ASH Clinical News March 2015 | Page 33

SIGNIFICANTLY SUPERIOR PFS: GAZYVA + CLB IMPROVED MEDIAN PFS BY 11.8 MONTHS VS RITUXIMAB + CLB IN FIRST-LINE CLL WITH 6 PLANNED CYCLES OF THERAPY1 Proportion progression free 1.0 58% 0.9 risk reduction 0.8 HR=0.42 95% CI, 0.33-0.54 P<0.0001 0.7 0.6 0.5 0.4 0.3 0.2 14.9 GAZYVA + Clb (n=333) rituximab + Clb (n=330) 0.1 0.0 0 3 n at risk GAZYVA + Clb 333 rituximab + Clb 330 298 310 6 9 12 290 302 268 251 200 157 26.7 15 18 21 24 27 30 33 36 145 105 119 67 90 44 59 28 35 14 12 6 4 2 1 0 Time (months) PFS, progression-free survival; HR, hazard ratio; CI, confidence interval. • GAZYVA + Clb demonstrated a 58% reduction in the risk of CLL progression or death vs rituximab + Clb (HR=0.42; 95% CI, 0.33-0.54; P<0.0001) Response rates1 • Complete responsea rates with GAZYVA + Clb were greater than those with rituximab + Clb (28.2% vs 10.3%) • Overall response rates with GAZYVA + Clb were greater than those with rituximab + Clb (79.6% vs 66.3%) • GAZYVA + Clb delivered longer median duration of response vs rituximab + Clb (19.6 months vs 9.7 months) a Complete response (CR) includes complete response with incomplete marrow recovery (CRi). Grade 3/4 adverse reactions were: neutropenia (33%), infusion reactions (20%), thrombocytopenia (10%), anemia (4%), leukopenia (4%), diarrhea (2%), urinary tract infection (1%), pyrexia (<1%), and nasopharyngitis (<1%)1,2 • The most common adverse reactions (incidence ≥10%) were: infusion reactions (66%), neutropenia (38%), thrombocytopenia (14%), nausea (12%), anemia (11%), pyrexia (10%), cough (10%), and diarrhea (10%) IMPORTANT SAFETY INFORMATION (CONT’D) Infusion Reactions • GAZYVA can cause severe and life-threatening infusion • For patients with Grade 1, 2, or 3 infusion reactions: Interrupt reactions. Two-thirds of patients experienced a reaction to GAZYVA for Grade 3 reactions until resolution of symptoms. the first 1000 mg infused of GAZYVA. Infusion reactions can Interrupt or reduce the rate of the infusion for Grade 1 or 2 also occur with subsequent infusions. Symptoms may include reactions and manage symptoms hypotension, tachycardia, dyspnea, and respiratory symptoms (eg, bronchospasm, larynx and throat irritation, wheezing, Please see the following pages for additional Important and laryngeal edema). Other common symptoms include Safety Information and brief summary of full Prescribing nausea, vomiting, diarrhea, hypertension, flushing, headache, Information, including Boxed WARNINGS. pyrexia, and chills • Premedicate patients with acetam