ASH Clinical News September 2015 | Page 13

Do Patien t-Reporte NOW AVAILABLE... The ASH Clinical News iPad App! The latest news and views for the broader hematology/oncology community, now delivered to your iPad. d Outcom r? ... p. 32 Your so urc perspec e for worldwid tives on e hematol news and ogy/onc ology 01 | num ber 02 CONTE N TS 4… Editor volume 's Corne r A Letter to the AB IM 8… Pulling Bac Benjam k the Curtain in Ebert on Juggling Work an d Family 14… He matol The Endoogy Link Perspec crinologist’s tive on Di Managem abetes ent 25… On februar y 2015 Locatio n Highlight Annual s from the ASH Meeting 31… Bes t Practic es Choosin g the Inte Wisely Across rn Spectru al Medicine m 34… PAS Hions Hagop Ka ntarjian’s “Beirut” DEPART MENTS 5 UP FRO NT 16 CLINIC AL NEW S 28 TRA INING AN D EDUCAT 32 FEA ION TURES 34 BAC K OF THE BOOK www.ASH ClinicalN ews.org MOC Mea C ulpa Is the AB IM's ap too little , too lateology ? Latest & Gre Drug and Devatest: News ... 15 ice Table 7: Percent Incidence of Clinically Relevant Grade 3/4* Laboratory Abnormalities Patient Population Resistant or Intolerant Ph+ Newly Diagnosed Ph+ CML-CP CML-CP CML-AP TASIGNA Imatinib TASIGNA TASIGNA 300 mg 400 mg 400 mg 400 mg twice-daily once-daily twice-daily twice-daily N=279 N=280 N=321 N=137 (%) (%) (%) (%) Biochemistry Parameters Elevated creatinine 0 <1 <1 <1 *NCI Common Terminology Criteria for Adverse Events, version 3.0 1CML-CP: Thrombocytopenia: 12% were grade 3, 18% were grade 4 2CML-CP: Neutropenia: 16% were grade 3, 15% were grade 4 3CML-AP: Thrombocytopenia: 11% were grade 3, 32% were grade 4 4CML-AP: Neutropenia: 16% were grade 3, 26% were grade 4 Elevated total cholesterol (all grades) occurred in 28% (Tasigna 300 mg bid) and 4% (imatinib). Elevated triglycerides (all grades) occurred in 12% and 8% of patients in the Tasigna and imatinib arms, respectively. Hyperglycemia (all grades) occurred in 50% and 31% of patients in the Tasigna and imatinib arms, respectively. Most common biochemistry laboratory abnormalities (all grades) were alanine aminotransferase increased (72%), blood bilirubin increased (59%), aspartate aminotransferase increased (47%), lipase increased (28%), blood glucose increased (50%), blood cholesterol increased (28%), and blood triglyceride increased (12%). 6.2 Additional Data from Clinical Trials The following adverse drug reactions were reported in patients in the Tasigna clinical studies at the recommended doses. These adverse drug reactions are ranked under a heading of frequency, the most frequent first using the following convention: common (≥1% and <10%), uncommon (≥0.1% and <1%), and unknown frequency (single events). For laboratory abnormalities, very common even