18% (18/102) of patients receiving chemotherapy.
Immune-mediated colitis occurred in 2.2% (6/268) of patients receiving
OPDIVO; five with Grade 3 and one with Grade 2. In Trial 3, diarrhea
occurred in 21% (24/117) of patients receiving OPDIVO. Grade 3
immune-mediated colitis occurred in 0.9% (1/117) of patients. Monitor
patients for immune-mediated colitis. Administer corticosteroids for
Grade 2 (of more than 5 days duration), 3, or 4 colitis. Withhold
OPDIVO for Grade 2 or 3. Permanently discontinue OPDIVO for Grade 4
colitis or recurrent colitis upon restarting OPDIVO.
Immune-Mediated Hepatitis
-
In Trial 1, there was an increased incidence of liver test
abnormalities in the OPDIVO-treated group as compared to the
chemotherapy-treated group, with increases in AST (28% vs 12%),
alkaline phosphatase (22% vs 13%), ALT (16% vs 5%), and total
bilirubin (9% vs 0). Immune-mediated hepatitis occurred in 1.1%
(3/268) of patients receiving OPDIVO; two with Grade 3 and one with
Grade 2. In Trial 3, the incidences of increased liver test values
were AST (16%), alkaline phosphatase (14%), ALT (12%), and total
bilirubin (2.7%). Monitor patients for abnormal liver tests prior to
and periodically during treatment. Administer corticosteroids for
Grade 2 or greater transaminase elevations. Withhold OPDIVO for Grade
2 and permanently discontinue OPDIVO for Grade 3 or 4 immune-mediated
hepatitis.
Immune-Mediated Nephritis and Renal Dysfunction
-
In Trial 1, there was an increased incidence of elevated creatinine in
the OPDIVO-treated group as compared to the chemotherapy-treated group
(13% vs 9%). Grade 2 or 3 immune-mediated nephritis or renal
dysfunction occurred in 0.7% (2/268) of patients. In Trial 3, the
incidence of elevated creatinine was 22%. Immune-mediated renal
dysfunction (Grade 2) occurred in 0.9% (1/117) of patients. Monitor
patients for elevated serum creatinine prior to and periodically
during treatment. For Grade 2 or 3 serum creatinine elevation,
withhold OPDIVO and administer corticosteroids; if worsening or no
improvement occurs, permanently discontinue OPDIVO. Administer
corticosteroids for Grade 4 serum creatinine elevation and permanently
discontinue OPDIVO.
Immune-Mediated Hypothyroidism and Hyperthyroidism
-
In Trial 1, Grade 1 or 2 hypothyroidism occurred in 8% (21/268) of
patients receiving OPDIVO and none of the 102 patients receiving
chemotherapy. Grade 1 or 2 hyperthyroidism occurred in 3% (8/268) of
patients receiving OPDIVO and 1% (1/102) of patients receiving
chemotherapy. In Trial 3, hypothyroidism occurred in 4.3% (5/117) of
patients receiving OPDIVO. Hyperthyroidism occurred in 1.7% (2/117) of
patients, including one Grade 2 case. Monitor thyroid function prior
to and periodically during treatment. Administer hormone replacement
therapy for hypothyroidism. Initiate medical management for control of
hyperthyroidism.
Other Immune-Mediated Adverse Reactions
-
In Trial 1 and 3 (n=385), the following clinically significant
immune-mediated adverse reactions occurred in <2% of OPDIVO-treated
patients: adrenal insufficiency, uveitis, pancreatitis, facial and
abducens nerve paresis, demyeliniation, autoimmune neuropathy, motor
dysfunction, and vasculitis. Across clinical trials of OPDIVO
administered at doses 3 mg/kg and 10 mg/kg, additional clinically
significant, immune-mediated adverse reactions were identified:
hypophysitis, diabetic ketoacidosis, hypopituitarism, Guillain-Barré
syndrome, and myasthenic syndrome. Based on the severity of adverse
reaction, withhold OPDIVO, administer high-dose corticosteroids, and,
if appropriate, initiate hormone- replacement therapy.
Embryofetal Toxicity
-
Based on its mechanism of action, OPDIVO can cause fetal harm when
administered to a pregnant woman. Advise pregnant women of the
potential risk to a fetus. Advise females of reproductive potential to
use effective contraception during treatment with OPDIVO and for at
least 5 months after the last dose of OPDIVO.
Lactation
-
It is not known whether OPDIVO is present in human milk. Because many
drugs, including antibodies, are excreted in human milk and because of
the potential for serious adverse reactions in nursing infants from
OPDIVO, advise women to discontinue breastfeeding during treatment.
Serious Adverse Reactions
-
In Trial 1, serious adverse reactions occurred in 41% of patients
receiving OPDIVO. Grade 3 and 4 adverse reactions occurred in 42% of
patients receiving OPDIVO. The most frequent Grade 3 and 4 adverse
drug reactions reported in 2% to <5% of patients receiving OPDIVO were
abdominal pain, hyponatremia, increased aspartate aminotransferase,
and increased lipase.
-
In Trial 3, serious adverse reactions occurred in 59% of patients
receiving OPDIVO. The most frequent serious adverse drug reactions
reported in =2% of patients were dyspnea, pneumonia, chronic
obstructive pulmonary disease exacerbation, pneumonitis,
hypercalcemia, pleural effusion, hemoptysis, and pain.
Common Adverse Reactions
-
The most common adverse reactions (=20%) reported with OPDIVO in Trial
1 were rash (21%) and in Trial 3 were fatigue (50%), dyspnea (38%),
musculoskeletal pain (36%), decreased appetite (35%), cough (32%),
nausea (29%), and constipation (24%).
Please see U.S.
Full Prescribing Information for OPDIVO.
About Sprycel
Sprycel is a prescription medicine used to treat adults who have
newly diagnosed Philadelphia chromosome–positive (Ph+) chronic myeloid
leukemia (CML) in chronic phase. The effectiveness of Sprycel in
these patients is based on a study that measured two types of response
to treatment (cytogenetic and molecular) by one year. The study is
ongoing to find out how Sprycel works over a longer period of
time. Sprycel is also indicated for adults with Ph+ CML who are
no longer benefitting from, or did not tolerate, other treatment
including Gleevec® (imatinib mesylate).
SPRYCEL® (dasatinib) INDICATIONS & IMPORTANT
SAFETY INFORMATION
INDICATIONS
SPRYCEL® (dasatinib) is indicated for the treatment of adults
with:
-
Newly diagnosed Philadelphia chromosome-positive chronic myeloid
leukemia (Ph+ CML) in chronic phase. The effectiveness of SPRYCEL is
based on cytogenetic and major molecular response rates. The trial is
ongoing and further data will be required to determine long-term
outcome
-
Chronic, accelerated, or myeloid or lymphoid blast phase Ph+ CML with
resistance or intolerance to prior therapy including imatinib
-
Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+
ALL) with resistance or intolerance to prior therapy
IMPORTANT SAFETY INFORMATION
Myelosuppression:
Treatment with SPRYCEL® (dasatinib) can cause severe (NCI CTC
Grade 3/4) thrombocytopenia, neutropenia, and anemia. Their occurrence
is more frequent in patients with advanced phase CML or Ph+ ALL than in
chronic phase CML. Myelosuppression was reported in patients with normal
baseline laboratory values as well as in patients with pre-existing
laboratory abnormalities.
-
Perform complete blood counts (CBCs) weekly for the first 2 months and
then monthly thereafter, or as clinically indicated
-
Myelosuppression was generally reversible and usually managed by dose
interruption, dose reduction, or discontinuation
-
Hematopoietic growth factor has been used in patients with resistant
myelosuppression
Bleeding Related Events:
SPRYCEL caused platelet dysfunction in vitro and thrombocytopenia in
humans. In all clinical trials, severe central nervous system (CNS)
hemorrhage, including fatalities, occurred in 1% of patients receiving
SPRYCEL. Severe gastrointestinal hemorrhage, including fatalities,
occurred in 4% of patients and generally required treatment
interruptions and transfusions. Other cases of severe hemorrhage
occurred in 2% of patients.
-
Most bleeding events were associated with severe thrombocytopenia.
Exercise caution in patients required to take medications that inhibit
platelet function or anticoagulants
Fluid Retention:
SPRYCEL is associated with fluid retention. In clinical trials, fluid
retention was severe in up to 10% of patients. Severe ascites, pulmonary
edema, and generalized edema were each reported in =1% of patients.
-
Patients who develop symptoms suggestive of pleural effusion, such as
dyspnea or dry cough, should be evaluated by chest X-ray
-
Severe pleural effusion may require thoracentesis and oxygen therapy
-
Fluid retention was typically managed by supportive care measures that
included diuretics or short courses of steroids
QT Prolongation:
In vitro data suggest that SPRYCEL has the potential to prolong cardiac
ventricular repolarization (QT interval).
-
In 865 patients with leukemia treated with SPRYCEL in five phase 2
single-arm studies, the maximum mean changes in QTcF (90% upper bound
CI) from baseline ranged from 7.0 ms to 13.4 ms
-
In clinical trials of patients treated with SPRYCEL (N=2440), 16
patients (1%) had QTc prolongation as an adverse reaction. Twenty-two
patients (1%) experienced a QTcF>500 ms
-
Administer SPRYCEL with caution to patients who have or may develop
prolongation of QTc, including patients with hypokalemia,
hypomagnesemia, or congenital long QT syndrome and patients taking
antiarrhythmic drugs, other medicinal products that lead to QT
prolongation, and cumulative high-dose anthracycline therapy
-
Correct hypokalemia or hypomagnesemia prior to SPRYCEL administration
Congestive Heart Failure, Left Ventricular Dysfunction, and
Myocardial Infarction:
Cardiac adverse reactions were reported in 7% of 258 patients taking
SPRYCEL, including 1.6% of patients with cardiomyopathy, heart failure
congestive, diastolic dysfunction, fatal myocardial infarction, and left
ventricular dysfunction.
-
Monitor patients for signs or symptoms consistent with cardiac
dysfunction and treat appropriately
Pulmonary Arterial Hypertension (PAH):
SPRYCEL may increase the risk of developing PAH, which may occur any
time after initiation, including after more than one year of treatment.
Manifestations include dyspnea, fatigue, hypoxia, and fluid retention.
PAH may be reversible on discontinuation of SPRYCEL.
-
Evaluate patients for signs and symptoms of underlying cardiopulmonary
disease prior to initiating SPRYCEL and during treatment. If PAH is
confirmed, SPRYCEL should be permanently discontinued
Use in Pregnancy:
SPRYCEL may cause fetal harm when administered to a pregnant woman.
There are no adequate and well-controlled studies of SPRYCEL in pregnant
women.
-
Women of childbearing potential should be advised of the potential
hazard to the fetus and to avoid becoming pregnant when taking SPRYCEL
Nursing Mothers:
It is unknown whether SPRYCEL is excreted in human milk.
-
Because of the potential for serious adverse reactions in nursing
infants, a decision should be made whether to discontinue nursing or
to discontinue SPRYCEL
Drug Interactions:
SPRYCEL is a CYP3A4 substrate and a weak time-dependent inhibitor of
CYP3A4.
-
Drugs that may increase SPRYCEL plasma concentrations are:
-
CYP3A4 inhibitors: Concomitant use of SPRYCEL and drugs
that inhibit CYP3A4 should be avoided. If administration of a
potent CYP3A4 inhibitor cannot be avoided, close monitoring for
toxicity and a SPRYCEL dose reduction should be considered
-
Strong CYP3A4 inhibitors (eg, ketoconazole, itraconazole,
clarithromycin, atazanavir, indinavir, nefazodone, nelfinavir,
ritonavir, saquinavir, telithromycin, voriconazole). If SPRYCEL
must be administered with a strong CYP3A4 inhibitor, a dose
decrease or temporary discontinuation should be considered
-
Grapefruit juice may also increase plasma
concentrations of SPRYCEL and should be avoided
-
Drugs that may decrease SPRYCEL plasma concentrations are:
-
CYP3A4 inducers: If SPRYCEL must be administered with a
CYP3A4 inducer, a dose increase in SPRYCEL should be considered
-
Strong CYP3A4 inducers (eg, dexamethasone, phenytoin,
carbamazepine, rifampin, rifabutin, phenobarbital) should be
avoided. Alternative agents with less enzyme induction potential
should be considered. If the dose of SPRYCEL is increased, the
patient should be monitored carefully for toxicity
-
St John’s Wort may decrease SPRYCEL plasma
concentrations unpredictably and should be avoided
-
Antacids may decrease SPRYCEL drug levels. Simultaneous
administration of SPRYCEL and antacids should be avoided. If
antacid therapy is needed, the antacid dose should be administered
at least 2 hours prior to or 2 hours after the dose of SPRYCEL
-
H2 antagonists/proton pump inhibitors
(eg, famotidine and omeprazole): Long-term suppression of gastric
acid secretion by use of H2 antagonists or proton pump inhibitors
is likely to reduce SPRYCEL exposure. Therefore, concomitant use
of H2 antagonists or proton pump inhibitors with SPRYCEL is not
recommended
-
Drugs that may have their plasma concentration altered by SPRYCEL are:
-
CYP3A4 substrates (eg, simvastatin) with a narrow
therapeutic index should be administered with caution in patients
receiving SPRYCEL
Adverse Reactions:
The safety data reflect exposure to SPRYCEL in 258 patients with newly
diagnosed chronic phase CML in a clinical trial (minimum of 36 months
follow up; median duration of therapy was 37 months), and in 2182
patients with imatinib-resistant or -intolerant CML or Ph+ ALL in
clinical trials (1520 patients had a minimum of 2 years follow up and
662 patients with chronic phase CML had a minimum of 60 months follow
up).
The majority of SPRYCEL-treated patients experienced adverse reactions
at some time. Patients aged 65 years and older are more likely to
experience toxicity. In the newly diagnosed chronic phase CML trial, the
cumulative discontinuation rate was 9% with a minimum of 36 months
follow up. In patients resistant or intolerant to prior imatinib
therapy, the discontinuation rate for SPRYCEL at 2 years for adverse
reactions was: 15% of patients in chronic phase CML (all doses), 16% of
patients in accelerated phase CML, 15% of patients in myeloid blast
phase CML, 8% in lymphoid blast phase CML, and 8% in Ph+ ALL. In
patients resistant or intolerant to prior imatinib therapy with chronic
phase CML (minimum 60 months follow up), the rate of discontinuation for
adverse reactions was 18% in patients treated with 100 mg once daily.
-
In newly diagnosed chronic phase CML patients:
-
The most frequently reported serious adverse reactions included
pleural effusion (4%), hemorrhage (2%), congestive heart failure
(1%), pulmonary hypertension (1%), and pyrexia (1%)
-
The most frequently reported adverse reactions (reported in =10%
of patients) included myelosuppression, fluid retention events
(pleural effusion and superficial localized edema), diarrhea,
headache, musculoskeletal pain, rash, and nausea
-
Grade 3/4 laboratory abnormalities included neutropenia (24%),
thrombocytopenia (19%), anemia (12%), hypophosphatemia (7%),
hypocalcemia (3%), elevated bilirubin (1%), and elevated
creatinine (1%)
-
In patients resistant or intolerant to prior imatinib therapy:
-
The most frequently reported serious adverse reactions included
pleural effusion (11%), gastrointestinal bleeding (4%), febrile
neutropenia (4%), dyspnea (3%), pneumonia (3%), pyrexia (3%),
diarrhea (3%), infection (2%), congestive heart failure/cardiac
dysfunction (2%), pericardial effusion (1%), and CNS hemorrhage
(1%)
-
The most frequently reported adverse reactions (reported in =20%
of patients) included myelosuppression, fluid retention events,
diarrhea, headache, dyspnea, skin rash, fatigue, nausea, and
hemorrhage
-
Grade 3/4 hematologic laboratory abnormalities in chronic phase
CML patients resistant or intolerant to prior imatinib therapy who
received SPRYCEL 100 mg once daily with a minimum follow up of 60
months included neutropenia (36%), thrombocytopenia (24%) and
anemia (13%). Other grade 3/4 laboratory abnormalities included:
hypophosphatemia (10%) and hypokalemia (2%)
-
Among chronic phase CML patients with resistance or
intolerance to prior imatinib therapy, cumulative Grade 3 or 4
cytopenias were similar at 2 and 5 years including:
neutropenia (36% vs 36%), thrombocytopenia (23% vs 24%), and
anemia (13% vs 13%)
-
Grade 3/4 elevations of transaminase or bilirubin and Grade 3/4
hypocalcemia, hypokalemia, and hypophosphatemia were reported in
patients with all phases of CML
-
Elevations in transaminase or bilirubin were usually managed
with dose reduction or interruption
-
Patients developing Grade 3/4 hypocalcemia during the course
of SPRYCEL therapy often had recovery with oral calcium
supplementation
Please see the full Prescribing Information http://packageinserts.bms.com/pi/pi_sprycel.pdf.
Immuno-Oncology at Bristol-Myers Squibb
Surgery, radiation, cytotoxic or targeted therapies have represented the
mainstay of cancer treatment over the last several decades, but
long-term survival and a positive quality of life have remained elusive
for many patients with advanced disease.
To address this unmet medical need, Bristol-Myers Squibb is leading
research in an innovative field of cancer research and treatment known
as Immuno-Oncology, which involves agents whose primary mechanism is to
work directly with the body’s immune system to fight cancer. The company
is exploring a variety of compounds and immunotherapeutic approaches for
patients with different types of cancer, including researching the
potential of combining Immuno-Oncology agents that target different
pathways in the treatment of cancer.
Bristol-Myers Squibb is committed to advancing the science of
Immuno-Oncology, with the goal of changing survival expectations and the
way patients live with cancer.
About Bristol-Myers Squibb
Bristol-Myers Squibb is a global pharmaceutical company whose mission is
to discover, develop and deliver innovative medicines that help patients
prevail over serious diseases. For more information about Bristol-Myers
Squibb, visit www.bms.com,
or follow us on Twitter at http://twitter.com/bmsnews.
Bristol-Myers Squibb Forward-Looking Statement
This press release contains "forward-looking statements" as that term
is defined in the Private Securities Litigation Reform Act of 1995
regarding the research, development and commercialization of
pharmaceutical products. Such forward-looking statements are based on
current expectations and involve inherent risks and uncertainties,
including factors that could delay, divert or change any of them, and
could cause actual outcomes and results to differ materially from
current expectations. No forward-looking statement can be guaranteed.
Among other risks, there can be no guarantee that elotuzumab will
receive regulatory approval or, if approved, that it will become a
commercially successful product or that Opdivo or Sprycel will receive
approval for any additional indications described herein or, if
approved, become commercially successful in such indications.
Forward-looking statements in this press release should be evaluated
together with the many uncertainties that affect Bristol-Myers Squibb's
business, particularly those identified in the cautionary factors
discussion in Bristol-Myers Squibb's Annual Report on Form 10-K for the
year ended December 31, 2014 in our Quarterly Reports on Form 10-Q and
our Current Reports on Form 8-K. Bristol-Myers Squibb undertakes no
obligation to publicly update any forward-looking statement, whether as
a result of new information, future events or otherwise.

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Source: Bristol-Myers Squibb