ASH Clinical News December 2015 | Page 29

During the first 2 treatment cycles with BLINCYTO ®1 100 80 60 40 41.6% of evaluable patients achieved CR/CRh* (n=77/185; 95% CI: 34.4-49.1)1 Median of 2 treatment cycles • Range of 1 to 5 treatment cycles 9.2% CRh* (95% CI: 5.4-14.3)1 • Up to 2 cycles of induction 20 0 81% of these responses occurred within Cycle 1 (n=62/77) 1 19% of these responses occurred within Cycle 2 (n=15/77) 1 • Up to 3 cycles of consolidation 32.4% CR (95% CI: 25.7-39.7)1 BLINCYTO® (N=185)1 MRD Response 75.3% Allogeneic Transplant with CR/CRh* also had an MRD response (defined as MRD by PCR < 1 x 10 -4) (n=58/77; 95% CI: 64.2-84.4) 1 39% MRD=minimal residual disease of patients who achieved CR/CRh* went on to receive allogeneic transplant (n=30/77) 1 • Elevated Liver Enzymes: Transient elevations in liver enzymes have been associated with BLINCYTO® treatment. The majority of these events were observed in the setting of CRS. The median time to onset was 15 days. Grade 3 or greater elevations in liver enzymes occurred in 6% of patients outside the setting of CRS and resulted in treatment discontinuation in less than 1% of patients. Monitor ALT, AST, gamma-glutamyl transferase (GGT), and TBILI prior to the start of and during BLINCYTO® treatment. BLINCYTO® treatment should be interrupted if transaminases rise to > 5 times the upper limit of normal (ULN) or if TBILI rises to > 3 times ULN. • Leukoencephalopathy: Although the clinical significance is unknown, cranial magnetic resonance imaging (MRI) changes showing leukoencephalopathy have been observed in patients receiving BLINCYTO®, especially in patients previously treated with cranial irradiation and anti-leukemic chemotherapy. • Preparation an YZ[