Celgene to Highlight New and Updated Hematology and Oncology Clinical Data at Upcoming American Society of Clinical Oncology (ASCO) 2019 Annual Meeting
May 15, 2019
Presentations include innovative cancer research, including novel CAR
T technology, as well as key disease areas, including myelofibrosis and
multiple myeloma
SUMMIT, N.J.–(BUSINESS WIRE)–Celgene Corporation (NASDAQ: CELG) today announced that data from more
than 40 company-sponsored, global alliance and investigator-initiated
clinical studies evaluating Celgene’s investigational and approved
therapies will be presented at the American Society of Clinical Oncology
(ASCO) 2019 Annual Meeting, May 31-June 4, in Chicago.
“We look forward to sharing important clinical data that underscore the
progress we are making in advancing our mid-late-stage pipeline of
investigational cancer therapies,” said Dr. Alise Reicin, President,
Global Clinical Development for Celgene. “The studies highlighted this
year reinforce the impact of our investigational and approved therapies,
on patients with high unmet needs.”
Of note, Celgene will present new sub-group analyses from the
multicenter, phase 1 TRANSCEND NHL 001 study evaluating the
investigational therapy lisocabtagene maraleucel (liso-cel), a
CD19-directed chimeric antigen receptor (CAR) T-cell product, in adult
patients with relapsed/refractory non-Hodgkin’s lymphoma (NHL) who have
secondary CNS lymphoma and new data from the multicenter, phase 1/2
TRANSCEND CLL 004 trial in adult patients with relapsed/refractory
chronic lymphocytic leukemia. Abstracts will also highlight
investigational therapies or new uses for approved therapies in the
treatment of myelofibrosis, multiple myeloma (MM) and pancreatic cancer.
These include an analysis of efficacy and safety using additional
stringent criteria to define patients who are relapsed/refractory or
intolerant to ruxolitinib in the multicenter, phase 2 JAKARTA2 clinical
trial of fedratinib in previously-treated myelofibrosis patients; the
first clinical data for the investigational CELMoD® compound
iberdomide (CC-220) in combination with dexamethasone in patients with
relapsed/refractory MM; and data from the apact study of ABRAXANE in
combination with gemcitabine as adjuvant treatment for patients with
surgically-resected pancreatic cancer.
REVLIMID in combination with rituximab, liso-cel, and fedratinib are not
approved for any use in any country.
Selected abstracts include:*
CAR T
Abstract #7501: TRANSCEND CLL 004: Minimal residual disease
(MRD) negative responses after lisocabtagene maraleucel (liso-cel;
JCAR017), a CD19-directed CAR T cell product, in patients (Pts) with
relapsed/refractory chronic lymphocytic leukemia or small lymphocytic
lymphoma (CLL/SLL). (Oral presentation; Tuesday, June 4, 9:57 a.m.
to 10:09 a.m., E451, lead author: Siddiqi)
Abstract #7515: Lisocabtagene maraleucel (liso-cel) treatment
of patients (Pts) with relapsed/refractory (R/R) B-cell non-Hodgkin
lymphoma (NHL) and secondary CNS lymphoma: Initial results from
TRANSCEND NHL 001. (Poster Discussion; Monday, June 3, 11:30 a.m. to
1 p.m., E450, lead author: Abramson)
Abstract #7516: Safety and preliminary efficacy in patients
(pts) with relapsed/refractory (R/R) mantle cell lymphoma (MCL)
receiving lisocabtagene maraleucel (liso-cel) in TRANSCEND NHL 001.
(Poster Discussion; Monday, June 3, 11:30 a.m. to 1 p.m., E450, lead
author: Wang)
Abstract #6637: Burden of cytokine release syndrome (CRS) and
neurologic events (NE) in patients (pts) with relapsed/refractory
non-Hodgkin lymphoma (NHL) receiving lisocabtagene maraleucel (liso-cel;
JCAR017) in TRANSCEND NHL 001. (Poster; Saturday, June 1, 1:15 p.m.
to 4:15 p.m., Hall A, lead author: Abramson)
Abstract e19052: TRANSCEND NHL 001: Health-related quality of
life (HRQL) and symptom (sx) impact in patients (pts) with
relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) receiving
lisocabtagene maraleucel (liso-cel; JCAR017). (ePub only, lead
author: Patrick)
Lymphoma
Abstract #7513: MAGNIFY: Phase IIIb interim analysis of
induction R2 followed by maintenance in
relapsed/refractory indolent non-Hodgkin lymphoma (Poster
Discussion; Monday, June 3, 11:30 a.m. to 1 p.m., E450, lead author:
Andorsky)
Abstract #7514: Efficacy and time to next treatment following
lenalidomide/rituximab (R2) or
rituximab/placebo in patients with R/R indolent NHL (AUGMENT).
(Poster Discussion; Monday, June 3, 11:30 a.m. to 1 p.m., E450, lead
author: Gribben)
Multiple Myeloma
Abstract #8006: First clinical (phase 1b/2a) study of
iberdomide (CC-220; IBER), a CELMoD, in combination with dexamethasone
(DEX) in patients (pts) with relapsed/refractory multiple myeloma (RRMM).
(Oral presentation; Sunday, June 2, 11:45 a.m. to 11:57 a.m., E451, lead
author: Lonial)
Myelofibrosis
Abstract #7057: Fedratinib (FEDR) in myelofibrosis (MF)
patients previously treated with ruxolitinib (RUX): A reanalysis of the
JAKARTA-2 study. (Poster; Monday, June 3, 8 a.m. to 11 a.m., Hall A,
lead author: Harrison)
Pancreatic Cancer
Abstract #4000: APACT: phase III, multicenter, international,
open-label, randomized trial of adjuvant nab-paclitaxel plus
gemcitabine (nab-P/G) vs gemcitabine (G) for surgically resected
pancreatic adenocarcinoma. (Oral presentation; Sunday, June 2, 9:45
a.m. to 9:57 a.m., Arie Crown Theater, lead author: Tempero)
A complete listing of abstracts can be found on the ASCO
abstracts website.
*All times Central Time
About REVLIMID®
REVLIMID® (lenalidomide) in combination with
dexamethasone (dex) is indicated for the treatment of patients with
multiple myeloma (MM)
REVLIMID is indicated as maintenance therapy in patients with MM
following autologous hematopoietic stem cell transplantation (auto-HSCT)
REVLIMID® is indicated for the treatment of
patients with transfusion-dependent anemia due to low-or
intermediate-1–risk myelodysplastic syndromes (MDS) associated with a
deletion 5q cytogenetic abnormality with or without additional
cytogenetic abnormalities
REVLIMID® is indicated for the treatment of
patients with mantle cell lymphoma (MCL) whose disease has relapsed or
progressed after two prior therapies, one of which included bortezomib
REVLIMID is not indicated and is not recommended for the treatment of
patients with chronic lymphocytic leukemia (CLL) outside of controlled
clinical trials
Important Safety Information
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WARNING: EMBRYO-FETAL TOXICITY, HEMATOLOGIC TOXICITY, and |
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Embryo-Fetal Toxicity |
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Do not use REVLIMID during pregnancy. Lenalidomide, a |
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Information about the REVLIMID REMS® |
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Hematologic Toxicity (Neutropenia and |
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REVLIMID can cause significant neutropenia and |
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Venous and Arterial Thromboembolism |
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REVLIMID has demonstrated a significantly increased risk of |
CONTRAINDICATIONS
Pregnancy: REVLIMID can cause fetal harm when administered to a
pregnant female and is contraindicated in females who are pregnant. If
this drug is used during pregnancy or if the patient becomes pregnant
while taking this drug, the patient should be apprised of the potential
risk to the fetus
Severe Hypersensitivity Reactions: REVLIMID is contraindicated in
patients who have demonstrated severe hypersensitivity (e.g.,
angioedema, Stevens-Johnson syndrome, toxic epidermal necrolysis) to
lenalidomide
WARNINGS AND PRECAUTIONS
Embryo-Fetal Toxicity: See Boxed WARNINGS
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Females of Reproductive Potential: See
Boxed WARNINGS -
Males: Lenalidomide is present in the
semen of patients receiving the drug. Males must always use a latex or
synthetic condom during any sexual contact with females of
reproductive potential while taking REVLIMID and for up to 4 weeks
after discontinuing REVLIMID, even if they have undergone a successful
vasectomy. Male patients taking REVLIMID must not donate sperm -
Blood Donation: Patients must not donate
blood during treatment with REVLIMID and for 4 weeks following
discontinuation of the drug because the blood might be given to a
pregnant female patient whose fetus must not be exposed to REVLIMID
REVLIMID REMS® Program: See Boxed WARNINGS:
Prescribers and pharmacies must be certified with the REVLIMID REMS
program by enrolling and complying with the REMS requirements;
pharmacies must only dispense to patients who are authorized to receive
REVLIMID. Patients must sign a Patient-Physician Agreement Form and
comply with REMS requirements; female patients of reproductive potential
who are not pregnant must comply with the pregnancy testing and
contraception requirements and males must comply with contraception
requirements
Hematologic Toxicity: REVLIMID can cause significant neutropenia
and thrombocytopenia. Monitor patients with neutropenia for signs
of infection. Advise patients to observe for bleeding or bruising,
especially with use of concomitant medications that may increase risk of
bleeding. MM: Patients taking
REVLIMID/dex or REVLIMID as maintenance therapy should have their
complete blood counts (CBC) assessed every 7 days for the first 2
cycles, on days 1 and 15 of cycle 3, and every 28 days thereafter. MDS:
Patients on therapy for del 5q MDS should have their complete blood
counts monitored weekly for the first 8 weeks of therapy and at least
monthly thereafter. Patients may require dose interruption and/or dose
reduction. Please see the Black Box WARNINGS for further
information. MCL: Patients
taking REVLIMID for MCL should have their CBCs monitored weekly for the
first cycle (28 days), every 2 weeks during cycles 2-4, and then monthly
thereafter. Patients may require dose interruption and/or dose reduction
Venous and Arterial Thromboembolism: See Boxed WARNINGS: Venous
thromboembolic events (DVT and PE) and arterial thromboses (MI and CVA)
are increased in patients treated with REVLIMID. Patients with known
risk factors, including prior thrombosis, may be at greater risk and
actions should be taken to try to minimize all modifiable factors (e.g.,
hyperlipidemia, hypertension, smoking). Thromboprophylaxis is
recommended and the regimen should be based on patient’s underlying
risks. ESAs and estrogens may further increase the risk of thrombosis
and their use should be based on a benefit-risk decision
Increased Mortality in Patients with CLL: In a clinical trial in
the first-line treatment of patients with CLL, single agent REVLIMID
therapy increased the risk of death as compared to single agent
chlorambucil. Serious adverse cardiovascular reactions, including atrial
fibrillation, myocardial infarction, and cardiac failure, occurred more
frequently in the REVLIMID arm. REVLIMID is not indicated and not
recommended for use in CLL outside of controlled clinical trials
Second Primary Malignancies (SPM): In clinical trials in patients
with MM receiving REVLIMID, an increase of hematologic plus solid tumor
SPM, notably AML and MDS, have been observed. Monitor patients for the
development of SPM. Take into account both the potential benefit of
REVLIMID and risk of SPM when considering treatment
Increased Mortality with Pembrolizumab: In clinical trials in
patients with multiple myeloma, the addition of pembrolizumab to a
thalidomide analogue plus dexamethasone resulted in increased mortality.
Treatment of patients with multiple myeloma with a PD-1 or PD-L1
blocking antibody in combination with a thalidomide analogue plus
dexamethasone is not recommended outside of controlled clinical trials
Hepatotoxicity: Hepatic failure, including fatal cases, has
occurred in patients treated with REVLIMID/dex. Pre-existing viral liver
disease, elevated baseline liver enzymes, and concomitant medications
may be risk factors. Monitor liver enzymes periodically. Stop REVLIMID
upon elevation of liver enzymes. After return to baseline values,
treatment at a lower dose may be considered
Severe Cutaneous Reactions Including Hypersensitivity Reactions: Angioedema
and severe cutaneous reactions including Stevens-Johnson syndrome (SJS),
toxic epidermal necrolysis (TEN), and drug reaction with eosinophilia
and systemic symptoms (DRESS) have been reported. DRESS may present with
a cutaneous reaction (such as rash, or exfoliative dermatitis),
eosinophilia, fever, and/or lymphadenopathy with systemic complications
such as hepatitis, nephritis, pneumonitis, myocarditis, and/or
pericarditis. These events can be fatal. Patients with a prior history
of Grade 4 rash associated with thalidomide treatment should not receive
REVLIMID. REVLIMID interruption or discontinuation should be considered
for Grade 2-3 skin rash. REVLIMID must be discontinued for angioedema,
Grade 4 rash, exfoliative or bullous rash, or if SJS, TEN, or DRESS is
suspected and should not be resumed following discontinuation for these
reactions
Tumor Lysis Syndrome (TLS): Fatal instances of TLS have been
reported during treatment with lenalidomide. The patients at risk of TLS
are those with high tumor burden prior to treatment. These patients
should be monitored closely and appropriate precautions taken
Tumor Flare Reaction (TFR): TFR has occurred during
investigational use of lenalidomide for CLL and lymphoma. Monitoring and
evaluation for TFR is recommended in patients with MCL. Tumor flare may
mimic the progression of disease (PD). In patients with Grade 3 or 4
TFR, it is recommended to withhold treatment with REVLIMID until TFR
resolves to ≤Grade 1. REVLIMID may be continued in patients with Grade 1
and 2 TFR without interruption or modification, at the physician’s
discretion
Impaired Stem Cell Mobilization: A decrease in the number of
CD34+ cells collected after treatment (>4 cycles) with REVLIMID has been
reported. Consider early referral to transplant center to optimize
timing of the stem cell collection
Thyroid Disorders: Both hypothyroidism and hyperthyroidism have
been reported. Measure thyroid function before start of REVLIMID
treatment and during therapy
Early Mortality in Patients with MCL: In another MCL study, there
was an increase in early deaths (within 20 weeks), 12.9% in the REVLIMID
arm versus 7.1% in the control arm. Risk factors for early deaths
include high tumor burden, MIPI score at diagnosis, and high WBC at
baseline (≥10 x 109/L)
ADVERSE REACTIONS
Multiple Myeloma
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In newly diagnosed: The most frequently reported Grade 3 or 4
reactions included neutropenia, anemia, thrombocytopenia, pneumonia,
asthenia, fatigue, back pain, hypokalemia, rash, cataract,
lymphopenia, dyspnea, DVT, hyperglycemia, and leukopenia. The highest
frequency of infections occurred in Arm Rd Continuous (75%) compared
to Arm MPT (56%). There were more Grade 3 and 4 and serious adverse
reactions of infection in Arm Rd Continuous than either Arm MPT or Rd18 -
The most common adverse reactions reported in ≥20% (Arm Rd
Continuous): diarrhea (46%), anemia (44%), neutropenia (35%), fatigue
(33%), back pain (32%), asthenia (28%), insomnia (28%), rash (26%),
decreased appetite (23%), cough (23%), dyspnea (22%), pyrexia (21%),
abdominal pain (21%), muscle spasms (20%), and thrombocytopenia (20%) -
Maintenance Therapy Post Auto-HSCT: The most frequently
reported Grade 3 or 4 reactions in ≥20% (REVLIMID arm) included
neutropenia, thrombocytopenia, and leukopenia. The serious adverse
reactions of lung infection and neutropenia (more than 4.5%) occurred
in the REVLIMID arm -
The most frequently reported adverse reactions in ≥20% (REVLIMID arm)
across both maintenance studies (Study 1, Study 2) were neutropenia
(79%, 61%), thrombocytopenia (72%, 24%), leukopenia (23%, 32%), anemia
(21%, 9%), upper respiratory tract infection (27%, 11%), bronchitis
(5%, 47%), nasopharyngitis (2%, 35%), cough (10%, 27%),
gastroenteritis (0%, 23%), diarrhea (55%, 39%), rash (32%, 8%),
fatigue (23%, 11%), asthenia (0%, 30%), muscle spasm (0%, 33%), and
pyrexia (8%, 21%) -
After at least one prior therapy: The most common adverse
reactions reported in ≥20% (REVLIMID/dex vs dex/placebo): fatigue (44%
vs 42%), neutropenia (42% vs 6%), constipation (41% vs 21%), diarrhea
(39% vs 27%), muscle cramp (33% vs 21%), anemia (31% vs 24%), pyrexia
(28% vs 23%), peripheral edema (26% vs 21%), nausea (26% vs 21%), back
pain (26% vs 19%), upper respiratory tract infection (25% vs 16%),
dyspnea (24% vs 17%), dizziness (23% vs 17%), thrombocytopenia (22% vs
11%), rash (21% vs 9%), tremor (21% vs 7%), and weight decreased (20%
vs 15%)
Myelodysplastic Syndromes
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Grade 3 and 4 adverse events reported in ≥ 5% of patients with del 5q
MDS were neutropenia (53%), thrombocytopenia (50%), pneumonia (7%),
rash (7%), anemia (6%), leukopenia (5%), fatigue (5%), dyspnea (5%),
and back pain (5%) -
Adverse events reported in ≥15% of del 5q MDS patients (REVLIMID):
thrombocytopenia (61.5%), neutropenia (58.8%), diarrhea (49%),
pruritus (42%), rash (36%), fatigue (31%), constipation (24%), nausea
(24%), nasopharyngitis (23%), arthralgia (22%), pyrexia (21%), back
pain (21%), peripheral edema (20%), cough (20%), dizziness (20%),
headache (20%), muscle cramp (18%), dyspnea (17%), pharyngitis (16%),
epistaxis (15%), asthenia (15%), upper respiratory tract infection
(15%)
Mantle Cell Lymphoma
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Grade 3 and 4 adverse events reported in ≥5% of patients treated with
REVLIMID in the MCL trial (N=134) included neutropenia (43%),
thrombocytopenia (28%), anemia (11%), pneumonia (9%), leukopenia (7%),
fatigue (7%), diarrhea (6%), dyspnea (6%), and febrile neutropenia (6%) -
Adverse events reported in ≥15% of patients treated with REVLIMID in
the MCL trial included neutropenia (49%), thrombocytopenia (36%),
fatigue (34%), anemia (31%), diarrhea (31%), nausea (30%), cough
(28%), pyrexia (23%), rash (22%), dyspnea (18%), pruritus (17%),
peripheral edema (16%), constipation (16%), and leukopenia (15%)
DRUG INTERACTIONS
Periodic monitoring of digoxin plasma levels is recommended due to
increased Cmax and AUC with concomitant REVLIMID therapy.
Patients taking concomitant therapies such as erythropoietin stimulating
agents or estrogen containing therapies may have an increased risk of
thrombosis. It is not known whether there is an interaction between dex
and warfarin. Close monitoring of PT and INR is recommended in patients
with MM taking concomitant warfarin
USE IN SPECIFIC POPULATIONS
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PREGNANCY: See Boxed WARNINGS: If pregnancy does occur during
treatment, immediately discontinue the drug and refer patient to an
obstetrician/gynecologist experienced in reproductive toxicity for
further evaluation and counseling. There is a REVLIMID pregnancy
exposure registry that monitors pregnancy outcomes in females exposed
to REVLIMID during pregnancy as well as female partners of male
patients who are exposed to REVLIMID. This registry is also used to
understand the root cause for the pregnancy. Report any suspected
fetal exposure to REVLIMID to the FDA via the MedWatch program at
1-800-FDA-1088 and also to Celgene Corporation at 1-888-423-5436 -
LACTATION: There is no information regarding the presence of
lenalidomide in human milk, the effects of REVLIMID on the breastfed
infant, or the effects of REVLIMID on milk production. Because many
drugs are excreted in human milk and because of the potential for
adverse reactions in breastfed infants from REVLIMID, advise female
patients not to breastfeed during treatment with REVLIMID -
PEDIATRIC USE: Safety and effectiveness have not been
established in pediatric patients -
RENAL IMPAIRMENT: Adjust the starting dose of REVLIMID based on
the creatinine clearance value and in patients on dialysis
Please see full Prescribing
Information, including Boxed WARNINGS.
About ABRAXANE
Indications
ABRAXANE is indicated for the treatment of breast cancer after
failure of combination chemotherapy for metastatic disease or relapse
within 6 months of adjuvant chemotherapy. Prior therapy should have
included an anthracycline unless clinically contraindicated.
ABRAXANE is indicated for the first-line treatment of locally
advanced or metastatic non–small cell lung cancer, in combination with
carboplatin, in patients who are not candidates for curative surgery or
radiation therapy.
ABRAXANE is indicated for the first-line treatment of patients with
metastatic adenocarcinoma of the pancreas, in combination with
gemcitabine.
Important Safety Information
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WARNING – NEUTROPENIA |
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Do not administer ABRAXANE therapy to patients who have |
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Note: An albumin form of paclitaxel may substantially affect a |
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CONTRAINDICATIONS
Neutrophil Counts
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ABRAXANE should not be used in patients who have baseline neutrophil
counts of <1500 cells/mm3
Hypersensitivity
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Patients who experience a severe hypersensitivity reaction to ABRAXANE
should not be rechallenged with the drug
WARNINGS AND PRECAUTIONS
Hematologic Effects
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Bone marrow suppression (primarily neutropenia) is dose-dependent and
a dose-limiting toxicity of ABRAXANE. In clinical studies, Grade 3-4
neutropenia occurred in 34% of patients with metastatic breast cancer
(MBC), 47% of patients with non–small cell lung cancer (NSCLC), and
38% of patients with pancreatic cancer -
Monitor for myelotoxicity by performing complete blood cell counts
frequently, including prior to dosing on Day 1 (for MBC) and Days 1,
8, and 15 (for NSCLC and for pancreatic cancer)
Contacts
Celgene Corporation
Investors:
+1-908-673-9628 [email protected]
or
Media:
+1-908-673-2275 [email protected]