ASH Clinical News December 2014 | Page 20

IMBRUVICA® demonstrated single-agent survival in previously treated CLL INDICATIONS: IMBRUVICA® is a first-in-class Bruton’s tyrosine kinase (BTK) inhibitor indicated for the treatment of patients with: • Chronic lymphocytic leukemia (CLL) who have received at least one prior therapy • CLL with 17p deletion Superior overall survival (OS) with IMBRUVICA® vs ofatumumab—secondary endpoint (HR=0.43; 95% CI: 0.24, 0.79); P<0.05 • 57% statistically significant reduction in the risk of death for patients in the IMBRUVICA® arm • Median OS not yet reached in either treatment arm Superior progression-free survival (PFS) with IMBRUVICA® vs ofatumumab— primary endpoint • Median PFS not yet reached with IMBRUVICA® vs 8.1 months with ofatumumab Print-only content 78% statistically significant reduction in the risk of death or progression (independent review) 100 PFS (%) 80 60 40 20 0 Ofatumumab P<0.0001 by log-rank test 0 3 6 Number at risk IMBRUVICA® 195 Ofatumumab 196 183 161 116 83 Months 9 12 15 (HR for progression or death: 0.22; 95% CI: 0.15, 0.32); P<0.0001 Results from the randomized, multicenter, open-label, Phase 3 RESONATE™ trial of IMBRUVICA® vs ofatumumab in patients with previously treated CLL. Patients (N=391) were randomized 1:1 to receive either IMBRUVICA® 420 mg orally daily until disease progression or unacceptable toxicity or IV ofatumumab at an initial dose of 300 mg, followed 1 week later by a dose of 2000 mg weekly for 7 doses, and then every 4 weeks for 4 additional doses. Fifty-seven patients randomized to ofatumumab crossed over following Independent Review Committee (IRC)-confirmed progression to receive IMBRUVICA®. Primary endpoint: PFS as assessed by an IRC according to modified International Workshop on CLL Criteria. HR=hazard ratio. 38 15 7 1 0 0 In patients with previously treated del 17p CLL, IMBRUVICA® demonstrated a 75% reduced risk of progression or death (HR=0.25; 95% CI: 0.14, 0.45) • Median PFS not reached with IMBRUVICA® (n=63) vs 5.8 months with ofatumumab (n=64) Oral, once-daily dosing In CLL studies, approximately 5% of patients discontinued due to adverse events Please review the Important Safety Information on adjacent page.