ASH Clinical News October 2015 | Page 4

Calendar December 5 – 8, 2015 57th ASH Annual Meeting and Exposition Orlando, Florida The American Society of Hematology (ASH) invites you to attend the 57th ASH Annual Meeting in Orlando, Florida. As the premier event in malignant and non-malignant hematology, this meeting will provide attendees with an invaluable educational experience. The Orange County Convention Center in Orlando is the site of this year's ASH Annual Meeting and Exposition. Highlights of ASH® Get a synopsis of the top hematology research presented at the latest ASH Annual Meeting and learn how it can help improve your patient management and care strategies at the 2016 Highlights of ASH. This is your chance to evaluate your diagnostic techniques and therapeutic approaches and discuss with leading hematology experts and colleagues how new research and clinical updates can be translated into new patient care strategies. January 22 – 23, 2016 Dallas, TX Atlanta, GA January 29 – 30, 2016 New York, NY San Diego, CA March 5 – 6, 2016 Brisbane, Australia April 29 – 30, 2016 Natal, Brazil January 15 – 16, 2016 Seattle, WA Toronto, ON Live: 15” ADCETRIS® (brentuximab vedotin) for injection, for intravenous use Brief Summary: see package insert for complete prescribing information WARNING: PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY (PML) JC virus infection resulting in PML and death can occur in patients receiving ADCETRIS. INDICATIONS AND USAGE Classical Hodgkin Lymphoma (HL) Post-auto-HSCT Consolidation ADCETRIS® (brentuximab vedotin) for injection is a CD30-directed antibody-drug conjugate indicated for the treatment of classical HL at high risk of relapse or progression as post-autologous hematopoietic stem cell transplantation (auto-HSCT) consolidation. DOSAGE AND ADMINISTRATION Dosage Recommendations Administer ADCETRIS as an intravenous infusion over 30 minutes every 3 weeks until a maximum of 16 cycles, disease progression or unacceptable toxicity. Initiate ADCETRIS treatment within 4-6 weeks post-auto-HSCT or upon recovery from auto-HSCT. Embryo-Fetal Toxicity There are no adequate and well-controlled studies of ADCETRIS in pregnant women. However, based on its mechanism of action and findings in animals, ADCETRIS can cause fetal harm when administered to a pregnant woman. Brentuximab vedotin caused embryo-fetal toxicities, including significantly decreased embryo viability and fetal malformations, in animals at maternal exposures that were similar to human exposures at the recommended doses for patients with classical HL and sALCL. If this drug is used during pregnancy, or if the patient becomes pregnant while receiving the drug, the patient should be apprised of the potential hazard to the fetus. ADVERSE REACTIONS Summary of Clinical Trial Experience in Classical HL Post-auto-HSCT Consolidation (Study 3) Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The recommended dose is 1.8 mg/kg up to 180 mg. Reduce the dose in patients with mild hepatic impairment (Child-Pugh A) to 1.2 mg/kg up to 120 mg. Avoid use in patients with moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment or severe renal impairment (CLcr <30 mL/min). ADCETRIS was studied in 329 patients with classical HL at high risk of relapse or progression post-auto-HSCT in a randomized, double-blind, placebo-controlled clinical trial in which the recommended starting dose and schedule was 1.8 mg/kg of ADCETRIS administered intravenously over 30 minutes every 3 weeks or placebo for up to 16 cycles. Of the 329 enrolled patients, 327 (167 brentuximab vedotin, 160 placebo) received at least one dose of study treatment. The median number of treatment cycles in each study arm was 15 (range, 1–16) and 80 patients (48%) in the ADCETRIS-treatment arm received 16 cycles. Dose Modification Peripheral Neuropathy: For new or worsening Grade 2 or 3 neuropathy, dosing should be held until neuropathy improves to Grade 1 or baseline and then restarted at 1.2 mg/kg. For Grade 4 peripheral neuropathy, ADCETRIS should be discontinued. Standard international guidelines were followed for infection prophylaxis for herpes simplex virus (HSV), varicella-zoster virus (VZV), and Pneumocystis jiroveci pneumonia (PCP) post-aut