ASH Clinical News September 2016 | Page 51

DARZALEX® responses were demonstrated in patients with a median of 5 prior therapies1* % overall response rate1 (95% CI: 20.8, 38.9) PR=partial response; VGPR=very good partial response; sCR=stringent complete response. • DARZALEX® achieved sCR + VGPR in 12% of patients1 *For this open-label single-arm phase 2 trial of 106 relapsed/refractory patients who were administered pre- and post-infusion medications and treated with 16 mg/kg DARZALEX® until unacceptable toxicity or disease progression, efcacy results were based on ORR as determined by an Independent Review Committee assessment using International Myeloma Working Group (IMWG) criteria.1,2 In the trial, sCR was dened as complete response (CR) plus a normal serum free light chain (FLC) ratio and the absence of clonal plasma cells in the bone marrow by immunohistochemistry or immunouorescence or 2- to 4-color ow cytometry.3 † • Duration of response range: 1.2 to 13.1+ months1 • The most frequently reported adverse reactions (≥20%) were infusion reactions (48%), fatigue (39%), nausea (27%), back pain (23%), pyrexia (21%), cough (21%), and upper respiratory tract infection (20%)1‡ — Serious adverse reactions were reported in 51 (33%) patients. The most frequent serious adverse reactions were pneumonia (6%), general physical health deterioration (3%), and pyrexia (3%)1 • 4% of patients discontinued treatment due to adverse reactions (ARs); ARs resulted in treatment delay for 24 patients (15%), most frequently for infections1 ‡ Safety data were pooled from 3 open-label clinical studies of relapsed/refractory patients treated with 16 mg/kg DARZALEX® (N=156).1 Important Safety Information Interference with Determination of Complete Response Daratumumab is a human IgG kappa monoclonal antibody that can be detected on both, the serum protein electrophoresis (SPE) and immunoxation (IFE) assays used for the clinical monitoring of endogenous M-protein. This interference can impact the determination of complete response and of disease progression in some patients with IgG kappa myeloma protein. Adverse Reactions The most frequently reported adverse reactions (incidence ≥20%) were: infusion reactions (48%), fatigue (39%), nausea (27%), back pain (23%), pyrexia (21%), cough (21%), and upper respiratory tract infection (20%). Serious adverse reactions were reported in 51 (33%) patients. The most frequent serious adverse reactions were pneumonia (6%), general physical health deterioration (3%), and pyrexia (3%). DRUG INTERACTIONS No drug interaction studies have been performed. References: 1. DARZALEX [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc. 2. Data on le. Trial Design. Janssen Biotech, Inc. 3. Data on le. sCR. Janssen Biotech, Inc. ® For more information, visit www.darzalex.com © Janssen Biotech, Inc. 2016 03/16 048265-160301 048504-160304