ASH Clinical News December 2016 | Page 22

The Society Pages Leukemia Research Foundation Names Allison Parise and Mary Phelan Lappe 2016 Nurses of the Year Allison Parise, RN, BSN, from the Ann & Robert H. Lurie Children’s Hospital of Chicago, and Mary Phelan Lappe, BSN, RN, OCN, from the University of Chicago Medical Center, were named the 2016 Nurses of the Year by the Leukemia Research Foundation (LRF). The award has been presented annually since 1996 to recognize hematology−oncology nurses who give their time, compassion, and heart to their jobs. Nurses are nominated by patients, families, or colleagues, and LRF selects its winners. Terry Park, Ms. Parise’s colleague, nominated her and said, “Compassionate, knowledgeable, selfless, enthusias- tic, empathetic, holistic, and committed are the words [that] quickly come to mind when I think of what [Ms. Parise] represents each day at work.” Sonali M. Smith, MD, director of the lymphoma program at the University of Chicago Medical Center, nominated Ms. Lappe and said, “She takes her role as a nurse as a deeply personal commitment to educating, comforting, [and] caring for patients, and in general improv- IDELVION® [Coagulation Factor IX (Recombinant), Albumin Fusion Protein] Lyophilized Powder for Solution for Intravenous Injection Initial U.S. Approval: 2016 -------------------------DOSAGE FORMSAND STRENGTHS---------------------IDELVION is available as a lyophilized powder in single-use vials containing nominally 250, 500, 1000 or 2000 IU. BRIEF SUMMARY OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use IDELVION safely and effectively. See full prescribing information for IDELVION. -----------------------------CONTRAINDICATIONS ------------------------------Do not use in patients who have had life-threatening hypersensitivity reactions to IDELVION or its components, including hamster proteins. ----------------------------INDICATIONS AND USAGE----- ---------------------IDELVION, Coagulation Factor IX (Recombinant), Albumin Fusion Protein (rIXFP), a recombinant human blood coagulation factor, is indicated in children and adults with hemophilia B (congenital Factor IX deficiency) for: • On-demand control and prevention of bleeding episodes • Perioperative management of bleeding • Routine prophylaxis to prevent or reduce the frequency of bleeding episodes Limitations of Use: IDELVION is not indicated for immune tolerance induction in patients with Hemophilia B. --------------------------WARNINGS AND PRECAUTIONS----------------------• Hypersensitivity reactions, including anaphylaxis, are possible. Should symptoms occur, discontinue IDELVION and administer appropriate treatment. • Development of neutralizing antibodies (inhibitors) to IDELVION may occur. If expected Factor IX plasma recovery in patient plasma is not attained, or if bleeding is not controlled with an appropriate dose, perform an assay that measures Factor IX inhibitor concentration. • Thromboembolism (e.g., pulmonary embolism, venous thrombosis, and arterial thrombosis) may occur when using Factor IX-containing products. • Nephrotic syndrome has been reported following immune tolerance induction with Factor IX-containing products in hemophilia B patients with Factor IX inhibitors and a history of allergic reactions to Factor IX. • Factor IX activity assay results may vary with the type of activated partial thromboplastin time reagent used. ------------------------DOSAGE AND ADMINISTRATION-----------------------For intravenous use after reconstitution only. Each vial of IDELVION is labeled with the actual Factor IX potency in international units (IU). • One IU of IDELVION per kg body weight is expected to increase the circulating activity of Factor IX as follows: ° Adolescents and adults: 1.3 IU/dL per IU/kg ° Pediatrics (<12 years): 1 IU/dL per IU/kg • Administer intravenously. Do not exceed infusion rate of 10 mL per minute. Control and prevention of bleeding episodes and perioperative management: • Dosage and duration of treatment with IDELVION depends on the severity of the Factor IX deficiency, the location and extent of bleeding, and the patient’s clinical condition, age and recovery of Factor IX. • Determine the initial dose using the following formula: • Required Dose (IU) = Body Weight (kg) x Desired Factor IX rise (% of normal or IU/dL) x (reciprocal of recovery (IU/kg per IU/dL)) • Adjust dose based on the patient’s clinical condition and response. Routine prophylaxis: • Patients ≥12 years of age: 25-40 IU/kg body weight every 7 days. (2.1) Patients who are well-controlled on this regimen may be switched to a 14-day interval at 50-75 IU/kg body weight. • Patients <12 years of age: 40-55 IU/kg body weight every 7 days. ----------------------------ADVERSE REACTIONS--------------------------------The most common adverse reaction (incidence ≥1%) reported in clinical trials was headache. To report SUSPECTED ADVERSE REACTIONS, contact CSL Behring Pharmacovigilance Department at 1-866-915-6958 or FDA at 1-800FDA-1088 or www.fda.gov/medwatch. ----------------------USE IN SPECIFIC POPULATIONS--------------------------• Pediatric: Higher dose per kilogram body weight or more frequent dosing may be needed. Based on March 2016 version. ing every aspect of their experience as cancer patients. She helps our patients develop trust in the care team and in the university at large.” Sources: The Chicago Tribune, October 24, 2016; Leukemia Research Foundation, 2016. David A. Williams Named First Chief Scientific Officer of Boston Children’s Hospital David A. Williams, MD, director of clinical and translational research and president of the Dana-Farber Cancer Center and David A. Williams, MD Boston Children’s Hospital, was named the first chief scientific officer of Boston Children’s Hospital. Dr. Williams is tasked with enhancing the hospital’s precision medicine capabilities, while advocating for the interests of the hospital’s research community. Dr. Williams founded the DanaFarber Cancer Institute/Boston Children’s Hospital’s gene therapy program, which has seven open clinical trials and is one of the nation’s most robust pediatric gene therapy programs. “Research is a critical part of our hospital’s mission,” said Sandra Fenwick, president and chief executive officer of Boston Children’s Hospital. “[Dr. Williams’] passion, and one goal in his new position, is to help drive innovation through translation of Boston Children’s outstanding biomedical discovery research to benefit patients and, in turn, to use our unique patient populations to drive additional discoveries.” “I have spent my career traversing the bridge between basic discovery research and the clinic,” said Dr. Williams. “The creation of this position underscores Boston Children’s commitment to research as the driving force of medical progress, and I am honored to serve as its first chief scientific officer.” ● Source: Dana-Farber/Boston Children’s press release, November 4, 2016. December 2016