ASH Clinical News ACN_4.13_full issue_Web | Page 4

FIRST AND ONLY GAZYVA Is the First and Only Approved Therapy That Demonstrated Superior PFS vs rituximab in Previously Untreated FL 1 With chemotherapy * for stage II bulky, III, and IV patients Primary Endpoint: PFS (IRC-assessed) 1 1.0 28 % % 0.8 reduction in the risk of disease progression or death 0.6 Medians not yet reached HR=0.72 95% CI, 0.56-0.93; P=0.0118; 38-month median observation time 0.4 0.2 0.0 0 6 12 18 24 GAZYVA based regimen 601 571 532 497 476 414 287 rituximab-based regimen 601 563 502 463 438 394 271 n at risk * 30 36 42 Time (months) 48 54 179 79 22 151 73 16 60 66 GAZYVA and rituximab were each combined with bendamustine, CHOP, or CVP, and followed by GAZYVA or rituximab monotherapy, respectively, in patients who responded. • 1,202 untreated FL patients studied (Grades 1-3a, stage III/IV or stage II bulky disease [≥7 cm]) • Patients randomized to receive GAZYVA a or rituximab b in combination with chemotherapy for 6 or 8 cycles, followed by either GAZYVA or rituximab monotherapy every 2 months for up to 2 years c • GAZYVA and rituximab were combined with bendamustine (57% of patients), CHOP (33%), or CVP (10%) † Each dose of GAZYVA was 1,000 mg IV on Days 1, 8, and 15 of Cycle 1, and 1,000 mg on Day 1 of subsequent treatment cycles. 1 Each dose of rituximab was 375 mg/m 2 IV administered on Day 1 of each cycle. 2 c In patients achieving a CR or PR at the end of 6-8 cycles, GAZYVA or rituximab monotherapy was administered every 2 months until disease progression or for a maximum of 2 years. 1 † Treatment arms were generally balanced with respect to demographic factors and baseline disease characteristics. 2 a b Important Safety Information (cont’d) Immunization Geriatric Use • The safety and effi cacy of immunization with live or attenuated viral vaccines during or following GAZYVA therapy have not been studied. Immunization with live virus vaccines is not recommended during treatment and until B-cell recovery Pregnancy • There are no data with GAZYVA use in pregnant women to inform a drug-associated risk. GAZYVA is likely to cause fetal B-cell depletion. GAZYVA should be used during pregnancy and/or breastfeeding only if the potential benefi t justifi es the potential risk to the fetus and/or infant. Mothers who have been exposed to GAZYVA during pregnancy should discuss the safety and timing of live virus vaccinations for their infants with their child’s healthcare providers • Of the 691 patients in GALLIUM treated with GAZYVA plus chemotherapy as fi rst-line therapy, 33% were 65 and over, while 7% were 75 and over. Of patients 65 and over, 63% experienced serious adverse reactions and 26% experienced adverse reactions leading to treatment withdrawal, while in patients under 65, 43% experienced serious adverse reactions and 13% had an adverse reaction leading to treatment withdrawal. No clinically meaningful diff erences in effi cacy were observed between these patients and younger patients Please see additional Important Safety Information throughout as well as the brief summary of the full Prescribing Information, including BOXED WARNINGS.