ASH Clinical News September 2017 New | Page 65

FEATURE Training for a Career You Love: What Can the ASH Trainee Council Do For You? Jennifer Saultz, DO, immediate-past chair of the Trainee Council, speaks about the obstacles facing trainees today – from securing funding in a competitive environment to finding positions that support protected research time – and how the Trainee Council Learn more at vyxeos.com is helping them overcome those challenges. Dr. Saultz is a fellow in hematology and medical oncology at The Ohio State University Wexner Medical Center in Columbus. Safety and eff ectiveness of VYXEOS in pediatric patients have not been established. IMPORTANT SAFETY INFORMATION, continued Hypersensitivity Reactions Serious or fatal hypersensitivity reactions, including anaphylactic reactions, have been reported with daunorubicin and cytarabine. Monitor patients for hypersensitivity reactions. If a mild or moderate hypersensitivity reaction occurs, interrupt or slow the rate of infusion with VYXEOS and manage symptoms. If a severe or life-threatening hypersensitivity reaction occurs, discontinue VYXEOS permanently, treat the symptoms, and monitor until symptoms resolve. Copper Overload VYXEOS contains copper. Monitor total serum copper, serum non-ceruloplasmin-bound copper, 24-hour urine copper levels, and serial neuropsychological examinations during VYXEOS treatment in patients with Wilson’s disease or other copper-related metabolic disorders. Use only if the benefits outweigh the risks. Discontinue in patients with signs or symptoms of acute copper toxicity. Tissue Necrosis Daunorubicin has been associated with severe local tissue necrosis at the site of drug extravasation. Administer VYXEOS by the intravenous route only. Do not administer by intramuscular or subcutaneous route. a Embryo-Fetal Toxicity VYXEOS can cause embryo-fetal harm when administered to a pregnant woman. Patients should avoid becoming pregnant while taking VYXEOS. Advise females and males of reproductive potential to use eff ective contraception during treatment and for 6 months following the last dose of VYXEOS. MOST COMMON ADVERSE REACTIONS The most common adverse reactions (incidence ≥25%) were hemorrhagic events, febrile neutropenia, rash, edema, nausea, mucositis, diarrhea, constipation, musculoskeletal pain, fatigue, abdominal pain, dyspnea, headache, cough, decreased appetite, arrhythmia, pneumonia, bacteremia, chills, sleep disorders, and vomiting. Please see following pages for Brief Summary of full Prescribing Information, including BOXED Warning. Reference: 1. VYXEOS [package insert]. Palo Alto, CA: Jazz Pharmaceuticals. Cytarabine and daunorubicin. AML=acute myeloid leukemia; AML-MRC=acute myeloid leukemia with myelodysplasia-related changes; HR=hazard ratio; MDS=myelodysplastic syndromes; t-AML=therapy-related acute myeloid leukemia. ©2017 Jazz Pharmaceuticals VYX-0036(1)a Rev0817 Continued on page 64