ASH Clinical News ACN_4.14_Full Issue_web | Page 138

What’s the most critical endpoint? Over all, it’s survival. The FDA recognizes overall survival (OS) as the most reliable and preferred cancer endpoint. OS is an unbiased, objective endpoint that is precise in its measurement. 1 Indication POMALYST ® (pomalidomide) is a thalidomide analogue indicated, in combination with dexamethasone (dex), for patients with multiple myeloma (MM) who have received at least two prior therapies including lenalidomide and a proteasome inhibitor and have demonstrated disease progression on or within 60 days of completion of the last therapy. POMALYST is only available through a restricted distribution program, POMALYST REMS ® . Important Safety Information WARNING: EMBRYO-FETAL TOXICITY and VENOUS AND ARTERIAL THROMBOEMBOLISM Embryo-Fetal Toxicity • POMALYST is contraindicated in pregnancy. POMALYST is a thalidomide analogue. Thalidomide is a known human teratogen that causes severe birth defects or embryo-fetal death. In females of reproductive potential, obtain 2 negative pregnancy tests before starting POMALYST treatment. • Females of reproductive potential must use 2 forms of contraception or continuously abstain from heterosexual sex during and for 4 weeks after stopping POMALYST treatment. POMALYST is only available through a restricted distribution program called POMALYST REMS ® . Venous and Arterial Thromboembolism • Deep venous thrombosis (DVT), pulmonary embolism (PE), myocardial infarction, and stroke occur in patients with multiple myeloma treated with POMALYST. Prophylactic antithrombotic measures were employed in clinical trials. Thromboprophylaxis is recommended, and the choice of regimen should be based on assessment of the patient’s underlying risk factors. ALT, alanine aminotransferase; AST, aspartate aminotransferase; CI, confi dence interval; CrCl, creatinine clearance; DVT, deep venous thrombosis; HR, hazard ratio; ITT, intent-to-treat; OS, overall survival; PE, pulmonary embolism; PFS, progression-free survival; PI, proteasome inhibitor. *Data cutoff: March 1, 2013. Please see brief summary of full Prescribing Information, including Boxed WARNINGS, and additional Important Safety Information on the following pages.