ASH Clinical News September 2015 | Page 9

AR TE YEPDA 5U 99% OF PATIENTS DID NOT PROGRESS TO AP/BC AT 5 YEARS VS 95% WITH IMATINIB1* *Based on Kaplan-Meier estimates of time to progression to AP or BC on core treatment (full analysis set) without clonal evolutions. Estimated rates of no progression at 5 years: TASIGNA 99.3% (95% CI, 98.2%-100%) vs imatinib 95.2% (95% CI, 92.6%-97.9%).1 PROGRESSION EVENTS TO AP/BC1,2 2 TASIGNA PATIENTS PROGRESSED TO AP/BC 12 IMATINIB PATIENTS PROGRESSED TO AP/BC DIAGNOSIS 6 MONTHS 12 MONTHS 18 MONTHS 24 MONTHS 3 YEARS 4 YEARS 5 YEARS • No progressions to AP/BC occurred with TASIGNA after the first 6 months2 A HIGHER RATE OF MMR WAS ACHIEVED VS IMATINIB BY 5 YEARS1,2 • 77% of patients reached MMR by 5 years with TASIGNA (95% CI, 72%-82%) vs 60% with imatinib (95% CI, 55%-66%)1,2 • Median time on treatment was approximately 61 months in all treatment arms2 • The cumulative incidence of MMR end point by 5 years includes patients who achieved MMR at any time up to the 60-month cutoff. Subsequent loss of MMR, patients who did not attain MMR, or those lost to follow-up are not included in this calculation1 FOR MORE INFORMATION AND ACCESS TO SAVINGS FOR ELIGIBLE PATIENTS, PLEASE VISIT WWW.TASIGNA.COM IMPORTANT SAFETY CONSIDERATIONS • Fluid Retention: Grade 3/4 fluid retention including pleural effusion, pericardial effusion, ascites and pulmonary edema have been reported in patients receiving TASIGNA • ADVERSE REACTIONS: The most commonly reported non-hematologic adverse reactions (≥20% in patients) were nausea, rash, headache, fatigue, pruritus, vomiting, diarrhea, cough, constipation, arthralgia, nasopharyngitis, pyrexia, and night sweats. Hematologic adverse drug reactions include myelosuppression: thrombocytopenia, neutropenia and anemia • DOSE ADJUSTMENTS OR MODIFICATIONS: TASIGNA may need to be temporarily withheld and/or dose reduced for QT prolongation, hematologic toxicities that are not related to underlying leukemia, clinically significant moderate or severe non-hematologic toxicities, laboratory abnormalities or concomitant use of strong CYP3A4 inhibitors References: 1. Data on file. Study no. CAMN107A2303. Novartis Pharmaceuticals Corp; 2014. 2. TASIGNA [prescribing information]. East Hanover, NJ: Novartis Pharmaceuticals Corp; 2015. 3. Larson RA, Hochhaus A, Hughes TP, et al. Nilotinib vs imatinib in patients with newly diagnosed Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase: ENESTnd 3-year follow-up. Leukemia. 2012;26(10):2197-2203. Novartis Pharmaceuticals Corporation East Hanover, New Jersey 07936-1080 © 2015 Novartis Printed in USA 5/15 AM7-1116312