3/31/2014 PNH. Jack Goldberg MD FACP. Clinical Professor of Medicine University of Pennsylvania
|
|
- Lisa Pope
- 5 years ago
- Views:
Transcription
1 PNH Jack Goldberg MD FACP Clinical Professor of Medicine University of Pennsylvania
2 5 6 Historically Viewed as a Hemolytic Anemia Normal red blood cells are protected from complement attack by a shield of terminal complement inhibitors Without this protective complement inhibitor shield, PNH red blood cells are destroyed Complement Activation Intact RBC Reduced Free Hemoglobin Red Cell Mass Anemia 1. International PNH Interest Group. Blood. 2005;106: Brodsky R Paroxysmal Nocturnal Hemoglobinuria. In: Hematology - Basic Principles and Practices. 4th ed. R Hoffman; EJ Benz; S Shattil et al, eds. Philadelphia, PA: Elsevier Churchill Livingstone; 2005; Rother RP et al. JAMA. 2005;293: Socie G et al. Lancet. 1996;348: Hill A et al. Br J Haematol. 2007;137:
3
4
5
6
7
8
9 33 34 SOLIRIS (eculizumab) Humanized First in Class Anti - C5 Antibody SOLIRIS (eculizumab) Human Framework Regions No mutations Germline SOLIRIS is a Complement Inhibitor Indicated for the Treatment of Patients With PNH to Reduce Hemolysis Hinge Complementarity Determining Regions (murine origin) SOLIRIS is the First and Only Approved Therapy for PNH Human IgG 2 Heavy Chain Constant Region 1 and Hinge (Eliminates Fc receptor binding) CH2 CH3 Human IgG 4 Heavy Chain Constant Regions 2 and 3 (Eliminates complement activation) SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; Rother R et al. Nat Biotech 2007;25:
10 SOLIRIS Blocks Terminal Complement SOLIRIS PNH Clinical Studies Terminal Proximal Complement Cascade C3 C3a C3b C5 C5a C5b-9 C5b Cause of Hemolysis in PNH SOLIRIS SOLIRIS binds with high affinity to C5 Terminal complement - C5a and C5b-9 activity blocked Proximal functions of complement remain intact Weak anaphylatoxin Immune complex clearance Microbial opsonization Pilot Study NEJM N = 11 Primary endpoint: reduction of hemolysis TRIUMPH NEJM Pivotal Phase III, Double-Blind, Placebo-Controlled Trial, N = 87 SHEPHERD Blood Broader patient population, including those receiving minimal transfusions or with thrombocytopenia, N = 97 Long-Term Extension Trial Hillmen Blood Evaluated long-term safety, efficacy and effect on thrombosis; Placebo patients switched to SOLIRIS N = 187 Figueroa JE, Densen P. Clin Microbiol Rev. 1991;4(3): Walport MJ. N Engl J Med. 2001;344(14): SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; Rother RP et al. Nature Biotech. 2007;25(11): Dosing Schedule Pretreatment Induction Phase Maintenance Phase 2 weeks before induction Neisseria SOLIRIS meningitidis dose, mg vaccination Week and every 2 weeks thereafter X 900 X 900 In clinical trials all patients received a meningococcal vaccination SOLIRIS should be administered via IV infusion over 35 minutes every 7 days during induction and every 14 days during maintenance SOLIRIS dose adjustment to every 12 days may be necessary for some patients to maintain LDH reduction Concomitant medications allowed: Steroids, immunosuppressant drugs, anti-clotting agents and hematinics 1 Lactate Dehydrogenase (U/L) % Reduction in LDH: TRIUMPH and SHEPHERD 100% response after the first dose TRIUMPH Placebo/Extension TRIUMPH SOLIRIS /Extension SHEPHERD SOLIRIS Time, Weeks TRIUMPH placebo patients switched to SOLIRIS after week 26. All TRIUMPH patients entered the long-term extension study. SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; P<0.001 at all measured time points. 1. Hillmen P et al. N Engl J Med. 2004;350(6): Hillmen P et al. Blood. 2007;110(12):
11 *P< % Reduction in Mean Units Transfused Across all Subgroups: TRIUMPH Median Units Transfused Patients not on SOLIRIS (n=44) SOLIRIS (n=43) * Transfusion data obtained during 12 months before treatment; values were normalized for a 6-month period 1. Hillmen P et al. N Engl J Med. 2006;355; Schubert J. Br. J Haematol. 2008;142(2): * (n=87) (n=30) (n=35) (n=22) Overall >25 Pre-treatment Transfusion Strata 51% of SOLIRIS patients achieved transfusion independence vs 0% of patients not on SOLIRIS 1 Patients with concomitant bone marrow dysfunction may continue to require minimal transfusions * * 41 Patients Report Rapid and Sustained Improvement Across Broad Range of Measures Standard Effect Size (SES) FACIT-Fatigue EORTC Fatigue Global Health EORTC EORTC Functioning Symptoms *P<0.05. P< Brodsky R et al. Blood. 2006;108(11): Abstract Data on file. Alexion Pharmaceuticals. Physical Role Cognitive* Dyspnea Pain* Insomnia* Constipation Nausea Diarrhea Large Impact Moderate Impact Small Impact 42 92% Reduction in Thrombotic Events Thrombotic Events (#) Pre-SOLIRIS Treatment N=195 P= SOLIRIS Treatment Is the Primary Cause of Fatigue in PNH Anemia or Hemolysis? 63% of patients received concomitant anticoagulants 1 The effect of anticoagulant withdrawal was not studied 2 Events observed in both venous and arterial sites 3 PI: There were fewer thrombotic events with SOLIRIS treatment than during the same period of time prior to treatment. 1.Brodsky R et al. Blood. 2008;111(4): SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; Hillmen P, et al. Blood. 2007;110:
12 TRIUMPH Demonstrated that Improvement in Fatigue Occurred Independent of Hemoglobin Response Hemoglobin, g/dl or more points denotes a clinically significant improvement P<0.001 FACIT-Fatigue Score Hgb Level FACIT-Fatigue Score Change from Baseline FACIT-Fatigue Score Time, Weeks SOLIRIS (n=43) Patients not on SOLIRIS (n=44) SOLIRIS Hgb What Is The Long-Term Experience with SOLIRIS? In SHEPHERD, 78% patients reported a significant improvement in fatigue 1 FACIT = Functional Assessment of Chronic Illness Therapy Adapted from: Hillmen P et al. NEJM. 2006;355: Brodsky R et al. Blood Rev. 2008; 22: Hill A et al. Haematologica. 2008; 93 (Suppl 1): 359. Abstract Brodsky R et al. Blood. 2008;111: SOLIRIS PNH Clinical Studies 86% Reduction in LDH Sustained Out Past 4 ½ Years: Long-Term Extension Results Pilot Study NEJM N = 11 Primary endpoint: reduction of hemolysis TRIUMPH NEJM Pivotal Phase III, Double-Blind, Placebo-Controlled Trial, N = 87 SHEPHERD Blood Broader patient population, including those receiving minimal transfusions or with thrombocytopenia, N = 97 Long-Term Extension Trial Hillmen Blood Evaluated long-term safety, efficacy and effect on thrombosis; Placebo patients switched to SOLIRIS N = 187 * * * * *P<0.001 P=0.002 Study Year Patient (n) 187/ patients who participated in the pilot study demonstrated sustained reduction in LDH out past 5 years Patients followed for up to 54 months 47 Socié G et al. Blood. 2007;110(11): Abstract SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals;
13 Summary of Clinical Efficacy In clinical trials, SOLIRIS significantly reduced hemolysis 1 the underlying cause of morbidity and mortality in PNH 86% sustained reduction in hemolysis as measured by LDH 2 Fewer thrombotic events were observed with SOLIRIS in clinical trials 1,3 The majority of patients (63%) received concomitant anticoagulant therapy 1 The effect of anticoagulant withdrawal during SOLIRIS treatment has not been studied 1 78% clinically meaningful improvement in fatigue Fatigue in PNH impacted by hemolysis Significant improvement noted in pain and dyspnea along with a broad range of QoL measures 4 73% reduction in need for transfusions across all patient populations 2 Important Safety Information About SOLIRIS All Patients Should Receive a Medication Guide Before Starting SOLIRIS Treatment 1. SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; Hillmen P et al. N Engl J Med. 2006;355: Hillmen P et al. Blood. 2007;110(12): Socie G et al. Blood. 2007;110(11)::Abstract Please See Full Prescribing Information for SOLIRIS Warning Safety: Contraindications WARNING: SERIOUS MENINGOCOCCAL INFECTION SOLIRIS increases the risk of meningococcal infections. Meningococcal infection may become rapidly lifethreatening or fatal if not recognized and treated early. Vaccinate patients with a meningococcal vaccine at least 2 weeks prior to receiving the first dose of SOLIRIS Revaccinate according to current medical guidelines for vaccine use Monitor patients for early signs of meningococcal infections, evaluate immediately if infection is suspected, and treat with antibiotics if necessary SOLIRIS is contraindicated for patients with unresolved serious Neisseria meningitidis infection or who are not currently vaccinated against Neisseria meningitidis SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals;
14 Safety: Warnings and Precautions SOLIRIS therapy increases the risk of meningococcal infections. Meningococcal infection may become rapidly lifethreatening or fatal if not recognized and treated early All patients must be vaccinated against Neisseria meningitidis 2 weeks prior to receiving SOLIRIS Use caution when administering SOLIRIS to patients with any systemic infection Other infections: SOLIRIS blocks terminal complement; therefore patients may have increased susceptibility to infections, especially with encapsulated bacteria Use caution when administering SOLIRIS to patients with any systemic infection Safety: Warnings and Precautions (cont) The effect of withdrawal of anticoagulant therapy during SOLIRIS treatment has not been established. Therefore, treatment with SOLIRIS should not alter anticoagulant management Patients who discontinue SOLIRIS must be monitored closely for signs of serious hemolysis If serious hemolysis occurs after SOLIRIS discontinuation, consider the following procedures/treatments: blood transfusion (packed RBCs), or exchange transfusion if the PNH RBCs are >50% of the total RBCs by flow cytometry; anticoagulation; corticosteroids; or reinstitution of SOLIRIS In clinical trials, 16 of 196 PNH patients discontinued SOLIRIS treatment; no serious hemolysis was observed SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; Safety: Warnings and Precautions (cont) LDH levels may be used to monitor hemolysis SOLIRIS dose adjustment to every 12 days may be necessary for some patients to maintain LDH reduction Infusion reactions may occur In clinical trials, no patients experienced infusion reactions that required discontinuation SOLIRIS treatment should be interrupted in all patients experiencing severe infusion reactions and appropriate medical therapy administered Serious Adverse Events: Clinical Trial Experience Meningococcal infections are the most important adverse events that may be experienced by patients receiving SOLIRIS In clinical studies, 2 out of 196 patients developed serious meningococcal infections while receiving treatment with SOLIRIS Both patients had been vaccinated In clinical studies among non-pnh patients, meningococcal meningitis occurred in one patient, who was unvaccinated In post-marketing experience, cases of serious or fatal meningococcal infections have been reported SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals;
15 Adverse Reactions Reported in 5% of SOLIRIS Treated Patients in TRIUMPH Patients, n (%) Reaction SOLIRIS (n = 43) Placebo (n = 44) Headache 19 (44) 12 (27) Nasopharyngitis 10 (23) 8 (18) Back pain 8 (19) 4 (9) Nausea 7 (16) 5 (11) Fatigue 5 (12) 1 (2) Cough 5 (12) 4 (9) Herpes simplex virus infections 3 (7) 0 Sinusitis 3 (7) 0 Respiratory tract infection 3 (7) 1 (2) Constipation 3 (7) 2 (5) Myalgia 3 (7) 1 (2) Pain in extremity 3 (7) 1 (2) Influenza-like illness 2 (5) 1 (2) Patient Counseling Prior to treatment, patients should be informed and fully understand: The risks and benefits of SOLIRIS, in particular the risk of meningococcal infection Meningococcal vaccine does not prevent all meningococcal infections They are required to receive a meningococcal vaccination at least 2 weeks prior to receiving the first dose of SOLIRIS, if they have not previously been vaccinated There is a potential for serious hemolysis when SOLIRIS is discontinued and that they will be monitored by their healthcare professional for at least 8 weeks following SOLIRIS discontinuation SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals; SOLIRIS OneSource Program OneSource provides education, assistance with access and treatment support for people living with paroxysmal nocturnal hemoglobinuria (PNH) and their caregivers. It is staffed by Alexion Nurse Case Managers, who are registered nurses with healthcare and insurance experience. Patients should be informed that they will be provided with a Patient Safety Card Patients should carry the card with them at all times The card describes symptoms, which if experienced, should prompt the patient to seek immediate medical attention Instruct patients to show the card to all health care providers involved in their care Patient Safety Card 59 SOLIRIS (eculizumab) [package insert]. Alexion Pharmaceuticals;
16 Global, observational, non-interventional study to collect real world safety, effectiveness and QoL data Open to all physicians treating patients with PNH regardless of therapy Objectives: Database for publications to enhance understanding of disease and improve outcomes Promote evidence-based medicine Current enrollment: Over 500 patients enrolled Participation in 14 countries, including the United States, Argentina, Denmark, Netherlands, Belgium, Australia, France, New Zealand, Germany, and Taiwan Enrollment information: (800) or Thank You Jack Goldberg M.D. FACP Clinical Professor of Medicine University of Pennsylvania 61 16
7/14/2014. SOLIRIS (eculizumab) SOLIRIS PNH Clinical Studies. SOLIRIS Blocks Terminal Complement. 86% Reduction in LDH: TRIUMPH and SHEPHERD
Proximal Terminal Lactate Dehydrogenase (U/L) 7/1/1 SOLIRIS (eculizumab) Humanized First in Class Anti - C5 Antibody SOLIRIS (eculizumab) Human Framework Regions No mutations Germline SOLIRIS is a Complement
More informationSOLIRIS is a Complement Inhibitor Indicated for the Treatment of Patients With PNH to Reduce Hemolysis
SOLIRIS (eculizumab) SOLIRIS is a Complement Inhibitor Indicated for the Treatment of Patients With PNH to Reduce Hemolysis SOLIRIS is the First and Only Approved Therapy for PNH SOLIRIS (eculizumab) [package
More informationLiving with PNH 7/3/2013. Paroxysmal Nocturnal Hemoglobinuria (PNH): A Chronic, Systemic, and Life- Threatening Disease
Living with PNH Laurence A. Boxer, MD University of Michigan Case Study 15 year old awakened in the morning with chest pain and a sore throat. She experienced chest pain all day accompanied with coughing
More informationPNH PNH PNH 3/22/2016 PNH. Paroxysmal Nocturnal Hemoglobinuria (PNH): Current Thinking on the Disease PATHOGENESIS OF PNH
3//1 PATHGENESIS F PIG-A gene Bone Marrow Failure Disease Scientific Symposium Rockville, March 17-1, 1 1 71 9 3 Paroxysmal Nocturnal Hemoglobinuria (): Current Thinking on the Disease 119 5 15 PRTEIN
More informationAcknowledgments. Michael Brown Petra Muus for case reports
Current treatment strategy for PNH Jeff Szer Professor/Director, Department of Clinical Haematology & BMT Service The Royal Melbourne Hospital Australia Acknowledgments Michael Brown Petra Muus for case
More informationSoliris Medical Policy Prior Authorization Program Summary
Soliris Medical Policy Prior Authorization Program Summary Precertification/Prior Authorization may be required under certain plans. Please verify each member s benefits. OBJECTIVE The intent of the Soliris
More information9/19/2012. Case study. Case study PNH: A REVIEW AND AN UPDATE
PNH: A REVIEW AND AN UPDATE Jamile M. Shammo MD, FASCP, FACP Associate Professor of Medicine and Pathology Rush University Medical Center Chicago Case study A 37 year old man was referred to the hematology
More informationParoxysmal Nocturnal Hemoglobinuria
Paroxysmal Nocturnal Hemoglobinuria Jun Ho Jang, M.D., Ph.D. Professor, Division of Hematology-Oncology, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea Contents 1. Disease
More informationPathophysiology 7/18/2012 PAROXYSMAL NOCTURNAL HEMOGLOBINURIA
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA OUTLINE OF DISCUSSION WHAT IS IT WHO GETS IT NATURAL HISTORY TYPES RISKS COURSE TREATMENTS SYMPTOMS PREGNANCY Pathophysiology Acquired hematopoietic stem cell disorder
More information7/26/2013. The Defect in PNH PNH: NEW DIRECTIONS IN PNH TREATMENT. Paroxysmal Nocturnal Hemoglobinuria: Survival
PNH: NEW DIRECTIONS IN PNH TREATMENT Jamile M. Shammo MD, FASCP, FACP Associate Professor of Medicine and Pathology Rush University Medical Center Chicago Paroxysmal Nocturnal Hemoglobinuria: Survival
More informationeculizumab, 300mg concentrate for solution for infusion (Soliris ) SMC No. (436/07) Alexion Pharma UK Ltd
eculizumab, 300mg concentrate for solution for infusion (Soliris ) SMC No. (436/07) Alexion Pharma UK Ltd 8 October 2010 (Amended 11 July 2011) The Scottish Medicines Consortium (SMC) has completed its
More informationWhat is PNH? PNH: What it is Not 9/11/2015. What is Paroxysmal Nocturnal Hemoglobinuria?
9/11/15 PNH: Current Thinking on the Disease, Diagnosis, and Treatment Joseph H. Antin, MD Professor of Medicine Harvard Medical School Jock and Bunny Adams Chair in Hematology Dana-Farber/Brigham and
More informationPNH ahus. Dosing and Administration. For Paroxysmal Nocturnal Hemoglobinuria (PNH) and atypical Hemolytic Uremic Syndrome (ahus) patients
For Paroxysmal Nocturnal Hemoglobinuria (PNH) and atypical Hemolytic Uremic Syndrome (ahus) patients PNH ahus Dosing and Administration Soliris is indicated for the treatment of patients with paroxysmal
More informationWARNING: SERIOUS MENINGOCOCCAL INFECTIONS See full prescribing information for complete boxed warning
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Soliris safely and effectively. See full prescribing information for Soliris. Soliris (eculizumab),
More informationSoliris (eculizumab) For the Treatment of PNH to Reduce Hemolysis
Soliris (eculizumab) You have done well to manage your PNH with Soliris. Living with a rare disease, like PNH, can be challenging, but by sticking with your Soliris therapy, you are doing a lot to help
More informationPNH ahus gmg. Dosing and Administration Guide
Injection for Intravenous Use PNH ahus gmg For Paroxysmal Nocturnal Hemoglobinuria (PNH) and atypical Hemolytic Uremic Syndrome (ahus), and generalized Myasthenia Gravis (gmg) patients Dosing and Administration
More information9/19/2017. PNH Understanding your diagnosis and treatment. Paroxysmal Nocturnal Hemoglobinuria (PNH) Paroxysmal Nocturnal Hemoglobinuria
August_20_2010US Patients Surviving (%) Paroxysmal Nocturnal Hemoglobinuria (PNH) PNH Understanding your diagnosis and treatment Hugo Castro-Malaspina, MD Memorial Sloan Kettering Cancer Center New York,
More informationThe use of the complement inhibitor eculizumab (Soliris R ) for treating Korean patients with paroxysmal nocturnal hemoglobinuria
VOLUME 45 ㆍ NUMBER 4 ㆍ December 2010 THE KOREAN JOURNAL OF HEMATOLOGY ORIGINAL ARTICLE The use of the complement inhibitor eculizumab (Soliris R ) for treating Korean patients with paroxysmal nocturnal
More informationSoliris (eculizumab): Physician s guide to prescribing for patients with paroxysmal nocturnal haemoglobinuria (PNH)
Soliris (eculizumab): Physician s guide to prescribing for patients with paroxysmal nocturnal haemoglobinuria (PNH) CONTENTS PAGE WHAT IS SOLIRIS? SOLIRIS INDICATIONS IMPORTANT SAFETY INFORMATION SOLIRIS
More informationSoliris. Soliris (eculizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.85.11 Subject: Soliris Page: 1 of 5 Last Review Date: September 20, 2018 Soliris Description Soliris
More informationBefore starting on Soliris.
Before starting on Soliris. Important safety information for patients Before you begin Soliris (eculizumab) treatment, your physician will give you a: Medication Guide Soliris Patient Safety Information
More informationFDA Report: Eculizumab (Soliris ) for the Treatment of Patients with Paroxysmal Nocturnal Hemoglobinuria
The Oncologist Regulatory Issues: FDA FDA Report: Eculizumab (Soliris ) for the Treatment of Patients with Paroxysmal Nocturnal Hemoglobinuria ANDREW DMYTRIJUK, KATHY ROBIE-SUH, MARTIN H. COHEN, DWAINE
More information8.1 Pregnancy 8.3 Nursing Mothers 8.4 Pediatric Use 8.5 Geriatric Use 10 OVERdOSAGE 11 description
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Soliris safely and effectively. See full prescribing information for Soliris. Soliris (eculizumab)
More informationUnderstanding and Managing Long- Term and Late Issues in PNH. Outline
Understanding and Managing Long- Term and Late Issues in PNH AA & MDS International Foundation Regional Patient and Family Conference Cleveland, Ohio Ramon V. Tiu, MD Cleveland Clinic Taussig Cancer Institute
More informationParoxysmal Nocturnal Hemoglobinuria
Paroxysmal Nocturnal Hemoglobinuria Current Thinking On the Disease Diagnosis and Treatment Ilene Ceil Weitz, MD Associate Clinical Professor of Medicine Jane Anne Nohl Division of Hematology Keck-USC
More informationPATIENT SAFETY BROCHURE; IMPORTANT SAFETY INFORMATION FOR PATIENTS. Before starting on Soliris Important safety information for patients
PATIENT SAFETY BROCHURE; IMPORTANT SAFETY INFORMATION FOR PATIENTS Before starting on Soliris Important safety information for patients Before you begin Soliris (eculizumab) treatment, your physician will
More informationFDA Report: Eculizumab (Soliris ) for the Treatment of Patients with Paroxysmal Nocturnal Hemoglobinuria
FDA Report: Eculizumab (Soliris ) for the Treatment of Patients with Paroxysmal Nocturnal Hemoglobinuria Andrew Dmytrijuk, Kathy Robie-Suh, Martin H. Cohen, Dwaine Rieves, Karen Weiss and Richard Pazdur
More informationPRODUCT INFORMATION. SOLIRIS Concentrated Solution for Intravenous Infusion
PRODUCT INFORMATION SOLIRIS Concentrated Solution for Intravenous Infusion WARNING: SERIOUS MENINGOCOCCAL INFECTION SOLIRIS increases the risk of meningococcal infections Vaccinate patients with a meningococcal
More informationRevised: 04/2014. *Sections or subsections omitted from the full prescribing information are not listed.
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SOLIRIS safely and effectively. See full prescribing information for SOLIRIS. Soliris (eculizumab)
More informationWARNING: SERIOUS MENINGOCOCCAL INFECTIONS
Indication and Usage Paroxysmal Nocturnal Hemoglobinuria (PNH) Soliris (eculizumab) is indicated for the treatment of patients with paroxysmal nocturnal hemoglobinuria (PNH) to reduce hemolysis. WARNING:
More informationIF YOU HAVE PNH, YOU ARE NOT ALONE. Take a closer look and take control of PNH
IF YOU HAVE PNH, YOU ARE NOT ALONE Take a closer look and take control of PNH Indication and Usage Paroxysmal Nocturnal Hemoglobinuria (PNH) Soliris (eculizumab) is indicated for the treatment of patients
More informationRevised: 10/2017. Soliris is not indicated for the treatment of patients with Shiga toxin E. coli related hemolytic uremic syndrome (STEC-HUS).
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SOLIRIS safely and effectively. See full prescribing information for SOLIRIS. SOLIRIS (eculizumab)
More informationEculizumab for paroxysmal nocturnal haemoglobinuria
London New Drugs Group Page 1 APC/DTC Briefing Document Eculizumab for paroxysmal nocturnal haemoglobinuria Contents Background 2 Dose & administration 3 Clinical Evidence 4 Side effects 10 Precautions
More information1200 mg at week 5; then 1200 mg every 2 weeks 30 kg to less than 40 kg 600 mg weekly x 2 doses
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use SOLIRIS safely and effectively. See full prescribing information for SOLIRIS. SOLIRIS (eculizumab)
More informationPNH. What is PNH? 7/12/2016 PNH. What is PNH? 1 st published case report of PNH
AA-MDS Patient Conference Raleigh / Durham July 016 : Current Thinking on the Disease, Diagnosis, and Treatment What is? What causes? What are the clinical symptoms of? How is diagnosed? What are the long-term
More informationSafety and Efficacy of Eculizumab in Pediatric Patients With ahus, With or Without Baseline Dialysis
SA-PO546 Safety and Efficacy of Eculizumab in Pediatric Patients With ahus, With or Without Baseline Johan Vande Walle, 1 Larry A. Greenbaum, 2 Camille L. Bedrosian, 3 Masayo Ogawa, 3 John F. Kincaid,
More informationPRESCRIBER SAFETY BROCHURE; IMPORTANT SAFETY INFORMATION FOR THE HEALTHCARE PROVIDER
PRESCRIBER SAFETY BROCHURE; IMPORTANT SAFETY INFORMATION FOR THE HEALTHCARE PROVIDER BEFORE STARTING YOUR PATIENTS ON SOLIRIS Important safety information for the healthcare provider Prior to initiating
More informationNew Phase III Clinical Trial Enrolling Now
New Phase III Clinical Trial Enrolling Now Paroxysmal Nocturnal Hemoglobinuria (PNH) Designed for Patients 1. At least 18 years of age 2. With a primary diagnosis of PNH confirmed by high-sensitivity flow
More informationSafety and Efficacy of Eculizumab in Pediatric Patients With ahus, With or Without Baseline Dialysis
SP281 Safety and Efficacy of Eculizumab in Pediatric Patients With ahus, With or Without Baseline Johan Vande Walle, 1 Larry A. Greenbaum, 2 Camille L. Bedrosian, 3 Masayo Ogawa, 3 John F. Kincaid, 3 Chantal
More informationIF YOU HAVE PNH, YOU ARE NOT ALONE. Take a closer look and take control of PNH US/SOL-P/0005
IF YOU HAVE PNH, YOU ARE NOT ALONE Take a closer look and take control of PNH INDICATION & IMPORTANT SAFETY INFORMATION FOR SOLIRIS (eculizumab) INDICATION What is SOLIRIS? SOLIRIS is a prescription medicine
More informationSoliris (eculizumab): Paroxysmal nocturnal haemoglobinuria (PNH) Patient/Parent information brochure
Soliris (eculizumab): Paroxysmal nocturnal haemoglobinuria (PNH) Patient/Parent information brochure CONTENTS PAGE GLOSSARY TERMS INTRODUCTION WHAT IS SOLIRIS? FREQUENTLY ASKED QUESTIONS WHAT ARE THE SAFETY
More informationCENTENE PHARMACY AND THERAPEUTICS DRUG REVIEW 1Q18 January February
BRAND NAME Soliris GENERIC NAME Eculizumab MANUFACTURER Alexion Pharmaceuticals, Inc. DATE OF APPROVAL October 23, 2017 PRODUCT LAUNCH DATE Currently commercially available REVIEW TYPE Review type 1 (RT1):
More informationSoliris (eculizumab): Physician s guide to prescribing for patients with refractory generalised myasthenia gravis (gmg)
Soliris (eculizumab): Physician s guide to prescribing for patients with refractory generalised myasthenia gravis (gmg) CONTENTS PAGE WHAT IS SOLIRIS? SOLIRIS INDICATIONS IMPORTANT SAFETY INFORMATION SOLIRIS
More informationULTOMIRIS is the fi rst and only long-acting medication approved by the FDA dosed every 8 weeks a to treat PNH in adults
Introducing ULTOMIRIS (ravulizumab-cwvz) for the treatment of adult patients with paroxysmal nocturnal hemoglobinuria (PNH) FOR NEW PATIENTS ULTOMIRIS is the fi rst and only long-acting medication approved
More informationULTOMIRIS is the fi rst and only long-acting medication approved by the FDA dosed every 8 weeks a to treat PNH in adults
Introducing ULTOMIRIS (ravulizumab-cwvz) for the treatment of adult patients with paroxysmal nocturnal hemoglobinuria (PNH) FOR PATIENTS ULTOMIRIS is the fi rst and only long-acting medication approved
More informationCoding... 5 Benefit Application... 5 Description of Services... 6 Clinical Evidence... 7
TABLE OF CONTENTS Product Variations.... 1 Policy Statement.... 1 Related Policies.... 4 Policy Guidelines..... 4 Coding.... 5 Benefit Application........ 5 Description of Services..... 6 Clinical Evidence.......
More informationANNEX I SUMMARY OF PRODUCT CHARACTERISTICS
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Soliris 300 mg concentrate for solution for infusion 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Eculizumab is a humanised
More informationSOLIRIS (eculizumab) Slide # 1. How do we treat PNH?
Treating PNH How do we treat PNH? Hemolytic anemia Iron, folic acid Transfusion Steroids Eculizumab Thrombosis Coumadin prophylaxis Acute treatment with lytic agents (clot busters) Anticoagulation therapy
More informationPNH. PNH A study case 5/9/2012. PNH Current Thinking on the Disease, Diagnosis, and Treatment. Where have we been, where are we going?
PNH Current Thinking on the Disease, Diagnosis, and Treatment Where have we been, where are we going? Carlos M. de Castro, MD Duke University Medical Center PNH Case What is PNH? What causes PNH? Relationship
More informationTrigger Viral/Bacterial infection Immuncomplex induced Hormones Drugs
TMA post SCT Régis Peffault de Latour Bone Marrow Transplant Unit, Saint Louis Hospital, Paris, France 1 TMA post SCT 1. Pathophysiology 2. Clinical characteristics 3. Diagnostic criteria 4. Treatment
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: eculizumab_soliris 8/2014 4/2018 4/2019 4/2018 Description of Procedure or Service Paroxysmal nocturnal hemoglobinuria
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Soliris (eculizumab) Page 1 of 11 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Soliris (eculizumab) Prime Therapeutics will review Prior Authorization requests
More informationParoxysmal Nocturnal Hemoglobinuria
Paroxysmal Nocturnal Hemoglobinuria Barry Skikne MD, FACP, FCP(SA) Professor of Hematology Division of Hematologic Malignancies and Cellular Therapeutics Cardinal Clinical Manifestations PNH Clonal disease
More informationSOLIRIS- eculizumab injection, solution, concentrate Alexion Pharmaceuticals Inc
SOLIRIS- eculizumab injection, solution, concentrate Alexion Pharmaceuticals Inc. ---------- HIGHLIGHT S OF PRESCRIBING INFORMAT ION These highlights do not include all the information needed to use SOLIRIS
More informationMedical Policy. MP Eculizumab (Soliris) Related Policies None. Last Review: 01/24/2019 Effective Date: 04/25/2019 Section: Prescription Drug
Medical Policy Last Review: 01/24/2019 Effective Date: 04/25/2019 Section: Prescription Drug Related Policies None DISCLAIMER Our medical policies are designed for informational purposes only and are not
More informationANNEX I SUMMARY OF PRODUCT CHARACTERISTICS
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Soliris 300 mg concentrate for solution for infusion 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Eculizumab is a humanised
More information5/21/2018. PNH: Understanding Your Disease and Treatment Options
Patients Surviving (%) 5/2/28 PNH: What s in a Name PNH: Understanding Your Disease and Treatment Options Bart Scott, MD Associate Professor of Medicine, Division of Oncology, University of Washington
More informationSoliris (eculizumab) DRUG.00050
Market DC Soliris (eculizumab) DRUG.00050 Override(s) Prior Authorization Approval Duration 1 year Medications Soliris (eculizumab) APPROVAL CRITERIA Paroxysmal Nocturnal Hemoglobinuria I. Initiation of
More informationJPM Presentation January 9, 2018
JPM Presentation January 9, 18 Forward looking statements Statements in this press release about future expectations, plans and prospects, as well as any other statements regarding matters that are not
More informationAUSTRALIAN PRODUCT INFORMATION SOLIRIS (ECULIZUMAB RMC) CONCENTRATED SOLUTION FOR INTRAVENOUS INFUSION
AUSTRALIAN PRODUCT INFORMATION SOLIRIS (ECULIZUMAB RMC) CONCENTRATED SOLUTION FOR INTRAVENOUS INFUSION WARNING: SERIOUS MENINGOCOCCAL INFECTION Soliris increases the risk of meningococcal infections Vaccinate
More informationDecember 7, Data from the International PNH Registry
December 7, 2015 Data from the International Paroxysmal Nocturnal Hemoglobinuria (PNH) Registry Presented at ASH Annual Meeting Underscore Devastating Nature of PNH and Benefits of Soliris (eculizumab)
More informationSoliris (eculizumab) Inhibits TMA and Improves Renal Function in Pediatric and Adult Patients with atypical Hemolytic Uremic Syndrome (ahus)
Soliris (eculizumab) Inhibits TMA and Improves Renal Function in Pediatric and Adult Patients with atypical Hemolytic Uremic Syndrome (ahus) New Data from the Largest Prospective Trial of Adult Patients
More informationNext Generation Therapeutics for Disorders of Complement Regulation
Next Generation Therapeutics for Disorders of Complement Regulation March 2018 Forward Looking Statements This presentation contains "forward-looking statements" within the meaning of the Private Securities
More informationEfficacy of eculizumab in paroxysmal nocturnal hemoglobinuria patients with or without aplastic anemia: prospective study of a Korean PNH cohort
BLOOD RESEARCH VOLUME 52 ㆍ NUMBER 3 September 2017 ORIGINAL ARTICLE Efficacy of eculizumab in paroxysmal nocturnal hemoglobinuria patients with or without aplastic anemia: prospective study of a Korean
More informationCOMPLEMENT INHIBITORS (SOLIRIS & ULTOMIRIS )
COMPLEMENT INHIBITORS (SOLIRIS & ULTOMIRIS ) Protocol: PHA029 Effective Date: March 1, 2019 Table of Contents Page COVERAGE RATIONALE... 1 US FOOD AND DRUG ADMINISTRATION (FDA)... 4 BACKGROUND... 4 APPLICABLE
More informationHow are unresolved Myasthenia Gravis symptoms disrupting your day? Talk to your doctor about your symptoms
How are unresolved Myasthenia Gravis symptoms disrupting your day? Talk to your doctor about your symptoms Recognize the symptoms of your generalized Myasthenia Gravis (gmg) Anti-acetylcholine receptor
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Soliris) Reference Number: CP.PHAR.97 Effective Date: 03.01.12 Last Review Date: 02.19 Line of Business: Commercial, Medicaid, HIM-Medical Benefit Coding Implications Revision Log See
More informationJefferies Complement Therapeutics Summit April
Jefferies Complement Therapeutics Summit April 218 1 Forward looking statements Statements in this presentation about future expectations, plans and prospects, as well as any other statements regarding
More information1/26/12. Selected Topics in Pediatric Hematology/Oncology COMPLEMENTOLOGY OBJECTIVES. Classically Different Topics but not so much
1/26/12 OBJECTIVES Selected Topics in Pediatric Hematology/Oncology COMPLEMENTOLOGY Chatchawin Assanasen MD Recognize implications of complement pathway diseases Signs and symptoms of PNH and ahus Complications
More informationPRODUCT MONOGRAPH. Pr SOLIRIS. (eculizumab) 30 ml Parenteral Solution (10 mg/ml) (Humanized Monoclonal Antibody)
PRODUCT MONOGRAPH Pr SOLIRIS (eculizumab) 30 ml Parenteral Solution (10 mg/ml) (Humanized Monoclonal Antibody) Alexion Pharma GmbH Date of Approval: December 21, 2017 Giesshübelstrasse 30 CH - 8045 Zürich,
More informationMedication Prior Authorization Form
Policy Number: 1054 Policy History Approve Date: 06/01/2018 Effective Date: 06/01/2018 Preauthorization All Plans Benefit plans vary in coverage and some plans may not provide coverage for certain service(s)
More informationSlide # 1. What is PNH and what is the long term outlook? Carlos M. de Castro, MD Duke University Medical Center. October 2012 AA&MDSIF Conference
PNH: Complications and Long-Term Issues Carlos M. de Castro, MD Duke University Medical Center October 2012 AA&MDSIF Conference PNH: Comlications and Long-Term Issues What happens to PNH patients? What
More informationSoliris and You. Your Guide To Living With ahus. INDICATION & IMPORTANT SAFETY INFORMATION FOR SOLIRIS (eculizumab)
INDICATION & IMPORTANT SAFETY INFORMATION FOR SOLIRIS (eculizumab) INDICATION What is SOLIRIS? SOLIRIS is a prescription medicine called a monoclonal antibody. SOLIRIS is used to treat: adults and children
More informationThe only biologic approved to treat SLE: now with multiple delivery options
The only biologic approved to treat SLE: now with multiple delivery options BENLYSTA (belimumab) Autoinjector SC Prefilled syringe IV Intravenous infusion Consider the options: visit Belimumab.com INDICATION
More informationParoxysmal Nocturnal Hemoglobinuria (PNH): A Chronic, Systemic, and Life-Threatening Disease. Actuarial Survival From the Time of
PNH Current Thinking on the Disease, Diagnosis, and Treatment Bart Scott, MD Associate Professor of Medicine, Division of Oncology, University of Washington Associate Member, Fred Hutchinson Cancer Research
More informationApellis Company Presentation November
Apellis Company Presentation November 2018 1 Forward looking statements Statements in this presentation about future expectations, plans and prospects, as well as any other statements regarding matters
More informationNew phase 2 Clinical Trial Enrolling Now
New phase 2 Clinical Trial Enrolling Now Warm Autoimmune Hemolytic Anemia (waiha) and Cold Agglutinin Disease (CAD) Designed for patients Age 18 or older With a primary diagnosis of waiha who had a recurrence,
More informationNew phase 2 Clinical Trial Enrolling Now
New phase 2 Clinical Trial Enrolling Now Warm Autoimmune Hemolytic Anemia (waiha) and Cold Agglutinin Disease (CAD) Designed for patients Age 18 or older With a primary diagnosis of waiha who had a recurrence,
More informationApellis Company Presentation March 2019
Apellis Company Presentation March 219 Forward looking statements Statements in this presentation about future expectations, plans and prospects, as well as any other statements regarding matters that
More informationANNEX I SUMMARY OF PRODUCT CHARACTERISTICS
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Soliris 300 mg concentrate for solution for infusion 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Eculizumab is a humanised
More informationApellis Company Presentation October
Apellis Company Presentation October 218 1 Forward looking statements Statements in this presentation about future expectations, plans and prospects, as well as any other statements regarding matters that
More informationAlexion NMO Clinical Trial Webinar 7:00 a.m. PST, 10 a.m. EST Friday, 12/12/14. The PREVENT Study
Alexion NMO Clinical Trial Webinar 7:00 a.m. PST, 10 a.m. EST Friday, 12/12/14 1 The PREVENT Study 2 Webinar Format Session is 45 minutes in length (Welcome, Intro, Presentation, Q&A) Attendees may submit
More informationM.Weitz has documented that he has no relevant financial relationships to disclose or conflict of interest to resolve.
M.Weitz has documented that he has no relevant financial relationships to disclose or conflict of interest to resolve. Prophylactic eculizumab prior to kidney transplantation for atypical hemolytic uremic
More informationFDA Approves Soliris (Eculizumab) for the Treatment of Patients with Generalized Myasthenia Gravis (gmg)
FDA Approves Soliris (Eculizumab) for the Treatment of Patients with Generalized Myasthenia Gravis (gmg) First FDA-Approved Treatment in More Than 60 Years for Patients with gmg, a Chronic and Debilitating
More informationComplement deficiencies, diagnosis and management. Contents
Complement deficiencies, diagnosis and management Classification: Protocol Lead Author: Dr Hana Alachkar Additional author(s): Victoria Blakeley Authors Division: Tertiary Medicine Unique ID: D5 Issue
More informationTransforming Complement Therapeutics. August 2018
Transforming Complement Therapeutics August 2018 Forward Looking Statements This presentation contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of
More informationTMA CASE STUDY. Pamela Harmon, RN & Keturah Tomlin, RN Toronto General Hospital Apheresis Unit
TMA CASE STUDY Pamela Harmon, RN & Keturah Tomlin, RN Toronto General Hospital Apheresis Unit Cumulative fraction of patients free of events ahus is a catastrophic disease that can result in sudden & progressive
More informationBeyond Plasma Exchange: Targeted Therapy for Thrombotic Thrombocytopenic Purpura
Beyond Plasma Exchange: Targeted Therapy for Thrombotic Thrombocytopenic Purpura Kristen Knoph, PharmD, BCPS PGY2 Pharmacotherapy Resident Pharmacy Grand Rounds April 25, 2017 2016 MFMER slide-1 Objectives
More informationTransforming Complement Therapeutics. June 2018
Transforming Complement Therapeutics June 2018 Forward Looking Statements This presentation contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995,
More informationCigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Eculizumab Table of Contents Coverage Policy... 1 General Background... 4 Coding/Billing Information... 5 References... 6 Effective Date... 8/15/2018 Next
More informationSoliris in NMOSD Phase 3 PREVENT Study Topline Results September 24, 2018
Soliris in NMOSD Phase 3 PREVENT Study Topline Results September 24, 2018 Forward-Looking Statements This presentation contains forward-looking statements within the meaning of the Private Securities Litigation
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Lapeyraque A-L, Malina M, Fremeaux-Bacchi V, et al. Eculizumab
More informationEuropean Commission Grants New Indication for Soliris (Eculizumab) for the Treatment of Patients with Refractory Generalized Myasthenia Gravis (gmg)
European Commission Grants New Indication for Soliris (Eculizumab) for the Treatment of Patients with Refractory Generalized Myasthenia Gravis (gmg) - First and Only Complement-based Therapy Approved for
More informationSlide # 1. PNH: Comlications and. Long-Term Issues. Long-Term Issues. What is PNH and what is the long term outlook?
PNH: Complications and Long-Term Issues Carlos M. de Castro, MD Duke University Center What happens to PNH patients? PNH: Comlications and Long-Term Issues What are the long-term complications of PNH and
More informationTransforming Complement Therapeutics. October 2018
Transforming Complement Therapeutics October 2018 Forward Looking Statements This presentation contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of
More informationREVLIMID IN COMBINATION WITH DEXAMETHASONE snda GRANTED APPROVAL BY FDA FOR TREATMENT OF MULTIPLE MYELOMA
Contact: Robert J. Hugin Brian P. Gill President and COO Senior Director, PR/IR Celgene Corporation Celgene Corporation (908) 673-9102 (908) 673-9530 REVLIMID IN COMBINATION WITH DEXAMETHASONE snda GRANTED
More informationTreating breakthrough bleeds: A new approach
Treating breakthrough bleeds: A new approach Using Bypassing Agents With HEMLIBRA Prophylaxis Indication HEMLIBRA is indicated for routine prophylaxis to prevent or reduce the frequency of bleeding episodes
More informationFor platelet control as individual as you
For platelet control as individual as you Explore the possibilities of Immune Thrombocytopenic Purpura (ITP) treatment. Important Risk Information WARNING: INTRAVASCULAR HEMOLYSIS (IVH) Intravascular hemolysis
More informationNot So Benign Hematology. Robert A. Brodsky, MD Johns Hopkins Family Professor of Medicine and Oncology Division Chief Hematology
Not So Benign Hematology Robert A. Brodsky, MD Johns Hopkins Family Professor of Medicine and Oncology Division Chief Hematology Disclosures Dr. Brodsky serves as a Scientific Advisory Board member to:
More informationInternational PNH Interest Group Meeting Dec 8, 2017
International PNH Interest Group Meeting Dec 8, 2017 APL-2 is a C3 inhibitor APL-2 Subcutaneous for PNH, AIHA & CDN Intravitreal for GA Peptides of the APL-2 family bind to a pocket of C3 and inhibit activation*
More information