ASH Clinical News September 2017 New | Page 25

a sense of humor. At one point, I had lost about 25 pounds, from a total loss of appetite and gastrointestinal issues during my chemotherapy. In our weight- obsessed society, that made me look “healthy.” I was in an elevator at Memorial Sloan Kettering Cancer Center when another physician (a bit overweight himself) asked me how I had lost 15” 4.75” How is your health now? Are you working and able to see patients? The myeloma is in remission now. I had nine months of triplet therapy under the care of Dr. Landgren and his phenomenal team. Sergio Giralt, MD, per- formed my transplant, and I’m taking lenalidomide as mainte- nance therapy as part of a clinical trial. I’m working like a fiend – maybe now more than before. But I love doing what I do, and I’m blessed to be healthy enough to do it. This month marks the two- year anniversary of the diagnosis. So far, everything remains clear! Not too long ago, two years was the typical life expectancy after a myeloma diagnosis. All I can say is thank you to the physicians, nurses, scientists, and pharmaceutical companies who have given me and others a more promising future. ● His treatment, designed for his lifestyle. The Kogenate FS needleless reconstitution system contains: 1 1 Product vial 2 Prefilled diluent syringe and separate plunger rod 3 Vial Adapter with built-in filter 4 Butterfly needle administration set 2 4 3 Wide range of vial sizes ■ Available vial sizes: 250 IU 500 IU 1000 IU 2000 IU and 3000 IU —for flexibility in dose preparation ■ Small diluent volumes make reconstitution fast and easy ¶ Diluent sizes are 2.5 mL for 250-IU, 500-IU, and 1000-IU vial sizes; 5.0 mL for 2000-IU and 3000-IU vial sizes. ¶ IMPORTANT SAFETY INFORMATION (CONT’D) Neutralizing antibodies (inhibitors) have been reported following administration of Kogenate FS predominately in previously untreated patients. Carefully monitor patients for the development of factor VIII inhibitors, using appropriate clinical observations and laboratory tests. If expected plasma factor VIII activity levels are not attained, or if bleeding is not controlled with an expected dose, perform an assay that measures factor VIII inhibitor concentration. ■ Hemophilic patients with cardiovascular risk factors or diseases may be at the same risk to develop cardiovascular events as non-hemophilic patients when clotting has been normalized by treatment with factor VIII. ■ Serious adverse reactions seen with Kogenate FS are systemic hypersensitivity reactions including bronchospastic reactions and/or hypotension and anaphylaxis, and the development of high-titer inhibitors necessitating alternative treatments to factor VIII. ■ The most common adverse reactions (≥4%) observed in clinical trials were inhibitor formation in previously untreated and minimally treated patients, skin-related hypersensitivity reactions, infusion site reactions, and central venous access device (CVAD) associated infections. ■ For additional important risk and use information, please see Brief Summary on the following pages. You are encouraged to report negative side eff ects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Reference: Kogenate® FS with Vial Adapter [prescribing information]. Whippany, NJ: Bayer HealthCare LLC; 2016. Bayer, the Bayer Cross, and Kogenate are registered trademarks of Bayer. © 2017 Bayer. All rights reserved. Printed in USA 08/17 PP-575-US-2909 FS:7.25” F:7.5” Store Kogenate FS at 36°F to 46°F for up to 30 months from the date of manufacture. Do not freeze. Within this period, Kogenate FS may be stored for a single period of up to 12 months at temperatures up to 77°F. Record the starting date of room-temperature storage on the unopened product carton. Once stored at room temperature, do not return the product to the refrigerator. The shelf life then expires after storage at room temperature for 12 months or after the expiration date on the product vial, whichever is earlier. Kogenate FS can be stored at room temperature (up to 77°F for up to 1 year)