ASH Clinical News December 2014 | Page 39

CLINICAL NEWS “delalisib may be used earlier in I treatment, especially in patients who have comorbidities or who cannot tolerate chemotherapy.” —JENNIFER R. BROWN, MD, PhD granted based on the results of a multicenter, single arm, open-label trial involving 123 patients with relapsed indolent non-Hodgkin lymphomas; twicedaily idelalisib 150 mg was associated with overall response rates of 54 percent and 58 percent in patients with FL and SLL, respectively.  The most common adverse reactions with idelalisib were diarrhea, pyrexia, fatigue, nausea, cough, pneumonia, abdominal pain, chills, and rash. Idelalisib carries a boxed warning alerting patients and health-care professionals of the following fatal and serious adverse reactions: hepatotoxicity, severe diarrhea or colitis, pneumonitis, and intestinal perforation.  So, where does idelalisib fit in the treatment landscape? Speaker Jennifer R. Brown, MD, PhD, an investigator on the phase I study investigating idelalisib in CLL, noted that physicians should consider agents’ toxicity profiles when choosing between approved therapies. T:7” Hepatotoxicity Inform patients of the risk of hepatotoxicity, including hepatic failure and death, and to report any signs and symptoms associated with this event to their healthcare provider for evaluation. Allergic Reactions Inform patients of the potential for allergic reactions including hypersensitivity, angioedema, Stevens Johnsons Syndrome, or toxic epidermal necrolysis if they had such a reaction to THALOMID and report symptoms associated with these events to their healthcare provider for evaluation. Tumor Lysis Syndrome Inform patients of the potential risk of tumor lysis syndrome and to report any signs and symptoms associated with this event to their healthcare provider for evaluation. Tumor Flare Reaction Inform patients of the pote