ASH Clinical News April 2016 | Page 45

CLINICAL NEWS to neurologic AEs, resulting in two and seven treatment discontinuations, respectively. Three deaths occurred among the study population, of which two were reported as potentially treatment-related. “Continuous infusion with CD19-targeted immunotherapy blinatumomab at various doses and schedules was feasible … and showed anti-lymphoma activity,” Dr. Goebeler and co-authors concluded. The small patient population is a limitation of this study, and further studies will have to confirm the findings among the specific disease subtypes. Although the stepwise dosing helped mitigate treatment discontinuations due to neurologic AEs, nine patients discontinued treatment, suggesting that additional strategies are needed to curb the neurologic toxicity associated with blinatumomab. An ongoing phase II study is in progress to evaluate blinatumomab in relapsed/refractory DLBCL. REFERENCE Goebeler ME, Knop S, Viardot A, et al. Bispecific T-cell engager (BiTE) antibody construct blinatumomab for the treatment of patients with relapsed/refractory non-Hodgkin lymphoma: Final results from a phase I study. J Clin Oncol. 2016 February 16. [Epub ahead of print] T:7” 4.2 Allergic Reactions REVLIMID is contraindicated in patients who have demonstrated hypersensitivity (e.g., angioedema, Stevens-Johnson syndrome, toxic epidermal necrolysis) to lenalidomide [see Warnings and Precautions (5.8)]. 5.2 REVLIMID REMS™ Program Because of the embryo-fetal risk [see Warnings and Precautions (5.1)], REVLIMID is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS), the REVLIMID REMS™ program (formerly known as the “RevAssist®” program). Required components of the REVLIMID REMS™ program include the following: • Prescribers must be certified with the REVLIMID REMS™ program by enrolling and complying with the REMS requirements. • Patients must sign a Patient-Physician agreement form and comply with the REMS requirements. In particular, female patients of reproductive potential who are not pregnant must comply with the pregnancy testing and contraception requirements [see Use in Specific Populations (8.6)] and males must comply with contraception requirements [see Use in Specific Populations (8.6)]. • Pharmacies must be certified with the REVLIMID REMS™ program, must only dispense to patients who are authorized to receive REVLI Ԕ@