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CLINICAL NEWS risk (HR=0.85; 95% CI 0.03-0.68; p=0.014), this effect diminished over time. The risk for relapse increased by 0.2 percent per day fol- lowing administration, until about 2.6 years, when the risk of relapse became equivalent to that in non– rituximab-treated patients. “One of the questions in our field is whether timed retreatment or maintenance with rituximab (which is accepted practice in other hematologic conditions) should be considered for patients with TTP in remission,” Dr. Sun noted. “[These data] potentially provide support for the idea of maintenance rituximab dosing within a two- to three-year timeframe.” The study’s findings are limited by its retrospective design, non- standardized treatment approach, and potential selection bias. “Although our data did not directly address whether patients at higher risk for relapse derive more benefit from rituximab, we see this work as a starting point for risk-stratifying patients with TTP for the use of rituximab and other immunomod- ulatory agents,” Dr. Sun concluded. “However, before [the risk factors identified in our study] are used to guide any treatment decisions, [they] will need to be evaluated prospectively in future studies.” The authors report no relevant conflicts of interest. REFERENCE Sun L, Mack JP, Li A, et al. Predictors of relapse and efficacy of rituximab in autoimmune thrombotic thrombocytopenic purpura (TTP): a multi-institutional registry-based analysis. Abstract #375. Presented at the 2018 ASH Annual Meeting, December 2, 2018; San Diego, CA. NOW APPROVED Effi cacy in treatment-naïve patients (N=29) 1 72% CR/CRc rate* 90% ORR 45% bridged to stem cell transplantation * CRc = clinical complete response; defi ned as complete response with residual skin abnormality not indicative of active disease. 2 CR = complete response; ORR = overall response rate. Median duration of CR/CRc has not yet been reached in treatment-naïve patients (range, 1.3-32.2+ months). 1 Median overall survival has not yet been reached; median follow-up 23.0 months (range, 0.2-41.0+ months). 1 In the pivotal cohort, treatment-naïve patients (N=13) achieved a 54% CR/CRc rate, 77% ORR, and 46% bridged to stem cell transplantation. 1,2 ELZONRIS TM (tagraxofusp-erzs) was evaluated in treatment-naïve and previously-treated patients with BPDCN in an open-label, multicenter clinical study (N=44). The pivotal cohort consisted of 13 treatment-naïve patients. 1,2 VISIT ELZONRIS.COM/HCP FOR MORE INFORMATION. Hypersensitivity Reactions ADVERSE REACTIONS: • ELZONRIS can cause severe hypersensitivity reactions. Grade 3 or higher events were reported in 10% of patients in clinical trials. Monitor patients for hypersensitivity reactions during treatment with ELZONRIS. Interrupt ELZONRIS infusion and provide supportive care as needed if a hypersensitivity reaction should occur. If the reaction is severe, discontinue ELZONRIS permanently Hepatotoxicity • Elevations in liver enzymes can occur with ELZONRIS. Grade 3 or higher elevations in liver enzymes occurred in approximately 40% of patients in clinical trials • Monitor alanine aminotransferase (ALT) and aspartate aminotransferase (AST) prior to each infusion with ELZONRIS. Temporarily withhold ELZONRIS if the transaminases rise to greater than 5 times the upper limit of normal (ULN) and resume treatment upon normalization or when resolved The most common adverse reactions in the clinical trials (incidence ≥ 30%) are capillary leak syndrome, nausea, fatigue, peripheral edema, pyrexia, and weight increase. The most common laboratory abnormalities (incidence ≥ 50%) are decreases in albumin, platelets, hemoglobin, calcium, sodium, and increases in glucose, ALT, and AST. Please see Brief Summary of full Prescribing Information, including Boxed WARNING, on the following pages. To report SUSPECTED ADVERSE REACTIONS, contact Stemline Therapeutics, Inc. at 1- 877-332-7961 or contact the FDA at 1- 800-FDA-1088 or www.fda.gov/medwatch. References: 1. Data on fi le. Stemline Therapeutics, Inc. 2. ELZONRIS [prescribing information]. New York, NY, US: Stemline Therapeutics, Inc.; December 2018.