First analysis from Phase 3 CheckMate -227 Part 1b in first-line non-small cell lung cancer, assessing Opdivo plus chemotherapy and Opdivo plus Yervoy versus chemotherapy in patients with PD-L1 <1%
Updated data from Phase 3 CheckMate -238 study of Opdivo as adjuvant treatment in Stage III/IV melanoma will further explore potential durability of recurrence-free survival
Seven BMS compounds to be featured in presentations spanning more than 20 types of cancer
Bristol-Myers
Squibb Company (NYSE:BMY) today announced that data from over 70
Company-sponsored studies and collaborations evaluating its oncology
compounds across more than 20 types of cancer will be featured at the
American Society of Clinical Oncology (ASCO) Annual Meeting 2018 in
Chicago from June 1-5. Presentations will report data from clinical
trials highlighting the potential role of Immuno-Oncology (I-O)–based
combinations, including translational research to help identify patient
populations that may have the potential to benefit from I-O therapy.
Additional findings include patient-reported outcomes and real-world
data.
Key data from Company-sponsored studies and supported research include:
Bristol-Myers Squibb Oral Abstracts
-
Nivolumab plus platinum-doublet chemotherapy vs chemo as first-line
treatment for advanced non-small cell lung cancer with <1% tumor PD-L1
expression: results from CheckMate -227
Author: H. Borghaei
Abstract
#9001
Oral Abstract Session: Lung Cancer—Non-Small Cell Metastatic
Monday,
June 4, 3:12-3:24 PM CDT, Hall B1
-
NKTR-214 (CD122-biased agonist) plus nivolumab in patients with
advanced solid tumors: Preliminary Phase 1/2 results of PIVOT
Author:
A. Diab
Abstract #3006
Oral Abstract Session: Developmental
Therapeutics—Immunotherapy
Saturday, June 2, 5-5:12 PM CDT, Hall
B1
-
Adjuvant therapy with nivolumab vs ipilimumab after complete
resection of stage III/IV melanoma: Updated results from a Phase 3
trial (CheckMate -238)
Author: J. Weber
Abstract #9502
Oral
Abstract Session: Melanoma/Skin Cancers
Monday, June 4, 8:24-8:36
AM CDT, Arie Crown Theater
-
Nivolumab as neoadjuvant therapy in patients with resectable Merkel
cell carcinoma in CheckMate -358
Author: S. Topalian
Abstract
#9505
Oral Abstract Session: Melanoma/Skin Cancers
Monday,
June 4, 9:48-10 AM CDT, Arie Crown Theater
-
Adaptive Phase 2 randomized trial of nivolumab after induction
treatment in triple negative breast cancer (TONIC trial): Final
response data stage I and first translational data
Author: M.
Kok
Abstract #1012
Clinical Science Symposium Session:
Breast Cancer Immunotherapy: Can we Crack the Code?
Monday June
4, 3:48-4 PM CDT, Hall D2
New / Early Assets and Translational Medicine
-
BMS-986205, an indoleamine 2,3-dioxygenase 1 inhibitor (IDO1i), in
combination with nivolumab: Updated safety across all tumor cohorts
and efficacy in patients with advanced bladder cancer
Author:
J. Tabernero
Abstract #4512
Poster Discussion Session:
Genitourinary (Nonprostate) Cancer
Saturday, June 2, 8-11:30 AM
CDT, Hall A, Poster Board #338
Discussed at the Poster Discussion
Session on Saturday, June 2, 1:15-2:30 PM CDT, Hall D2
-
Phase 1 trial of BMS-986253, an anti-IL-8 monoclonal antibody in
patients with metastatic or unresectable solid tumors
Author:
J. Collins
Abstract #3091
Poster Session: Developmental
Therapeutics—Immunotherapy
Monday, June 4, 8-11:30 AM CDT, Hall
A, Poster Board #305
-
Serum interleukin 8 (IL-8) may serve as a biomarker of response to
Immuno-Oncology therapy
Author: M. Carleton
Abstract
#3025
Poster Session: Developmental Therapeutics—Immunotherapy
Monday,
June 4, 8-11:30 AM CDT, Hall A, Poster Board #239
-
Phase 1, open-label, adaptive biomarker trial that informs the
evolution of combination Immuno-Oncology therapies (ADVISE), a
precision I-O approach to personalized medicine
Author: J.
Luke
Abstract #TPS3101
Poster Session: Developmental
Therapeutics—Immunotherapy
Monday, June 4, 8-11:30 AM CDT, Hall
A, Poster Board #351a
-
Phase 1b/2 study of nivolumab in combination with an anti–IL-8
monoclonal antibody, BMS-986253, in a biomarker-enriched population of
patients with advanced cancer
Author: I. Melero
Abstract
#TPS3109
Poster Session: Developmental Therapeutics—Immunotherapy
Monday,
June 4, 8-11:30 AM CDT, Hall A, Poster Board #319a
-
Pharmacodynamics and genomic profiling of patients treated with
cabiralizumab plus nivolumab provide evidence of on-target tumor
immune modulations and support future clinical applications
Author:
M. Carleton
Abstract #3020
Poster Discussion Session:
Developmental Therapeutics—Immunotherapy
Monday, June 4, 8-11:30
AM CDT, Hall A, Poster Board #234
Discussed at the Poster
Discussion Session on Monday, June 4, 11:30 AM-12:45 PM CDT, Hall B1
Head and Neck
-
Nivolumab vs investigator’s choice in patients with recurrent or
metastatic squamous cell carcinoma of the head and neck: Analysis of
CheckMate -141 by age
Author: N. Saba
Abstract #6028
Poster
Session: Head and Neck Cancer
Saturday, June 2, 1:15-4:45 PM CDT,
Hall A, Poster Board #16
Hematology
-
Extended 5-y follow-up of Phase 3 ELOQUENT-2 study of elotuzumab
plus lenalidomide/dexamethasone (ELd) vs Ld in relapsed/refractory
multiple myeloma
Author: S. Lonial
Abstract #8040
Poster
Session: Hematologic Malignancies—Plasma Cell Dyscrasia
Monday,
June 4, 8-11:30 AM CDT, Hall A, Poster Board #49
Genitourinary
-
A Phase 3, randomized, open-label study of nivolumab combined with
cabozantinib vs sunitinib in patients with previously untreated
advanced or metastatic renal cell carcinoma (CheckMate -9ER)
Author:
T. Choueiri
Abstract #TPS4598
Poster Session: Genitourinary
(Nonprostate) Cancer
Saturday, June 2, 8-11:30 AM CDT, Hall A,
Poster Board #418a
-
A Phase 3, open-label, randomized study of nivolumab plus
ipilimumab or standard of care vs SoC alone in patients with
previously untreated unresectable or metastatic urothelial carcinoma
(CheckMate -901)
Author: M. Galsky
Abstract #TPS4588
Poster
Session: Genitourinary (Nonprostate) Cancer
Saturday, June
2, 8-11:30 AM CDT, Hall A, Poster Board #413a
-
Quality of life in patients with advanced renal cell carcinoma in
the randomized, open-label CheckMate -214 trial
Author: D.
Cella
Abstract #3073
Poster Session: Developmental
Therapeutics—Immunotherapy
Monday, June 4, 8-11:30 AM CDT, Hall
A, Poster Board #287
-
An open-label, Phase 2 study of nivolumab in combination with
either rucaparib, docetaxel, or enzalutamide in men with
castration-resistant metastatic prostate cancer (CheckMate -9KD)
Author:
K. Fizazi
Abstract #TPS3126
Poster Session: Developmental
Therapeutics—Immunotherapy
Monday, June 4, 8-11:30 AM CDT, Hall
A, Poster Board #327b
-
Efficacy and safety of nivolumab in patients with advanced or
recurrent uterine cervical or corpus cancers
Author: K.
Hasegawa
Abstract #5594
Poster Session: Gynecologic Cancer
Monday,
June 4, 1:15-4:45 PM CDT, Hall A, Poster Board #321
Lung Cancer
-
Nivolumab plus ipilimumab vs platinum-doublet chemotherapy as
first-line treatment for advanced non-small cell lung cancer: Safety
analysis and patient-reported outcomes from CheckMate -227
Author:
M. Reck
Abstract #9020
Poster Discussion Session: Lung
Cancer—Non-Small Cell Metastatic
Sunday, June 3, 8-11:30 AM CDT,
Hall A, Poster Board #343
Discussed at the Poster Discussion
Session on Sunday, June 3, 11:30 AM-12:45 PM CDT, Arie Crown Theater
-
Immuno-oncology biomarker study in a large cohort of
LC-SCRUM-Japan: Assessment of PD-L1 expression and tumor mutation
burden in non-small cell lung cancer patients treated with immune
checkpoint inhibitors
Author: K. Yoh
Abstract #9070
Poster
Session: Lung Cancer—Non-Small Cell Metastatic
Sunday, June 3,
8-11:30 AM CDT, Hall A, Poster Board #393
-
Phase 1b trial of nivolumab combined with metformin for
refractory/recurrent solid tumors
Author: T. Kubo
Abstract
#TPS3119
Poster Session: Developmental Therapeutics—Immunotherapy
Monday,
June 4, 8-11:30 AM CDT, Hall A, Poster Board #324a
Melanoma
-
Treatment-free survival, a novel outcome applied to Immuno-Oncology
agents in advanced melanoma
Author: M. Regan
Abstract
#9531
Poster Session: Melanoma/Skin Cancers
Monday, June 4,
1:15-4:15 PM CDT, Hall A, Poster Board #358
-
Clinical and economic outcomes associated with sequential treatment
in BRAF mutant advanced melanoma patients
Author: A. Tarhini
Abstract
#9538
Poster Session: Melanoma/Skin Cancers
Monday, June 4,
1:15-4:15 PM CDT, Hall A, Poster Board #365
-
Indirect treatment comparison of nivolumab vs placebo as an
adjuvant therapy for resected melanoma
Author: A. Shoushtari
Abstract
#9593
Poster Session: Melanoma/Skin Cancers
Monday, June 4,
1:15-4:15 PM CDT, Hall A, Poster Board #420
-
Assessing the value of nivolumab vs placebo and ipilimumab as
adjuvant therapy for resected melanoma
Author: M. Freeman
Abstract
#9594
Poster Session: Melanoma/Skin Cancers
Monday, June 4,
1:15-4:15 PM CDT, Hall A, Poster Board #421
Clinical Collaborations
-
Anti-CD27 Agonist antibody varlilumab with nivolumab for colorectal
and ovarian cancer: Phase 1/2 clinical trial results
Author:
R. Sanborn
Abstract #3001
Oral Abstract Session:
Developmental Therapeutics—Immunotherapy
Saturday, June 2,
3:12-3:24 PM CDT, Hall B1
-
Correlation of degree of tumor immune infiltration and
insertion-and-deletion burden with outcome on PD-1 therapy in advanced
renal cell cancer
Author: M. Voss
Abstract #4518
Poster
Discussion Session: Genitourinary (Nonprostate) Cancer
Saturday,
June 2, 1:15-2:30 PM CDT, Hall D2
Discussed at the Poster
Discussion Session on Saturday, June 2, 1:15-2:30 PM CDT, Hall D2
-
Profiling the immune checkpoint pathway in acute myeloid leukemia
Author:
P. Dama
Abstract #7015
Poster Discussion Session:
Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and
Allotransplant
Monday, June 4, 8-11:30 AM CDT, Hall A, Poster
Board #75
Discussed at the Poster Discussion Session on Monday,
June 4, 11:30 AM-12:45 PM CDT, E450
-
Initial results from first-in-human study of IPI-549, a tumor
macrophage targeting agent, combined with nivolumab in advanced solid
tumors
Author: R. Sullivan
Abstract #3013
Poster
Session: Developmental Therapeutics—Immunotherapy
Monday, June 4,
8-11:30 AM CDT, Hall A
Discussed at the Poster Discussion Session
on Monday, June 4, 11:30 AM-12:45 PM CDT, Hall B1
-
Veliparib in combination with nivolumab and platinum doublet
chemotherapy in metastatic/advanced NSCLC
Author: J. Clarke
Abstract
#3061
Poster Session: Developmental Therapeutics—Immunotherapy
Monday,
June 4, 8-11:30 AM CDT, Hall A, Poster Board #275
-
Epacadostat plus nivolumab for advanced melanoma: Updated phase 2
results of the ECHO-204 study
Author: A. Daud
Abstract
#9511
Poster Session: Melanoma/Skin Cancers
Monday, June 4,
1:15-4:15 PM CDT, Hall A, Poster Board #338
Discussed at the
Poster Discussion Session on Monday, June 4, 2018, 4:45-6 PM CDT, E451
-
A Phase 1 study of concomitant galinpepimut-s in combination with
nivolumab in patients with WT1+ ovarian cancer in second or third
remission
Author: R. O'Cearbhaill
Abstract #5553
Poster
Session: Gynecologic Cancer
Monday, June 4, 1:15-4:45 PM CDT,
Hall A, Poster Board #280
Bristol-Myers Squibb & Immuno-Oncology:
Advancing Oncology Research
At Bristol-Myers Squibb, patients are at the center of everything we do.
Our vision for the future of cancer care is focused on researching and
developing transformational medicines, including Immuno-Oncology (I-O)
therapeutic approaches, for hard-to-treat cancers that could potentially
improve outcomes for these patients.
We are leading the integrated scientific understanding of both tumor
cell and immune system pathways, through our extensive portfolio of
investigational compounds and approved agents. Our differentiated
clinical development program is studying broad patient populations
across more than 50 types of cancers with 24 clinical-stage molecules
designed to target different immune system pathways. Our deep expertise
and innovative clinical trial designs position us to advance the
I-O/I-O, I-O/chemotherapy, I-O/targeted therapies and I-O radiation
therapies across multiple tumors and potentially deliver the next wave
of therapies with a sense of urgency. We also continue to pioneer
research that will help facilitate a deeper understanding of the role of
immune biomarkers and how a patient’s tumor biology can be used as a
guide for treatment decisions throughout their journey.
We understand making the promise of transformational medicines like I-O
therapies a reality for the many patients who may benefit from these
therapies requires not only innovation on our part but also close
collaboration with leading experts in the field. Our partnerships with
academia, government, advocacy and biotech companies support our
collective goal of providing new treatment options to advance the
standards of clinical practice.
About Opdivo
Opdivo is a programmed death-1 (PD-1) immune checkpoint inhibitor
that is designed to uniquely harness the body’s own immune system to
help restore anti-tumor immune response. By harnessing the body’s own
immune system to fight cancer, Opdivo has become an
important treatment option across multiple cancers.
Opdivo’s leading global development program is based on
Bristol-Myers Squibb’s scientific expertise in the field of
Immuno-Oncology, and includes a broad range of clinical trials across
all phases, including Phase 3, in a variety of tumor types. To date, the Opdivo clinical
development program has enrolled more than 25,000 patients. The Opdivo trials
have contributed to gaining a deeper understanding of the potential role
of biomarkers in patient care, particularly regarding how patients may
benefit from Opdivo across the continuum of PD-L1 expression.
In July 2014, Opdivo was the first PD-1 immune checkpoint
inhibitor to receive regulatory approval anywhere in the world. Opdivo is
currently approved in more than 60 countries, including the United
States, the European Union and Japan. In October 2015, the company’s Opdivo and Yervoy combination
regimen was the first Immuno-Oncology combination to receive regulatory
approval for the treatment of metastatic melanoma and is currently
approved in more than 50 countries, including the United States and the
European Union.
INDICATIONS
OPDIVO® (nivolumab) as a single agent is indicated for the treatment of
patients with BRAF V600 mutation-positive unresectable or metastatic
melanoma. This indication is approved under accelerated approval based
on progression-free survival. Continued approval for this indication may
be contingent upon verification and description of clinical benefit in
the confirmatory trials.
OPDIVO® (nivolumab) as a single agent is indicated for the treatment of
patients with BRAF V600 wild-type unresectable or metastatic melanoma.
OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is
indicated for the treatment of patients with unresectable or metastatic
melanoma. This indication is approved under accelerated approval based
on progression-free survival. Continued approval for this indication may
be contingent upon verification and description of clinical benefit in
the confirmatory trials.
OPDIVO® (nivolumab) is indicated for the treatment of patients with
metastatic non small cell lung cancer (NSCLC) with progression on or
after platinum-based chemotherapy. Patients with EGFR or ALK genomic
tumor aberrations should have disease progression on FDA-approved
therapy for these aberrations prior to receiving OPDIVO.
OPDIVO® (nivolumab) is indicated for the treatment of patients with
advanced renal cell carcinoma (RCC) who have received prior
anti-angiogenic therapy.
OPDIVO® (nivolumab), in combination with YERVOY® (ipilimumab), is
indicated for the treatment of patients with intermediate or poor-risk,
previously untreated advanced renal cell carcinoma (RCC).
OPDIVO® (nivolumab) is indicated for the treatment of adult patients
with classical Hodgkin lymphoma (cHL) that has relapsed or progressed
after autologous hematopoietic stem cell transplantation (HSCT) and
brentuximab vedotin or after 3 or more lines of systemic therapy that
includes autologous HSCT. This indication is approved under accelerated
approval based on overall response rate. Continued approval for this
indication may be contingent upon verification and description of
clinical benefit in confirmatory trials.
OPDIVO® (nivolumab) is indicated for the treatment of patients with
recurrent or metastatic squamous cell carcinoma of the head and neck
(SCCHN) with disease progression on or after platinum-based therapy.
OPDIVO® (nivolumab) is indicated for the treatment of patients with
locally advanced or metastatic urothelial carcinoma who have disease
progression during or following platinum-containing chemotherapy or have
disease progression within 12 months of neoadjuvant or adjuvant
treatment with platinum-containing chemotherapy. This indication is
approved under accelerated approval based on tumor response rate and
duration of response. Continued approval for this indication may be
contingent upon verification and description of clinical benefit in
confirmatory trials.
OPDIVO® (nivolumab) is indicated for the treatment of adult and
pediatric (12 years and older) patients with microsatellite instability
high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal
cancer (CRC) that has progressed following treatment with a
fluoropyrimidine, oxaliplatin, and irinotecan. This indication is
approved under accelerated approval based on overall response rate and
duration of response. Continued approval for this indication may be
contingent upon verification and description of clinical benefit in
confirmatory trials.
OPDIVO® (nivolumab) is indicated for the treatment of patients with
hepatocellular carcinoma (HCC) who have been previously treated with
sorafenib. This indication is approved under accelerated approval based
on tumor response rate and durability of response. Continued approval
for this indication may be contingent upon verification and description
of clinical benefit in the confirmatory trials.
OPDIVO® (nivolumab) is indicated for the adjuvant treatment of patients
with melanoma with involvement of lymph nodes or metastatic disease who
have undergone complete resection.
OPDIVO® (10 mg/mL) is an injection for intravenous (IV) use.
IMPORTANT SAFETY INFORMATION
WARNING: IMMUNE-MEDIATED ADVERSE REACTIONS
YERVOY can result in severe and fatal immune-mediated adverse
reactions. These immune-mediated reactions may involve any organ system;
however, the most common severe immune-mediated adverse reactions are
enterocolitis, hepatitis, dermatitis (including toxic epidermal
necrolysis), neuropathy, and endocrinopathy. The majority of these
immune-mediated reactions initially manifested during treatment;
however, a minority occurred weeks to months after discontinuation of
YERVOY.
Assess patients for signs and symptoms of enterocolitis, dermatitis,
neuropathy, and endocrinopathy and evaluate clinical chemistries
including liver function tests (LFTs), adrenocorticotropic hormone
(ACTH) level, and thyroid function tests at baseline and before each
dose.
Permanently discontinue YERVOY and initiate systemic high-dose
corticosteroid therapy for severe immune-mediated reactions.
Immune-Mediated Pneumonitis
OPDIVO can cause immune-mediated pneumonitis. Fatal cases have been
reported. Monitor patients for signs with radiographic imaging and for
symptoms of pneumonitis. Administer corticosteroids for Grade 2 or more
severe pneumonitis. Permanently discontinue for Grade 3 or 4 and
withhold until resolution for Grade 2. In patients receiving OPDIVO
monotherapy, fatal cases of immune-mediated pneumonitis have occurred.
Immune-mediated pneumonitis occurred in 3.1% (61/1994) of patients. In
patients receiving OPDIVO 1 mg/kg with YERVOY 3 mg/kg, immune-mediated
pneumonitis occurred in 6% (25/407) of patients. In patients receiving
OPDIVO 3 mg/kg with YERVOY 1 mg/kg, immune-mediated pneumonitis occurred
in 4.4% (24/547) of patients.
In Checkmate 205 and 039, pneumonitis, including interstitial lung
disease, occurred in 6.0% (16/266) of patients receiving OPDIVO.
Immune-mediated pneumonitis occurred in 4.9% (13/266) of patients
receiving OPDIVO: Grade 3 (n=1) and Grade 2 (n=12).
Immune-Mediated Colitis
OPDIVO can cause immune-mediated colitis. Monitor patients for signs and
symptoms of colitis. Administer corticosteroids for Grade 2 (of more
than 5 days duration), 3, or 4 colitis. Withhold OPDIVO monotherapy for
Grade 2 or 3 and permanently discontinue for Grade 4 or recurrent
colitis upon re-initiation of OPDIVO. When administered with YERVOY,
withhold OPDIVO and YERVOY for Grade 2 and permanently discontinue for
Grade 3 or 4 or recurrent colitis. In patients receiving OPDIVO
monotherapy, immune-mediated colitis occurred in 2.9% (58/1994) of
patients. In patients receiving OPDIVO 1 mg/kg with YERVOY 3 mg/kg,
immune-mediated colitis occurred in 26% (107/407) of patients including
three fatal cases. In patients receiving OPDIVO 3 mg/kg with YERVOY 1
mg/kg, immune-mediated colitis occurred in 10% (52/547) of patients.
In a separate Phase 3 study of YERVOY 3 mg/kg, severe, life-threatening,
or fatal (diarrhea of ≥7 stools above baseline, fever, ileus, peritoneal
signs; Grade 3-5) immune-mediated enterocolitis occurred in 34 (7%)
patients. Across all YERVOY-treated patients in that study (n=511), 5
(1%) developed intestinal perforation, 4 (0.8%) died as a result of
complications, and 26 (5%) were hospitalized for severe enterocolitis.
Immune-Mediated Hepatitis
OPDIVO can cause immune-mediated hepatitis. Monitor patients for
abnormal liver tests prior to and periodically during treatment.
Administer corticosteroids for Grade 2 or greater transaminase
elevations. For patients without HCC, withhold OPDIVO for Grade 2 and
permanently discontinue OPDIVO for Grade 3 or 4. For patients with HCC,
withhold OPDIVO and administer corticosteroids if AST/ALT is within
normal limits at baseline and increases to >3 and up to 5 times the
upper limit of normal (ULN), if AST/ALT is >1 and up to 3 times ULN at
baseline and increases to >5 and up to 10 times the ULN, and if AST/ALT
is >3 and up to 5 times ULN at baseline and increases to >8 and up to 10
times the ULN. Permanently discontinue OPDIVO and administer
corticosteroids if AST or ALT increases to >10 times the ULN or total
bilirubin increases >3 times the ULN. In patients receiving OPDIVO
monotherapy, immune-mediated hepatitis occurred in 1.8% (35/1994) of
patients. In patients receiving OPDIVO 1 mg/kg with YERVOY 3 mg/kg,
immune-mediated hepatitis occurred in 13% (51/407) of patients. In
patients receiving OPDIVO 3 mg/kg with YERVOY 1 mg/kg, immune-mediated
hepatitis occurred in 7% (38/547) of patients.
In Checkmate 040, immune-mediated hepatitis requiring systemic
corticosteroids occurred in 5% (8/154) of patients receiving OPDIVO.
In a separate Phase 3 study of YERVOY 3 mg/kg, severe, life-threatening,
or fatal hepatotoxicity (AST or ALT elevations >5x the ULN or total
bilirubin elevations >3x the ULN; Grade 3-5) occurred in 8 (2%) patients,
with fatal hepatic failure in 0.2% and hospitalization in 0.4%.
Immune-Mediated Neuropathies
In a separate Phase 3 study of YERVOY 3 mg/kg, 1 case of fatal
Guillain-Barré syndrome and 1 case of severe (Grade 3) peripheral motor
neuropathy were reported.
Immune-Mediated Endocrinopathies
OPDIVO can cause immune-mediated hypophysitis, immune-mediated adrenal
insufficiency, autoimmune thyroid disorders, and Type 1 diabetes
mellitus. Monitor patients for signs and symptoms of hypophysitis, signs
and symptoms of adrenal insufficiency, thyroid function prior to and
periodically during treatment, and hyperglycemia. Administer hormone
replacement as clinically indicated and corticosteroids for Grade 2 or
greater hypophysitis. Withhold for Grade 2 or 3 and permanently
discontinue for Grade 4 hypophysitis. Administer corticosteroids for
Grade 3 or 4 adrenal insufficiency. Withhold for Grade 2 and permanently
discontinue for Grade 3 or 4 adrenal insufficiency. Administer
hormone-replacement therapy for hypothyroidism. Initiate medical
management for control of hyperthyroidism. Withhold OPDIVO for Grade 3
and permanently discontinue for Grade 4 hyperglycemia.
In patients receiving OPDIVO monotherapy, hypophysitis occurred in 0.6%
(12/1994) of patients. In patients receiving OPDIVO 1 mg/kg with YERVOY
3 mg/kg, hypophysitis occurred in 9% (36/407) of patients. In patients
receiving OPDIVO 3 mg/kg with YERVOY 1 mg/kg, hypophysitis occurred in
4.6% (25/547) of patients In patients receiving OPDIVO monotherapy,
adrenal insufficiency occurred in 1% (20/1994) of patients. In patients
receiving OPDIVO 1 mg/kg with YERVOY 3 mg/kg, adrenal insufficiency
occurred in 5% (21/407) of patients. In patients receiving OPDIVO 3
mg/kg with YERVOY 1 mg/kg, adrenal insufficiency occurred in 7% (41/547)
of patients. In patients receiving OPDIVO monotherapy, hypothyroidism or
thyroiditis resulting in hypothyroidism occurred in 9% (171/1994) of
patients. Hyperthyroidism occurred in 2.7% (54/1994) of patients
receiving OPDIVO monotherapy. In patients receiving OPDIVO 1 mg/kg with
YERVOY 3 mg/kg, hypothyroidism or thyroiditis resulting in
hypothyroidism occurred in 22% (89/407) of patients. Hyperthyroidism
occurred in 8% (34/407) of patients receiving this dose of OPDIVO with
YERVOY. In patients receiving OPDIVO 3 mg/kg with YERVOY 1 mg/kg,
hypothyroidism or thyroiditis resulting in hypothyroidism occurred in
22% (119/547) of patients. Hyperthyroidism occurred in 12% (66/547) of
patients receiving this dose of OPDIVO with YERVOY. In patients
receiving OPDIVO monotherapy, diabetes occurred in 0.9% (17/1994) of
patients. In patients receiving OPDIVO 1 mg/kg with YERVOY 3 mg/kg,
diabetes occurred in 1.5% (6/407) of patients. In patients receiving
OPDIVO 3 mg/kg with YERVOY 1 mg/kg, diabetes occurred in 2.7% (15/547)
of patients.
In a separate Phase 3 study of YERVOY 3 mg/kg, severe to
life-threatening immune-mediated endocrinopathies (requiring
hospitalization, urgent medical intervention, or interfering with
activities of daily living; Grade 3-4) occurred in 9 (1.8%) patients.
All 9 patients had hypopituitarism, and some had additional concomitant
endocrinopathies such as adrenal insufficiency, hypogonadism, and
hypothyroidism. 6 of the 9 patients were hospitalized for severe
endocrinopathies.
Immune-Mediated Nephritis and Renal Dysfunction
OPDIVO can cause immune-mediated nephritis. Monitor patients for
elevated serum creatinine prior to and periodically during treatment.
Administer corticosteroids for Grades 2-4 increased serum creatinine.
Withhold OPDIVO for Grade 2 or 3 and permanently discontinue for Grade 4
increased serum creatinine. In patients receiving OPDIVO monotherapy,
immune-mediated nephritis and renal dysfunction occurred in 1.2%
(23/1994) of patients. In patients receiving OPDIVO 1 mg/kg with YERVOY
3 mg/kg, immune-mediated nephritis and renal dysfunction occurred in
2.2% (9/407) of patients. In patients receiving OPDIVO 3 mg/kg with
YERVOY 1 mg/kg, immune-mediated nephritis and renal dysfunction occurred
in 4.6% (25/547) of patients.
Immune-Mediated Skin Adverse Reactions and Dermatitis
OPDIVO can cause immune-mediated rash, including Stevens-Johnson
syndrome (SJS) and toxic epidermal necrolysis (TEN), some cases with
fatal outcome. Administer corticosteroids for Grade 3 or 4 rash.
Withhold for Grade 3 and permanently discontinue for Grade 4 rash. For
symptoms or signs of SJS or TEN, withhold OPDIVO and refer the patient
for specialized care for assessment and treatment; if confirmed,
permanently discontinue. In patients receiving OPDIVO monotherapy,
immune-mediated rash occurred in 9% (171/1994) of patients. In patients
receiving OPDIVO 1 mg/kg with YERVOY 3 mg/kg, immune-mediated rash
occurred in 22.6% (92/407) of patients. In patients receiving OPDIVO 3
mg/kg with YERVOY 1 mg/kg, immune-mediated rash occurred in 16.6%
(91/547) of patients.
In a separate Phase 3 study of YERVOY 3 mg/kg, severe, life-threatening,
or fatal immune-mediated dermatitis (eg, Stevens-Johnson syndrome, toxic
epidermal necrolysis, or rash complicated by full thickness dermal
ulceration, or necrotic, bullous, or hemorrhagic manifestations; Grade
3-5) occurred in 13 (2.5%) patients. 1 (0.2%) patient died as a result
of toxic epidermal necrolysis. 1 additional patient required
hospitalization for severe dermatitis.
Immune-Mediated Encephalitis
OPDIVO can cause immune-mediated encephalitis. Evaluation of patients
with neurologic symptoms may include, but not be limited to,
consultation with a neurologist, brain MRI, and lumbar puncture.
Withhold OPDIVO in patients with new-onset moderate to severe neurologic
signs or symptoms and evaluate to rule out other causes. If other
etiologies are ruled out, administer corticosteroids and permanently
discontinue OPDIVO for immune-mediated encephalitis. In patients
receiving OPDIVO monotherapy, encephalitis occurred in 0.2% (3/1994) of
patients. Fatal limbic encephalitis occurred in one patient after 7.2
months of exposure despite discontinuation of OPDIVO and administration
of corticosteroids. Encephalitis occurred in one patient receiving
OPDIVO 1 mg/kg with YERVOY 3 mg/kg (0.2%) after 1.7 months of exposure.
Encephalitis occurred in one patient receiving OPDIVO 3 mg/kg with
YERVOY 1 mg/kg (0.2%) after approximately 4 months of exposure.
Other Immune-Mediated Adverse Reactions
Based on the severity of the adverse reaction, permanently discontinue
or withhold OPDIVO, administer high-dose corticosteroids, and, if
appropriate, initiate hormone-replacement therapy. Across clinical
trials of OPDIVO monotherapy or in combination with YERVOY, the
following clinically significant immune-mediated adverse reactions, some
with fatal outcome, occurred in <1.0% of patients receiving OPDIVO:
myocarditis, rhabdomyolysis, myositis, uveitis, iritis, pancreatitis,
facial and abducens nerve paresis, demyelination, polymyalgia
rheumatica, autoimmune neuropathy, Guillain-Barré syndrome,
hypopituitarism, systemic inflammatory response syndrome, gastritis,
duodenitis, sarcoidosis, histiocytic necrotizing lymphadenitis (Kikuchi
lymphadenitis), motor dysfunction, vasculitis, aplastic anemia,
pericarditis, and myasthenic syndrome.
If uveitis occurs in combination with other immune-mediated adverse
reactions, consider a Vogt-Koyanagi-Harada-like syndrome, which has been
observed in patients receiving OPDIVO and may require treatment with
systemic steroids to reduce the risk of permanent vision loss.
Infusion Reactions
OPDIVO can cause severe infusion reactions, which have been reported in
<1.0% of patients in clinical trials. Discontinue OPDIVO in patients
with Grade 3 or 4 infusion reactions. Interrupt or slow the rate of
infusion in patients with Grade 1 or 2. In patients receiving OPDIVO
monotherapy as a 60-minute infusion, infusion-related reactions occurred
in 6.4% (127/1994) of patients. In a separate study in which patients
received OPDIVO monotherapy as a 60-minute infusion or a 30-minute
infusion, infusion-related reactions occurred in 2.2% (8/368) and 2.7%
(10/369) of patients, respectively. Additionally, 0.5% (2/368) and 1.4%
(5/369) of patients, respectively, experienced adverse reactions within
48 hours of infusion that led to dose delay, permanent discontinuation
or withholding of OPDIVO. In patients receiving OPDIVO 1 mg/kg with
ipilimumab 3 mg/kg every 3 weeks, infusion-related reactions occurred in
2.5% (10/407) of patients. In patients receiving OPDIVO 3 mg/kg with
YERVOY 1 mg/kg, infusion-related reactions occurred in 5.1% (28/547) of
patients.
Complications of Allogeneic HSCT after OPDIVO
Complications, including fatal events, occurred in patients who received
allogeneic HSCT after OPDIVO. Outcomes were evaluated in 17 patients
from Checkmate 205 and 039, who underwent allogeneic HSCT after
discontinuing OPDIVO (15 with reduced-intensity conditioning, 2 with
myeloablative conditioning). Thirty-five percent (6/17) of patients died
from complications of allogeneic HSCT after OPDIVO. Five deaths occurred
in the setting of severe or refractory GVHD. Grade 3 or higher acute
GVHD was reported in 29% (5/17) of patients. Hyperacute GVHD was
reported in 20% (n=2) of patients. A steroid-requiring febrile syndrome,
without an identified infectious cause, was reported in 35% (n=6) of
patients. Two cases of encephalitis were reported: Grade 3 (n=1)
lymphocytic encephalitis without an identified infectious cause, and
Grade 3 (n=1) suspected viral encephalitis. Hepatic veno-occlusive
disease (VOD) occurred in one patient, who received reduced-intensity
conditioned allogeneic HSCT and died of GVHD and multi-organ failure.
Other cases of hepatic VOD after reduced-intensity conditioned
allogeneic HSCT have also been reported in patients with lymphoma who
received a PD-1 receptor blocking antibody before transplantation. Cases
of fatal hyperacute GVHD have also been reported. These complications
may occur despite intervening therapy between PD-1 blockade and
allogeneic HSCT.
Follow patients closely for early evidence of transplant-related
complications such as hyperacute GVHD, severe (Grade 3 to 4) acute GVHD,
steroid-requiring febrile syndrome, hepatic VOD, and other
immune-mediated adverse reactions, and intervene promptly.
Embryo-Fetal Toxicity
Based on their mechanisms of action, OPDIVO and YERVOY 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 an OPDIVO- or YERVOY-
containing regimen and for at least 5 months after the last dose of
OPDIVO.
Lactation
It is not known whether OPDIVO or YERVOY 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 an OPDIVO-containing regimen, advise women to discontinue
breastfeeding during treatment. Advise women to discontinue
breastfeeding during treatment with YERVOY and for 3 months following
the final dose.
Serious Adverse Reactions
In Checkmate 037, serious adverse reactions occurred in 41% of patients
receiving OPDIVO (n=268). 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 Checkmate 066, serious
adverse reactions occurred in 36% of patients receiving OPDIVO (n=206).
Grade 3 and 4 adverse reactions occurred in 41% of patients receiving
OPDIVO. The most frequent Grade 3 and 4 adverse reactions reported in
≥2% of patients receiving OPDIVO were gamma-glutamyltransferase increase
(3.9%) and diarrhea (3.4%). In Checkmate 067, serious adverse reactions
(73% and 37%), adverse reactions leading to permanent discontinuation
(43% and 14%) or to dosing delays (55% and 28%), and Grade 3 or 4
adverse reactions (72% and 44%) all occurred more frequently in the
OPDIVO plus YERVOY arm (n=313) relative to the OPDIVO arm (n=313). The
most frequent (≥10%) serious adverse reactions in the OPDIVO plus YERVOY
arm and the OPDIVO arm, respectively, were diarrhea (13% and 2.6%),
colitis (10% and 1.6%), and pyrexia (10% and 0.6%). In Checkmate 017 and
057, serious adverse reactions occurred in 46% of patients receiving
OPDIVO (n=418). The most frequent serious adverse reactions reported in
at least 2% of patients receiving OPDIVO were pneumonia, pulmonary
embolism, dyspnea, pyrexia, pleural effusion, pneumonitis, and
respiratory failure. In Checkmate 025, serious adverse reactions
occurred in 47% of patients receiving OPDIVO (n=406). The most frequent
serious adverse reactions reported in ≥2% of patients were acute kidney
injury, pleural effusion, pneumonia, diarrhea, and hypercalcemia. In
Checkmate 214, serious adverse reactions occurred in 59% of patients
receiving OPDIVO plus YERVOY and in 43% of patients receiving sunitinib.
The most frequent serious adverse reactions reported in at least 2% of
patients were diarrhea, pyrexia, pneumonia, pneumonitis, hypophysitis,
acute kidney injury, dyspnea, adrenal insufficiency, and colitis; in
patients treated with sunitinib, they were pneumonia, pleural effusion,
and dyspnea. In Checkmate 205 and 039, adverse reactions leading to
discontinuation occurred in 7% and dose delays due to adverse reactions
occurred in 34% of patients (n=266). Serious adverse reactions occurred
in 26% of patients. The most frequent serious adverse reactions reported
in ≥1% of patients were pneumonia, infusion-related reaction, pyrexia,
colitis or diarrhea, pleural effusion, pneumonitis, and rash. Eleven
patients died from causes other than disease progression: 3 from adverse
reactions within 30 days of the last OPDIVO dose, 2 from infection 8 to
9 months after completing OPDIVO, and 6 from complications of allogeneic
HSCT. In Checkmate 141, serious adverse reactions occurred in 49% of
patients receiving OPDIVO (n=236). The most frequent serious adverse
reactions reported in at least 2% of patients receiving OPDIVO were
pneumonia, dyspnea, respiratory failure, respiratory tract infection,
and sepsis. In Checkmate 275, serious adverse reactions occurred in 54%
of patients receiving OPDIVO (n=270). The most frequent serious adverse
reactions reported in at least 2% of patients receiving OPDIVO were
urinary tract infection, sepsis, diarrhea, small intestine obstruction,
and general physical health deterioration. In Checkmate 040, serious
adverse reactions occurred in 49% of patients (n=154). The most frequent
serious adverse reactions reported in at least 2% of patients were
pyrexia, ascites, back pain, general physical health deterioration,
abdominal pain, and pneumonia. In Checkmate 238, Grade 3 or 4 adverse
reactions occurred in 25% of OPDIVO-treated patients (n=452). The most
frequent Grade 3 and 4 adverse reactions reported in at least 2% of
OPDIVO-treated patients were diarrhea and increased lipase and amylase.
Serious adverse reactions occurred in 18% of OPDIVO-treated patients.
Common Adverse Reactions
In Checkmate 037, the most common adverse reaction (≥20%) reported with
OPDIVO (n=268) was rash (21%). In Checkmate 066, the most common adverse
reactions (≥20%) reported with OPDIVO (n=206) vs dacarbazine (n=205)
were fatigue (49% vs 39%), musculoskeletal pain (32% vs 25%), rash (28%
vs 12%), and pruritus (23% vs 12%). In Checkmate 067, the most common
(≥20%) adverse reactions in the OPDIVO plus YERVOY arm (n=313) were
fatigue (59%), rash (53%), diarrhea (52%), nausea (40%), pyrexia (37%),
vomiting (28%), and dyspnea (20%). The most common (≥20%) adverse
reactions in the OPDIVO (n=313) arm were fatigue (53%), rash (40%),
diarrhea (31%), and nausea (28%). In Checkmate 017 and 057, the most
common adverse reactions (≥20%) in patients receiving OPDIVO (n=418)
were fatigue, musculoskeletal pain, cough, dyspnea, and decreased
appetite. In Checkmate 025, the most common adverse reactions (≥20%)
reported in patients receiving OPDIVO (n=406) vs everolimus (n=397) were
fatigue (56% vs 57%), cough (34% vs 38%), nausea (28% vs 29%), rash (28%
vs 36%), dyspnea (27% vs 31%), diarrhea (25% vs 32%), constipation (23%
vs 18%), decreased appetite (23% vs 30%), back pain (21% vs 16%), and
arthralgia (20% vs 14%). In Checkmate 214, the most common adverse
reactions (≥20%) reported in patients treated with OPDIVO plus YERVOY
(n=547) vs sunitinib (n=535) were fatigue (58% vs 69%), rash (39% vs
25%), diarrhea (38% vs 58%), musculoskeletal pain (37% vs 40%), pruritus
(33% vs 11%), nausea (30% vs 43%), cough (28% vs 25%), pyrexia (25% vs
17%), arthralgia (23% vs 16%), and decreased appetite (21% vs 29%). In
Checkmate 205 and 039, the most common adverse reactions (≥20%) reported
in patients receiving OPDIVO (n=266) were upper respiratory tract
infection (44%), fatigue (39%), cough (36%), diarrhea (33%), pyrexia
(29%), musculoskeletal pain (26%), rash (24%), nausea (20%) and pruritus
(20%). In Checkmate 141, the most common adverse reactions (≥10%) in
patients receiving OPDIVO (n=236) were cough and dyspnea at a higher
incidence than investigator’s choice. In Checkmate 275, the most common
adverse reactions (≥ 20%) reported in patients receiving OPDIVO (n=270)
were fatigue (46%), musculoskeletal pain (30%), nausea (22%), and
decreased appetite (22%). In Checkmate 040, the most common adverse
reactions (≥20%) in patients receiving OPDIVO (n=154) were fatigue
(38%), musculoskeletal pain (36%), abdominal pain (34%), pruritus (27%),
diarrhea (27%), rash (26%), cough (23%), and decreased appetite (22%).
In Checkmate 238, the most common adverse reactions (≥20%) reported in
OPDIVO-treated patients (n=452) vs ipilimumab-treated patients (n=453)
were fatigue (57% vs 55%), diarrhea (37% vs 55%), rash (35% vs 47%),
musculoskeletal pain (32% vs 27%), pruritus (28% vs 37%), headache (23%
vs 31%), nausea (23% vs 28%), upper respiratory infection (22% vs 15%),
and abdominal pain (21% vs 23%). The most common immune-mediated adverse
reactions were rash (16%), diarrhea/colitis (6%), and hepatitis (3%).
The most common adverse reactions (≥20%) in patients who received OPDIVO
as a single agent were fatigue, rash, musculoskeletal pain, pruritus,
diarrhea, nausea, asthenia, cough, dyspnea, constipation, decreased
appetite, back pain, arthralgia, upper respiratory tract infection,
pyrexia, headache, and abdominal pain.
In a separate Phase 3 study of YERVOY 3 mg/kg, the most common adverse
reactions (≥5%) in patients who received YERVOY at 3 mg/kg were fatigue
(41%), diarrhea (32%), pruritus (31%), rash (29%), and colitis (8%).
Checkmate Trials and Patient Populations
Checkmate 067–advanced melanoma alone or in combination with
YERVOY® (ipilimumab); Checkmate 037 and 066–advanced
melanoma; Checkmate 017–squamous non-small cell lung cancer
(NSCLC); Checkmate 057–non-squamous NSCLC; Checkmate 025–renal
cell carcinoma; Checkmate 205/039–classical Hodgkin lymphoma; Checkmate
141–squamous cell carcinoma of the head and neck; Checkmate 214–renal
cell carcinoma; Checkmate 275–urothelial carcinoma; Checkmate
040–hepatocellular carcinoma, Checkmate 238–adjuvant
treatment of melanoma.
Please see U.S. Full Prescribing Information for OPDIVO
and YERVOY,
including Boxed WARNING regarding immune-mediated adverse
reactions for YERVOY.
About the Bristol-Myers Squibb and Ono
Pharmaceutical Collaboration
In 2011, through a collaboration agreement with Ono Pharmaceutical Co.,
Bristol-Myers Squibb expanded its territorial rights to develop and
commercialize Opdivo globally except in Japan, South
Korea and Taiwan, where Ono had retained all rights to the compound at
the time. On July 23, 2014, Ono and Bristol-Myers Squibb further
expanded the companies’ strategic collaboration agreement to jointly
develop and commercialize multiple immunotherapies – as single agents
and combination regimens – for patients with cancer in Japan, South
Korea and Taiwan.
About Empliciti
Empliciti is an immunostimulatory antibody that specifically
targets Signaling Lymphocyte Activation Molecule Family member 7
(SLAMF7), a cell-surface glycoprotein. SLAMF7 is expressed on myeloma
cells independent of cytogenetic abnormalities. SLAMF7 also is expressed
on Natural Killer cells, plasma cells and at lower levels on specific
immune cell subsets of differentiated cells within the hematopoietic
lineage.
Empliciti has a dual mechanism-of-action. It directly activates
the immune system through Natural Killer cells via the SLAMF7 pathway. Empliciti also
targets SLAMF7 on myeloma cells, tagging these malignant cells for
Natural Killer cell-mediated destruction via antibody-dependent cellular
toxicity.
Bristol-Myers Squibb and AbbVie are co-developing Empliciti,
with Bristol-Myers Squibb solely responsible for commercial activities.
U.S. FDA-APPROVED INDICATION FOR EMPLICITI
™
EMPLICITI™ (elotuzumab) is indicated in combination with lenalidomide
and dexamethasone for the treatment of patients with multiple myeloma
who have received one to three prior therapies.
IMPORTANT SAFETY INFORMATION
Infusion Reactions
EMPLICITI can cause infusion reactions. Common symptoms include fever,
chills, and hypertension. Bradycardia and hypotension also developed
during infusions. In the trial, 5% of patients required interruption of
the administration of EMPLICITI for a median of 25 minutes due to
infusion reactions, and 1% of patients discontinued due to infusion
reactions. Of the patients who experienced an infusion reaction, 70%
(23/33) had them during the first dose. If a Grade 2 or higher infusion
reaction occurs, interrupt the EMPLICITI infusion and institute
appropriate medical and supportive measures. If the infusion reaction
recurs, stop the EMPLICITI infusion and do not restart it on that day.
Severe infusion reactions may require permanent discontinuation of
EMPLICITI therapy and emergency treatment.
Premedicate with dexamethasone, H1 Blocker, H2 Blocker, and
acetaminophen prior to infusing with EMPLICITI.
Infections
In a clinical trial of patients with multiple myeloma (N=635),
infections were reported in 81.4% of patients in the EMPLICITI with
lenalidomide/dexamethasone arm (ERd) and 74.4% in the
lenalidomide/dexamethasone arm (Rd). Grade 3-4 infections were 28% (ERd)
and 24.3% (Rd). Opportunistic infections were reported in 22% (ERd) and
12.9% (Rd). Fungal infections were 9.7% (ERd) and 5.4% (Rd). Herpes
zoster was 13.5% (ERd) and 6.9% (Rd). Discontinuations due to infections
were 3.5% (ERd) and 4.1% (Rd). Fatal infections were 2.5% (ERd) and 2.2%
(Rd). Monitor patients for development of infections and treat promptly.
Second Primary Malignancies
In a clinical trial of patients with multiple myeloma (N=635), invasive
second primary malignancies (SPM) were 9.1% (ERd) and 5.7% (Rd). The
rate of hematologic malignancies were the same between ERd and Rd
treatment arms (1.6%). Solid tumors were reported in 3.5% (ERd) and 2.2%
(Rd). Skin cancer was reported in 4.4% (ERd) and 2.8% (Rd). Monitor
patients for the development of SPMs.
Hepatotoxicity
Elevations in liver enzymes (AST/ALT greater than 3 times the upper
limit, total bilirubin greater than 2 times the upper limit, and
alkaline phosphatase less than 2 times the upper limit) consistent with
hepatotoxicity were 2.5% (ERd) and 0.6% (Rd). Two patients experiencing
hepatotoxicity discontinued treatment; however, 6 out of 8 patients had
resolution and continued treatment. Monitor liver enzymes periodically.
Stop EMPLICITI upon Grade 3 or higher elevation of liver enzymes. After
return to baseline values, continuation of treatment may be considered.
Interference with Determination of Complete Response
EMPLICITI is a humanized IgG kappa monoclonal antibody that can be
detected on both the serum protein electrophoresis and immunofixation
assays used for the clinical monitoring of endogenous M-protein. This
interference can impact the determination of complete response and
possibly relapse from complete response in patients with IgG kappa
myeloma protein.
Pregnancy/Females and Males of Reproductive Potential
There are no studies with EMPLICITI with pregnant women to inform any
drug associated risks.
There is a risk of fetal harm, including severe life-threatening human
birth defects associated with lenalidomide and it is contraindicated for
use in pregnancy. Refer to the lenalidomide full prescribing information
for requirements regarding contraception and the prohibitions against
blood and/or sperm donation due to presence and transmission in blood
and/or semen and for additional information.
Adverse Reactions
Infusion reactions were reported in approximately 10% of patients
treated with EMPLICITI with lenalidomide and dexamethasone. All reports
of infusion reaction were Grade 3 or lower. Grade 3 infusion reactions
occurred in 1% of patients.
Serious adverse reactions were 65.4% (ERd) and 56.5% (Rd). The most
frequent serious adverse reactions in the ERd arm compared to the Rd arm
were: pneumonia (15.4%, 11%), pyrexia (6.9%, 4.7%), respiratory tract
infection (3.1%, 1.3%), anemia (2.8%, 1.9%), pulmonary embolism (3.1%,
2.5%), and acute renal failure (2.5%, 1.9%).
The most common adverse reactions in ERd and Rd, respectively (>20%)
were fatigue (61.6%, 51.7%), diarrhea (46.9%, 36.0%), pyrexia (37.4%,
24.6%), constipation (35.5%, 27.1%), cough (34.3%, 18.9%), peripheral
neuropathy (26.7%, 20.8%), nasopharyngitis (24.5%, 19.2%), upper
respiratory tract infection (22.6%, 17.4%), decreased appetite (20.8%,
12.6%), and pneumonia (20.1%, 14.2%).
Please see the full Prescribing Information for EMPLICITI.
About Bristol-Myers Squibb
Bristol-Myers Squibb is a global biopharmaceutical 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 us at BMS.com
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and Facebook.
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 Opdivo, Yervoy or any
of the oncology compounds mentioned in this release will receive
regulatory approval for the indication described herein. 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, 2017 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.
Bristol-Myers Squibb Media: Audrey Abernathy, 919-605-4521 audrey.abernathy@bms.com or Investors: Tim Power, 609-252-7509 timothy.power@bms.com orBill Szablewski, 609-252-5894 william.szablewski@bms.com