Janssen Shows Commitment to Advancing the Science and Treatment of Blood Cancers and Related Conditions With More Than 80 ASH 2018 Data Presentations From Differentiated Oncology and Cardiovascular Portfolios
RARITAN, N.J., Nov. 1, 2018 /PRNewswire/ -- The Janssen Pharmaceutical Companies of Johnson & Johnson announced today 46 company-sponsored and more than 37 investigator-led abstracts will be presented at the 60(th) American Society of Hematology (ASH) Annual Meeting in San Diego, CA on December 1-4. Highlights include eight company-sponsored oral presentations, including data for the Bruton's tyrosine kinase (BTK) inhibitor IMBRUVICA(®) (ibrutinib), anti-CD38 monoclonal antibody DARZALEX(®) (daratumumab), as well as updated results from the BCMA-targeted chimeric antigen receptor T cell (CAR-T) therapy LCAR-B38M in multiple myeloma. Data for the Factor Xa inhibitor XARELTO(®) (rivaroxaban) are also being presented.
"The data we are presenting at ASH 2018 represent our commitment to continued scientific innovation in the treatment of blood cancers as we work toward our goal of ultimately delivering cures," said Peter Lebowitz, M.D., Ph.D., Global Therapeutic Area Head, Oncology, Janssen Research & Development, LLC. "We are pleased to present findings from across our robust oncology portfolio in hematologic malignancies with important new data for IMBRUVICA and DARZALEX, and updated data from the Phase 1 study of BCMA-directed CAR-T therapy LCAR-B38M in multiple myeloma, which we continue to progress together with Legend Biotech."
"We are also excited to present new data on the use of XARELTO in patients with cancer," said Paul Burton, M.D., Ph.D., F.A.C.C., Vice President, Medical Affairs, Internal Medicine, Janssen Scientific Affairs, LLC. "These data, combined with the depth of our oncology portfolio, uniquely position Janssen to address multiple patient needs, including treating the co-morbidities associated with cancer."
A listing of abstracts is provided in the table below. Highlights of the data at ASH include the following:
New IMBRUVICA data in chronic lymphocytic leukemia
Results from the Phase 3 iLLUMINATE (PCYC-1130) study exploring the combination of IMBRUVICA plus obinutuzumab versus chlorambucil plus obinutuzumab in patients with newly diagnosed chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) will be presented during an oral session. These data served as the basis for a recent supplemental New Drug Application submission to the U.S. Food and Drug Administration, which received Priority Review on October 16.
Data with up to 7 years of follow-up for IMBRUVICA monotherapy in CLL/SLL will be presented for the first time, representing the longest follow-up for IMBRUVICA to date.
Notably, the National Cancer Institute-sponsored Phase 3 ALLIANCE A041202 study will be presented in the Plenary session - the three-arm study compared IMBRUVICA as a single agent versus IMBRUVICA plus rituximab versus bendamustine plus rituximab in newly diagnosed older CLL patients (Abstract #6).
DARZALEX long-term results across treatment lines in multiple myeloma
An oral presentation will update results from the Phase 3 ALCYONE study of DARZALEX in combination with bortezomib, melphalan and prednisone in newly diagnosed patients with multiple myeloma who are transplant ineligible. Additional oral presentations will highlight efficacy and updated safety data from the safety run-in cohort of the Phase 2 GRIFFIN study evaluating treatment with DARZALEX in combination with bortezomib, lenalidomide and dexamethasone in newly diagnosed patients with multiple myeloma who are eligible for transplant, and the primary endpoint analysis from the Phase 2 LYRA study in newly diagnosed and relapsed patients with multiple myeloma.
Follow-up data from the Phase 3 CASTOR and POLLUX studies will report on the long-term efficacy and safety results of treatment with DARZALEX combinations in relapsed/refractory multiple myeloma, including the endpoint of minimal residual disease negativity.
LCAR-B38M CAR-T in multiple myeloma
An oral presentation will highlight updated results from one of the four study centers comprising the Phase 1, open-label investigator-initiated study evaluating LCAR-B38M, a CAR-T therapy directed against BCMA.
Janssen is advancing JNJ-68284528 in a Phase 1b/2 study, which is based on LCAR-B38M from co-development partner, Legend Biotech USA Inc.
XARELTO for venous thromboembolism prevention
Several studies will be presented that evaluate patients with cancer-associated thrombosis. In addition, a first-of-its-kind study to evaluate the safety, efficacy and costs of a Factor Xa inhibitor in morbidly obese patients with venous thromboembolism will be presented.
Abstract No.
Title Date/Time
--- ---
IMBRUVICA (ibrutinib)*
---
Oral Presentations
---
Abstract #149 Ibrutinib Treatment in Waldenström's
Macroglobulinemia: Follow-up Efficacy and Safety
from the iNNOVATE Study Saturday, December 1
1:00 p.m. PST
--- ---
Abstract #402 The iR(2) Regimen (Ibrutinib, Lenalidomide, and
Rituximab) Is Active with a Manageable Safety
Profile in Patients with Relapsed/Refractory
Non-Germinal Center-like Diffuse Large B-Cell
Lymphoma
Sunday, December 2
1:15 p.m. PST
--- ---
Abstract #691 Ibrutinib + Obinutuzumab Versus Chlorambucil +
Obinutuzumab as First-Line Treatment in Patients
with Chronic Lymphocytic Leukemia or Small
Lymphocytic Lymphoma (CLL/SLL): Results from Phase
3 iLLUMINATE
Monday, December 3
10:30 a.m. PST
--- ---
Abstract #784 A Global, Randomized, Placebo-Controlled, Phase 3
Study of Ibrutinib plus Rituximab,
Cyclophosphamide, Doxorubicin, Vincristine, and
Prednisone (RCHOP) in Patients with Previously
Untreated Non-Germinal Center B-Cell-Like (GCB)
Diffuse Large B-Cell Lymphoma (DLBCL)
Monday, December 3
3:30 p.m. PST
--- ---
Poster Presentations
---
Abstract #1604 Efficacy of Ibrutinib-Rituximab versus Real-World
(RW) Treatments for Patients with Waldenström's
Macroglobulinemia (WM): Adjusted Comparison of
iNNOVATE and the Lyon-Sud RW Database Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #2306 Front-line Ibrutinib Treatment Is Associated with
Longer Time to Next Treatment, Net Total Cost
Reduction, and Lower Healthcare Resource
Utilization Compared to Chemoimmunotherapy in
Patients with Chronic Lymphocytic Leukemia Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #1872 Chronic Lymphocytic Leukemia (CLL) Treatment
Patterns, Dosing and Sequencing in the Era of Novel
Targeted Therapies: Interim Analysis Results From
the informCLL(TM) Real-World Registry Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #3133 Up to 7 Years of Follow-up of Single-Agent
Ibrutinib in the Phase 1b/II PCYC-1102 Trial of
First Line and Relapsed/Refractory Patients with
Chronic Lymphocytic Leukemia/Small Lymphocytic
Lymphoma
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3114 Ibrutinib Improves T-cell Proliferative Ability and
Effector Function in Relapsed/Refractory Chronic
Lymphocytic Leukemia (CLL) Patients
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3498 Kinetic Catalytic Inhibition and Cell-Based
Analysis, Not Just Target Binding, Are Required to
Assess Kinase Selectivity of Covalent Inhibitors:
Comparable BTK vs TEC Selectivity Profile for
Ibrutinib and Acalabrutinib
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #4427 Single-Agent Ibrutinib versus Real-World (RW)
Treatments for Patients with Chronic Lymphocytic
Leukemia (CLL) and del11q: Adjusted Comparison of
RESONATE-2(TM) and RESONATE(TM) with RW Databases
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #4147 Identification of a Genetic Signature Enriching for
Response to Ibrutinib in Relapsed/Refractory
Follicular Lymphoma in the DAWN Phase 2 Trial
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #4425 Prognostic Testing and Treatment Approaches in
Patients with Chronic Lymphocytic Leukemia (CLL):
Clinical Experience from an Interim Analysis of the
informCLL(TM) Real-World Registry
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #4727 Diagnostic concordance of pathological methods and
reports of hematopathologists compared to local
nonspecialized pathologists in the diagnosis of
lymphoma in Mexico
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #4394 Risk Model for Overall Survival for Patients with
Relapsed/Refractory Chronic Lymphocytic Leukemia:
Validated for Patients on Ibrutinib, Idelalisib,
Venetoclax, or Chemoimmunotherapy
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
DARZALEX (daratumumab)
---
Oral Presentations
---
Abstract #151 Efficacy and Updated Safety Analysis of a Safety
Run-in Cohort from GRIFFIN, a Phase 2 Randomized
Study of Daratumumab (Dara), Bortezomib (V),
Lenalidomide, and Dexamethasone (D; Dara?VRd) vs.
VRd in Patients (Pts) with Newly Diagnosed (ND)
Multiple Myeloma (MM) Eligible for High?Dose
Therapy (HDT) and Autologous Stem Cell
Transplantation (ASCT) Saturday, December 1
12:00 - 1:30 p.m. PST
--- ---
Abstract #152 LYRA: A Phase 2 Study of Daratumumab (Dara) plus
Cyclophosphamide, Bortezomib, and Dexamethasone
(CyBorD) in Newly Diagnosed and Relapsed Patients
(Pts) with Multiple Myeloma (MM) Saturday, December 1
12:15 - 1:30 p.m. PST
--- ---
Abstract #156 One-Year Update of a Phase 3 Randomized Study of
Daratumumab Plus Bortezomib, Melphalan, and
Prednisone (D-VMP) Versus Bortezomib, Melphalan,
and Prednisone (VMP) in Patients (Pts) with
Transplant-Ineligible Newly Diagnosed Multiple
Myeloma (NDMM): ALCYONE Saturday, December 1
1:15 - 1:45 p.m. PST
--- ---
Poster Presentations
---
Abstract #1996 Three-Year Follow up of the Phase 3 POLLUX Study of
Daratumumab Plus Lenalidomide and Dexamethasone (D-
Rd) Versus Lenalidomide and Dexamethasone (Rd)
Alone in Relapsed or Refractory Multiple Myeloma
(RRMM) Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #2006 Pharmacokinetics (PK) of Subcutaneous Daratumumab in
Patients with Relapsed or Refractory (RR) Multiple
Myeloma (MM): Primary Clinical Pharmacology
Analysis of the Open-label, Multicenter, Phase 1b
Study (PAVO) Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #1970 Split First Dose Administration of Daratumumab for
the Treatment of Patients with Multiple Myeloma
(MM): Clinical Pharmacology and Population
Pharmacokinetic (PK) Analyses Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #1994 Updated Results from the Phase 2 CENTAURUS Study of
Daratumumab (DARA) Monotherapy in Patients with
Intermediate-Risk or High-Risk Smoldering
Multiple Myeloma (SMM) Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #1995 Subcutaneous Daratumumab in Patients with Relapsed
or Refractory Multiple Myeloma: Part 2 Safety and
Efficacy Update of the Open-label, Multicenter,
Phase 1b Study (PAVO) Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #1617 Daratumumab Monotherapy for Patients with Relapsed
or Refractory (R/R) Natural Killer/T-cell
Lymphoma (NKTCL), Nasal Type: An Open-label,
Single-arm, Multicenter Phase 2 Study Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #3270 Efficacy and Safety of Daratumumab, Bortezomib, and
Dexamethasone (D-Vd) Versus Bortezomib and
Dexamethasone (Vd) in First Relapse Patients: Two-
Year Update of CASTOR
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3272 Evaluation of Sustained Minimal Residual Disease
(MRD) Negativity in Relapsed/Refractory Multiple
Myeloma (RRMM) Patients (Pts) Treated with
Daratumumab in Combination with Lenalidomide Plus
Dexamethasone (D-Rd) or Bortezomib Plus
Dexamethasone (D-Vd): Analysis of POLLUX and
CASTOR
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3550 Comparative Efficacy and Safety of Daratumumab in
Combination with Bortezomib, Melphalan, and
Prednisone (D-VMP) in Alcyone Versus Bortezomib,
Melphalan, and Prednisone (VMP) in Vista in Newly
Diagnosed Multiple Myeloma (NDMM) Patients Using
Propensity Score Matching (PSM)
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3553 Impact of Modified Dose Schedule of Bortezomib,
Melphalan, and Prednisone (VMP) for Previously
Untreated, Transplant-Ineligible Patients with
Multiple Myeloma (MM): A Matching-Adjusted
Indirect Comparison
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3273 The Relationship between Minimal Residual Disease
and Patient Reported Outcomes in Relapsed/
Refractory Multiple Myeloma
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3288 Efficacy of Daratumumab in Combination with Standard
of Care Regimens in Lenalidomide-Exposed or -
Refractory Patients with Relapsed/Refractory
Multiple Myeloma (RRMM): Analysis of CASTOR,
POLLUX, and MMY1001 Studies
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3551 A Matching-Adjusted Indirect Treatment Comparison
of Daratumumab-Bortezomib-Melphalan-Prednisone
Versus Lenalidomide-Dexamethasone Continuous,
Lenalidomide-Dexamethasone 18 Months, and
Melphalan-Prednisone-Thalidomide
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3291 Characterization of Frontline Treatment Patterns and
Attrition Rates According to Subsequent Lines of
Therapy in Non-Transplant Patients with Newly
Diagnosed Multiple Myeloma
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3541 Indirect Comparison Using Individual Patient Level
Data Comparing Efficacy and Safety of a Daratumumab
Monotherapy Vs. EU Approved Comparator Therapies in
Patients with Multiple Myeloma
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3586 Patient Preferences for Multiple Myeloma (MM)
Treatment: Interim Analysis of a Discrete Choice
Experiment
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #4846 Safety of Split First Dosing Vs Standard Dosing
Administration of Daratumumab Among Multiple
Myeloma Patients Treated in a US Community Oncology
Setting: A Real-World Observational Study
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #4741 Treatment Regimens for Patients with Newly Diagnosed
Multiple Myeloma Who are Ineligible for Stem Cell
Transplantation: A Systematic Literature Review and
Network Meta-Analysis
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #4738 Evaluation and Comparison of Characteristics and
Outcomes Among Frontline Multiple Myeloma (FLMM)
Patients with and Without Stem Cell Transplant
Treatment
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #4862 Measuring Patient Reported Outcomes in Multiple
Myeloma: Are Legacy Instruments Fit for Purpose
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
LCAR-B38M**
---
Oral Presentation
---
Abstract #955 Updated Analysis of a Phase 1, Open-Label Study of
LCAR-B38M, a Chimeric Antigen Receptor T Cell
Therapy Directed Against B-Cell Maturation
Antigen, in Patients with Relapsed/Refractory
Multiple Myeloma
Monday, December 3
4:30 - 6:00 p.m. PST
--- ---
Translational Research
---
Poster Presentations
---
Abstract #1674 JNJ-64457107, a CD40 Agonist, Induces Cell Death in
BCL6hiIRF4neg GCB Subtype of DLBCL Saturday, December 1
6:15 - 8:15 p.m. PST
--- ---
Abstract #2750 Immunogenomic Exploration of the Acute Myeloid
Leukemia Microenvironment Identifies Determinants
of T-cell Fitness
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Other
---
Oral Presentations
---
Abstract #463*** Imetelstat Treatment Leads to Durable Transfusion
Independence (TI) in RBC Transfusion-Dependent
(TD), Non-Del(5q) Lower Risk MDS Relapsed/
Refractory to Erythropoiesis-Stimulating Agent
(ESA) Who Are Lenalidomide (LEN) and HMA Naïve
Sunday, December 2
4:30 - 6:00 p.m. PST
--- ---
Abstract #685*** Imetelstat Is Effective Treatment for Patients with
Intermediate-2 or High-Risk Myelofibrosis Who
Have Relapsed on or Are Refractory to Janus Kinase
Inhibitor Therapy: Results of a Phase 2 Randomized
Study of Two Dose Levels
Monday, December 3
10:30 a.m. - 12:00 p.m. PST
--- ---
Poster Presentation
---
Abstract #3590 Patient-Reported Outcomes Validation of the FACT-
Leu in Acute Myeloid Leukemia: A Review of Baseline
Characteristics in AML2002
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
XARELTO (rivaroxaban)
---
Poster Presentations
---
Abstract #2537 Comparative Effectiveness, Safety, and Costs of
Rivaroxaban and Warfarin Treatment Among Morbidly
Obese Patients with Venous Thromboembolism
Sunday, December 2
6:00 - 8:00 p.m. PST
--- ---
Abstract #3798 The Rate of Venous Thromboembolism in Cancer
Patients Varies By Khorana Risk Category
Monday, December 3
6:00 - 8:00 p.m. PST
--- ---
Abstract #3799 Healthcare Costs in Patients with Cancer Increase
with Increasing Risk of Venous Thromboembolism
Monday, December 3
6:00 - 8:00 p.m. PST
*Includes abstracts that were submitted by IMBRUVICA co-development partner, Pharmacyclics LLC.
**Abstract was submitted by LCAR-B38M co-development partner, Legend Biotech USA Inc. Janssen is advancing JNJ-68284528 in a Phase 1b/2 study, which is based on LCAR-B38M.
***Includes abstracts that were submitted by imetelstat developer, Geron.
About IMBRUVICA
IMBRUVICA (ibrutinib) is a first-in-class, once-daily oral medicine that works differently than chemotherapy as it blocks the Bruton's tyrosine kinase (BTK) protein. The BTK protein sends important signals that cause B cells to abnormally mature and multiply.((1)) IMBRUVICA targets and blocks BTK, inhibiting the survival and spread of cancer cells.
IMBRUVICA was first approved by the U.S. Food and Drug Administration in 2013, and today is indicated in six disease areas, including five hematologic cancers - chronic lymphocytic leukemia (CLL) with or without 17p deletion (del17p), small lymphocytic lymphoma (SLL) with or without del17p, Waldenström's macroglobulinemia (WM), previously-treated mantle cell lymphoma (MCL)*, previously-treated marginal zone lymphoma (MZL) who require systemic therapy and have received at least one prior anti-CD20-based therapy* - and previously-treated chronic graft-versus-host disease (cGVHD) after failure of one or more lines of systemic therapy.((2)) IMBRUVICA is the first and only FDA-approved medicine in WM, MZL* and cGVHD. IMBRUVICA has been granted four Breakthrough Therapy Designations by the FDA, and it was one of the first medicines to receive U.S. approval through the Breakthrough Therapy Designation. IMBRUVICA is approved in more than 90 countries, and, to date, has been used to treat more than 135,000 patients worldwide across approved indications.((3))
IMBRUVICA is a comprehensively studied molecule in the oncology industry. The robust clinical oncology development program includes more than 150 active clinical trials studying IMBRUVICA alone and in combination with other medicines in several blood cancers and other serious diseases. For more information, visit www.IMBRUVICA.com.
* Accelerated approval was granted for MCL and MZL based on overall response rate. Continued approval for MCL and MZL may be contingent upon verification and description of clinical benefit in confirmatory trials.
IMBRUVICA IMPORTANT SAFETY INFORMATION
WARNINGS AND PRECAUTIONS
Hemorrhage: Fatal bleeding events have occurred in patients treated with IMBRUVICA(®). Grade 3 or higher bleeding events (intracranial hemorrhage [including subdural hematoma], gastrointestinal bleeding, hematuria, and post-procedural hemorrhage) have occurred in 3% of patients, with fatalities occurring in 0.3% of 1,011 patients exposed to IMBRUVICA(®) in clinical trials. Bleeding events of any grade, including bruising and petechiae, occurred in 44% of patients treated with IMBRUVICA(®).
The mechanism for the bleeding events is not well understood.
IMBRUVICA(® )may increase the risk of hemorrhage in patients receiving antiplatelet or anticoagulant therapies and patients should be monitored for signs of bleeding.
Consider the benefit-risk of withholding IMBRUVICA(®) for at least 3 to 7 days pre and post-surgery depending upon the type of surgery and the risk of bleeding.
Infections: Fatal and non-fatal infections (including bacterial, viral, or fungal) have occurred with IMBRUVICA(®) therapy. Grade 3 or greater infections occurred in 24% of 1,011 patients exposed to IMBRUVICA(®) in clinical trials. Cases of progressive multifocal leukoencephalopathy (PML) and Pneumocystis jirovecii pneumonia (PJP) have occurred in patients treated with IMBRUVICA(®). Consider prophylaxis according to standard of care in patients who are at increased risk for opportunistic infections.
Monitor and evaluate patients for fever and infections and treat appropriately.
Cytopenias: Treatment-emergent Grade 3 or 4 cytopenias including neutropenia (23%), thrombocytopenia (8%), and anemia (3%) based on laboratory measurements occurred in patients with B-cell malignancies treated with single agent IMBRUVICA(®).
Monitor complete blood counts monthly.
Cardiac Arrhythmias: Fatal and serious cardiac arrhythmias have occurred with IMBRUVICA(®) therapy. Grade 3 or greater ventricular tachyarrhythmias occurred in 0.2% of patients, and Grade 3 or greater atrial fibrillation and atrial flutter occurred in 4% of 1,011 patients exposed to IMBRUVICA(®) in clinical trials. These events have occurred particularly in patients with cardiac risk factors, hypertension, acute infections, and a previous history of cardiac arrhythmias.
Periodically monitor patients clinically for cardiac arrhythmias. Obtain an ECG for patients who develop arrhythmic symptoms (e.g., palpitations, lightheadedness, syncope, chest pain) or new onset dyspnea. Manage cardiac arrhythmias appropriately, and if it persists, consider the risks and benefits of IMBRUVICA(®) treatment and follow dose modification guidelines.
Hypertension: Hypertension has occurred in 12% of 1,011 patients treated with IMBRUVICA(®) in clinical trials with a median time to onset of 5 months (range, 0.03 to 22 months). Monitor patients for new onset hypertension or hypertension that is not adequately controlled after starting IMBRUVICA(®). Adjust existing anti-hypertensive medications and/or initiate anti-hypertensive treatment as appropriate.
Second Primary Malignancies: Other malignancies (9%) including non-skin carcinomas (2%) have occurred in 1,011 patients treated with IMBRUVICA(®) in clinical trials. The most frequent second primary malignancy was non-melanoma skin cancer (6%).
Tumor Lysis Syndrome: Tumor lysis syndrome has been infrequently reported with IMBRUVICA® therapy. Assess the baseline risk (e.g., high tumor burden) and take appropriate precautions.
Monitor patients closely and treat as appropriate.
Embryo-Fetal Toxicity: Based on findings in animals, IMBRUVICA(®) can cause fetal harm when administered to a pregnant woman. Advise women to avoid becoming pregnant while taking IMBRUVICA(®) and for 1 month after cessation of therapy. 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 hazard to a fetus. Advise men to avoid fathering a child during the same time period.
ADVERSE REACTIONS
B-cell malignancies: The most common adverse reactions (>=20%) in patients with B-cell malignancies (MCL, CLL/SLL, WM and MZL) were thrombocytopenia (58%)*, neutropenia (58%)*, diarrhea (42%), anemia (39%)*, rash (31%), musculoskeletal pain (31%), bruising (31%), nausea (28%), fatigue (27%), hemorrhage (23%), and pyrexia (20%).
The most common Grade 3 or 4 adverse reactions (>=5%) in patients with B-cell malignancies (MCL, CLL/SLL, WM and MZL) were neutropenia (36%)*, thrombocytopenia (15%)*, and pneumonia (10%).
Approximately 6% (CLL/SLL), 14% (MCL), 14% (WM) and 10% (MZL) of patients had a dose reduction due to adverse reactions. Approximately 4%-10% (CLL/SLL), 9% (MCL), and 7% (WM [5%] and MZL [13%]) of patients discontinued due to adverse reactions.
cGVHD: The most common adverse reactions (>=20%) in patients with cGVHD were fatigue (57%), bruising (40%), diarrhea (36%), thrombocytopenia (33%)*, stomatitis (29%), muscle spasms (29%), nausea (26%), hemorrhage (26%), anemia (24%)*, and pneumonia (21%). The most common Grade 3 or 4 adverse reactions (>=5%) reported in patients with cGVHD were fatigue (12%), diarrhea (10%), neutropenia (10%)*, pneumonia (10%), sepsis (10%), hypokalemia (7%), headache (5%), musculoskeletal pain (5%), and pyrexia (5%). Twenty-four percent of patients receiving IMBRUVICA(®) in the cGVHD trial discontinued treatment due to adverse reactions. Adverse reactions leading to dose reduction occurred in 26% of patients.
*Treatment-emergent decreases (all grades) were based on laboratory measurements and adverse reactions.
DRUG INTERACTIONS
CYP3A Inhibitors: Dose adjustments may be recommended.
CYP3A Inducers: Avoid coadministration with strong CYP3A inducers.
SPECIFIC POPULATIONS
Hepatic Impairment (based on Child-Pugh criteria): Avoid use of IMBRUVICA(®) in patients with severe baseline hepatic impairment. In patients with mild or moderate impairment, reduce IMBRUVICA(®) dose.
Please click here for full IMBRUVICA Prescribing Information.
About DARZALEX(®) (daratumumab) Injection, for Intravenous Infusion
DARZALEX(®) (daratumumab) injection for intravenous use is the first CD38-directed antibody approved anywhere in the world.(4) CD38 is a surface protein that is highly expressed across multiple myeloma cells, regardless of disease stage.(5) DARZALEX(®) is believed to induce tumor cell death through multiple immune-mediated mechanisms of action, including complement-dependent cytotoxicity (CDC), antibody-dependent cell-mediated cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP), as well as through apoptosis, in which a series of molecular steps in a cell lead to its death.(4 )Subsets of myeloid derived suppressor cells (MDSCs), CD38+ regulatory T cells (Tregs) and CD38+ B cells (Bregs) were decreased by DARZALEX(®).(4) DARZALEX(®) is being evaluated in a comprehensive clinical development program across a range of treatment settings in multiple myeloma, such as in frontline and relapsed settings.(6,7,8, 9,10,11,12,13 )Additional studies are ongoing or planned to assess its potential in other malignant and pre-malignant hematologic diseases in which CD38 is expressed, such as smoldering myeloma, as well as in solid tumors.(14,15,16) DARZALEX(®) is the first and only CD38-directed antibody to receive regulatory approval to treat multiple myeloma.(4)
DARZALEX IMPORTANT SAFETY INFORMATION(4)
CONTRAINDICATIONS
DARZALEX(®) is contraindicated in patients with a history of severe hypersensitivity (eg, anaphylactic reactions) to daratumumab or any of the components of the formulation.
WARNINGS AND PRECAUTIONS
Infusion Reactions - DARZALEX(®) can cause severe and/or serious infusion reactions, including anaphylactic reactions. In clinical trials, approximately half of all patients experienced an infusion reaction. Most infusion reactions occurred during the first infusion and were grade 1-2. Infusion reactions can also occur with subsequent infusions. Nearly all reactions occurred during infusion or within 4 hours of completing an infusion. Prior to the introduction of post-infusion medication in clinical trials, infusion reactions occurred up to 48 hours after infusion. Severe reactions have occurred, including bronchospasm, hypoxia, dyspnea, hypertension, laryngeal edema and pulmonary edema. Signs and symptoms may include respiratory symptoms, such as nasal congestion, cough, throat irritation, as well as chills, vomiting and nausea. Less common symptoms were wheezing, allergic rhinitis, pyrexia, chest discomfort, pruritus, and hypotension.
Pre-medicate patients with antihistamines, antipyretics, and corticosteroids. Frequently monitor patients during the entire infusion. Interrupt infusion for reactions of any severity and institute medical management as needed. Permanently discontinue therapy if an anaphylactic reaction or life-threatening (Grade 4) reaction occurs and institute appropriate emergency care. For patients with Grade 1, 2, or 3 reactions, reduce the infusion rate when re-starting the infusion.
To reduce the risk of delayed infusion reactions, administer oral corticosteroids to all patients following DARZALEX(®) infusions. Patients with a history of chronic obstructive pulmonary disease may require additional post-infusion medications to manage respiratory complications. Consider prescribing short- and long-acting bronchodilators and inhaled corticosteroids for patients with chronic obstructive pulmonary disease.
Interference with Serological Testing - Daratumumab binds to CD38 on red blood cells (RBCs) and results in a positive Indirect Antiglobulin Test (Indirect Coombs test). Daratumumab-mediated positive indirect antiglobulin test may persist for up to 6 months after the last daratumumab infusion. Daratumumab bound to RBCs masks detection of antibodies to minor antigens in the patient's serum. The determination of a patient's ABO and Rh blood type are not impacted. Notify blood transfusion centers of this interference with serological testing and inform blood banks that a patient has received DARZALEX(®). Type and screen patients prior to starting DARZALEX(®).
Neutropenia - DARZALEX(®) may increase neutropenia induced by background therapy. Monitor complete blood cell counts periodically during treatment according to manufacturer's prescribing information for background therapies. Monitor patients with neutropenia for signs of infection. DARZALEX(®) dose delay may be required to allow recovery of neutrophils. No dose reduction of DARZALEX(®) is recommended. Consider supportive care with growth factors.
Thrombocytopenia - DARZALEX(®) may increase thrombocytopenia induced by background therapy. Monitor complete blood cell counts periodically during treatment according to manufacturer's prescribing information for background therapies. DARZALEX(®) dose delay may be required to allow recovery of platelets. No dose reduction of DARZALEX(®) is recommended. Consider supportive care with transfusions.
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 immunofixation (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%) in clinical trials were: infusion reactions, neutropenia, thrombocytopenia, fatigue, nausea, diarrhea, constipation, vomiting, muscle spasms, arthralgia, back pain, pyrexia, chills, dizziness, insomnia, cough, dyspnea, peripheral edema, peripheral sensory neuropathy and upper respiratory tract infection.
In patients who received DARZALEX(®) in combination with bortezomib, melphalan, and prednisone (DVMP), the most frequently reported adverse reactions (incidence >=20%) were: upper respiratory tract infection (48%), infusion reactions (28%), and peripheral edema (21%). Serious adverse reactions (>=2% compared to the VMP arm) were pneumonia (11%), upper respiratory tract infection (5%), and pulmonary edema (2%). Treatment-emergent Grade 3-4 hematology laboratory abnormalities >=20% were lymphopenia (58%), neutropenia (44%), and thrombocytopenia (38%).
In patients who received DARZALEX(®) in combination with lenalidomide and dexamethasone, the most frequently reported adverse reactions (incidence >=20%) were: upper respiratory tract infection (65%), infusion reactions (48%), diarrhea (43%), fatigue (35%), cough (30%), muscle spasms (26%), nausea (24%), dyspnea (21%) and pyrexia (20%). The overall incidence of serious adverse reactions was 49%. Serious adverse reactions (>=2% compared to Rd) were pneumonia (12%), upper respiratory tract infection (7%), influenza (3%), and pyrexia (3%). Treatment-emergent Grade 3-4 hematology laboratory abnormalities >=20% were neutropenia (53%) and lymphopenia (52%).
In patients who received DARZALEX(®) in combination with bortezomib and dexamethasone, the most frequently reported adverse reactions (incidence >=20%) were: peripheral sensory neuropathy (47%), infusion reactions (45%), upper respiratory tract infection (44%), diarrhea (32%), cough (27%), peripheral edema (22%), and dyspnea (21%). The overall incidence of serious adverse reactions was 42%. Serious adverse reactions (>=2% compared to Vd) were upper respiratory tract infection (5%), diarrhea (2%) and atrial fibrillation (2%). Treatment-emergent Grade 3-4 hematology laboratory abnormalities >=20% were lymphopenia (48%) and thrombocytopenia (47%).
In patients who received DARZALEX(®) in combination with pomalidomide and dexamethasone, the most frequent adverse reactions (>20%) were fatigue (50%), infusion reactions (50%), upper respiratory tract infection (50%), cough (43%), diarrhea (38%), constipation (33%), dyspnea (33%), nausea (30%), muscle spasms (26%), back pain (25%), pyrexia (25%), insomnia (23%), arthralgia (22%), dizziness (21%), and vomiting (21%). The overall incidence of serious adverse reactions was 49%. Serious adverse reactions reported in >=5% patients included pneumonia (7%). Treatment-emergent hematology Grade 3-4 laboratory abnormalities >=20% were anemia (30%), neutropenia (82%), and lymphopenia (71%).
In patients who received DARZALEX(®) as monotherapy, 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%). The overall incidence of serious adverse reactions was 33%. The most frequent serious adverse reactions were pneumonia (6%), general physical health deterioration (3%), and pyrexia (3%). Treatment-emergent Grade 3-4 hematology laboratory abnormalities >=20% were lymphopenia (40%) and neutropenia (20%).
DRUG INTERACTIONS
Effect of Other Drugs on Daratumumab: The coadministration of lenalidomide, pomalidomide or bortezomib with DARZALEX(®) did not affect the pharmacokinetics of daratumumab.
Effect of Daratumumab on Other Drugs: The coadministration of DARZALEX(®) with bortezomib or pomalidomide did not affect the pharmacokinetics of bortezomib or pomalidomide.
About CAR-T and BCMA
CAR-T cells are an innovative approach to eradicating cancer cells by harnessing the power of a patient's own immune system. BCMA is a protein that is highly expressed on myeloma cells. By targeting BCMA via a CAR-T approach, CAR-T therapies may have the potential to redefine the treatment paradigm for multiple myeloma and potentially advance towards cures for patients with the disease.
WHAT IS XARELTO(®)?
XARELTO(®) is a prescription medicine used to:
-- reduce the risk of stroke and blood clots in people who have a medical
condition called atrial fibrillation that is not caused by a heart valve
problem. With atrial fibrillation, part of the heart does not beat the
way it should. This can lead to the formation of blood clots, which can
travel to the brain, causing a stroke, or to other parts of the body
-- treat blood clots in the veins of your legs (deep vein thrombosis or
DVT) or lungs (pulmonary embolism or PE)
-- reduce the risk of blood clots happening again in people who continue to
be at risk for DVT or PE after receiving treatment for blood clots for
at least 6 months
-- help prevent a blood clot in the legs and lungs of people who have just
had hip or knee replacement surgery
XARELTO(®) is also used with low dose aspirin to:
-- reduce the reduce the risk of serious heart problems, heart attack and
stroke in patients with coronary artery disease (a condition where the
blood supply to the heart is reduced or blocked) or peripheral arterial
disease (a condition where the blood flow to the legs is reduced)
It is not known if XARELTO(®) is safe and effective in children.
XARELTO IMPORTANT SAFETY INFORMATION
IMPORTANT SAFETY INFORMATION
WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT XARELTO(®)?
XARELTO(®) may cause serious side effects, including:
-- Increased risk of blood clots if you stop taking XARELTO(®).
People with atrial fibrillation (an irregular heart beat) that is not caused by a heart valve problem (nonvalvular) are at an increased risk of forming a blood clot in the heart, which can travel to the brain, causing a stroke, or to other parts of the body. XARELTO(®) lowers your chance of having a stroke by helping to prevent clots from forming. If you stop taking XARELTO(®), you may have increased risk of forming a clot in your blood.
Do not stop taking XARELTO(®) without talking to the doctor who prescribes it for you. Stopping XARELTO(®) increases your risk of having a stroke.
If you have to stop taking XARELTO(®), your doctor may prescribe another blood thinner medicine to prevent a blood clot from forming.
-- Increased risk of bleeding. XARELTO(®) can cause bleeding which can be serious, and may lead to death. This is because XARELTO(®) is a blood thinner medicine (anticoagulant) that lowers blood clotting. During treatment with XARELTO(®) you are likely to bruise more easily, and it may take longer for bleeding to stop.
You may have a higher risk of bleeding if you take XARELTO(®) and take other medicines that increase your risk of bleeding, including:
-- Aspirin or aspirin-containing products
-- Long-term (chronic) use of non-steroidal anti-inflammatory drugs
(NSAIDs)
-- Warfarin sodium (Coumadin(®), Jantoven(®))
-- Any medicine that contains heparin
-- Clopidogrel (Plavix(®))
-- Selective serotonin reuptake inhibitors (SSRIs) or serotonin
norepinephrine reuptake inhibitors (SNRIs)
-- Other medicines to prevent or treat blood clots
Tell your doctor if you take any of these medicines. Ask your doctor or pharmacist if you are not sure if your medicine is one listed above.
Call your doctor or get medical help right away if you develop any of these signs or symptoms of bleeding:
-- Unexpected bleeding or bleeding that lasts a long time, such as:
-- Nosebleeds that happen often
-- Unusual bleeding from gums
-- Menstrual bleeding that is heavier than normal, or vaginal bleeding
-- Bleeding that is severe or you cannot control
-- Red, pink, or brown urine
-- Bright red or black stools (looks like tar)
-- Cough up blood or blood clots
-- Vomit blood or your vomit looks like "coffee grounds"
-- Headaches, feeling dizzy or weak
-- Pain, swelling, or new drainage at wound sites
-- Spinal or epidural blood clots (hematoma). People who take a blood thinner medicine (anticoagulant) like XARELTO(®), and have medicine injected into their spinal and epidural area, or have a spinal puncture, have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). Your risk of developing a spinal or epidural blood clot is higher if:
-- A thin tube called an epidural catheter is placed in your back to give
you certain medicine
-- You take NSAIDs or a medicine to prevent blood from clotting
-- You have a history of difficult or repeated epidural or spinal punctures
-- You have a history of problems with your spine or have had surgery on
your spine
If you take XARELTO(®) and receive spinal anesthesia or have a spinal puncture, your doctor should watch you closely for symptoms of spinal or epidural blood clots. Tell your doctor right away if you have back pain, tingling, numbness, muscle weakness (especially in your legs and feet), or loss of control of the bowels or bladder (incontinence).
-- XARELTO(®) is not for people with artificial heart valves.
Do not take XARELTO(®) if you:
-- Currently have certain types of abnormal bleeding. Talk to your doctor
before taking XARELTO(®) if you currently have unusual bleeding.
-- Are allergic to rivaroxaban or any of the ingredients of XARELTO(®).
Before taking XARELTO(®), tell your doctor about all your medical conditions, including if you:
-- Have ever had bleeding problems
-- Have liver or kidney problems
-- Are pregnant or plan to become pregnant. It is not known if XARELTO(®)
will harm your unborn baby.
-- Tell your doctor right away if you become pregnant during treatment with
XARELTO(®). Taking XARELTO(®) while you are pregnant may increase the
risk of bleeding in you or in your unborn baby.
-- If you take XARELTO(®) during pregnancy, tell your doctor right away if
you have any signs or symptoms of bleeding or blood loss. See "What is
the most important information I should know about XARELTO(®)?" for
signs and symptoms of bleeding.
-- Are breastfeeding or plan to breastfeed. XARELTO(®) may pass into your
breast milk. You and your doctor should decide if you will take
XARELTO(®) or breastfeed.
Tell all of your doctors and dentists that you are taking XARELTO(®). They should talk to the doctor who prescribed XARELTO(®) for you before you have any surgery, medical or dental procedure.
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some of your other medicines may affect the way XARELTO(® )works, causing side effects. Certain medicines may increase your risk of bleeding. See "What is the most important information I should know about XARELTO(®)?"
HOW SHOULD I TAKE XARELTO(®)?
-- Take XARELTO(®) exactly as prescribed by your doctor.
-- Do not change your dose or stop taking XARELTO(®) unless your doctor tells you to.
-- Your doctor may change your dose if needed.
-- If you take XARELTO(®) for:
Atrial Fibrillation that is not caused by a heart valve problem:
-- Take XARELTO(®) 1 time a day with your evening meal.
-- If you miss a dose of XARELTO(®), take it as soon as you remember on
the same day. Take your next dose at your regularly scheduled time.
Blood clots in the veins of your legs or lungs:
-- Take XARELTO(®) 1 or 2 times a day as prescribed by your doctor.
-- For the 15-mg and 20-mg doses, XARELTO(®) should be taken with food.
-- For the 10-mg dose, XARELTO(®) may be taken with or without food.
-- Take your XARELTO(®) doses at the same time each day.
-- If you miss a dose:
-- If you take the 15-mg dose of XARELTO 2 times a day (a total of 30 mg of
XARELTO in 1 day): Take XARELTO(®) as soon as you remember on the same
day. You may take 2 doses at the same time to make up for the missed
dose. Take your next dose at your regularly scheduled time.
-- If you take XARELTO(®) 1 time a day: Take XARELTO(®) as soon as you
remember on the same day. Take your next dose at your regularly
scheduled time.
Hip or knee replacement surgery:
-- Take XARELTO(®) 1 time a day with or without food.
-- If you miss a dose of XARELTO(®), take it as soon as you remember on
the same day. Take your next dose at your regularly scheduled time.
Reducing the risk of serious heart problems, heart attack and stroke in coronary artery disease or peripheral arterial disease:
-- Take XARELTO(®) 2 times a day with or without food.
-- If you miss a dose of XARELTO(®), take your next dose at your regularly
scheduled time.
-- If you have difficulty swallowing the XARELTO(® )tablet whole, talk to
your doctor about other ways to take XARELTO(®).
-- Your doctor will decide how long you should take XARELTO(®).
-- XARELTO(® )may need to be stopped, if possible for one or more days
before any surgery or medical/dental procedure. If you need to stop
taking XARELTO(®) for any reason, talk to your doctor to find out when
you should stop taking it. Do not stop taking XARELTO(®) without first
talking to the doctor who prescribed it to you. Your doctor will tell
you when to start taking XARELTO(®) again after your surgery or
procedure.
-- Do not run out of XARELTO(®). Refill your prescription for XARELTO(®)
before you run out. When leaving the hospital following a hip or knee
replacement, be sure that you have XARELTO(®) available to avoid
missing any doses.
-- If you take too much XARELTO(®), go to the nearest hospital emergency
room or call your doctor right away.
WHAT ARE THE POSSIBLE SIDE EFFECTS OF XARELTO(®)?
-- The most common side effect of XARELTO(®) was bleeding.
-- See "What is the most important information I should know about XARELTO(®)?"
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Janssen Pharmaceuticals, Inc., at 1-800-JANSSEN (1-800-526-7736).
Please click here for full Prescribing Information, including Boxed Warnings, and Medication Guide.
Trademarks are those of their respective owners. Janssen and Bayer together are developing rivaroxaban. For more information about XARELTO(®), visit www.xarelto.com.
About the Janssen Pharmaceutical Companies of Johnson & Johnson
At the Janssen Pharmaceutical Companies of Johnson & Johnson, we are working to create a world without disease. Transforming lives by finding new and better ways to prevent, intercept, treat and cure disease inspires us. We bring together the best minds and pursue the most promising science. We are Janssen. We collaborate with the world for the health of everyone in it. Learn more at www.janssen.com. Follow us at @JanssenUS. Janssen Research & Development, LLC and Janssen Scientific Affairs, LLC are part of the Janssen Pharmaceutical Companies of Johnson & Johnson.
Cautions Concerning Forward-Looking Statements
This press release contains "forward-looking statements" as defined in the Private Securities Litigation Reform Act of 1995 regarding product development and the potential benefits and treatment impact of DARZALEX, IMBRUVICA, XARELTO and LCAR-B38M. The reader is cautioned not to rely on these forward-looking statements. These statements are based on current expectations of future events. If underlying assumptions prove inaccurate or known or unknown risks or uncertainties materialize, actual results could vary materially from the expectations and projections of Janssen Research & Development, LLC, Janssen Scientific Affairs, LLC or any of the other Janssen Pharmaceutical Companies and/or Johnson & Johnson. Risks and uncertainties include, but are not limited to: challenges and uncertainties inherent in product research and development, including the uncertainty of clinical success and of obtaining regulatory approvals; uncertainty of commercial success; manufacturing difficulties and delays; competition, including technological advances, new products and patents attained by competitors; challenges to patents; product efficacy or safety concerns resulting in product recalls or regulatory action; changes in behavior and spending patterns of purchasers of health care products and services; changes to applicable laws and regulations, including global health care reforms; and trends toward health care cost containment. A further list and descriptions of these risks, uncertainties and other factors can be found in Johnson & Johnson's Annual Report on Form 10-K for the fiscal year ended December 31, 2017, including in the sections captioned "Cautionary Note Regarding Forward-Looking Statements" and "Item 1A. Risk Factors," and in the company's most recently filed Quarterly Report on Form 10-Q, and the company's subsequent filings with the Securities and Exchange Commission. Copies of these filings are available online at www.sec.gov, www.jnj.com or on request from Johnson & Johnson. Neither the Janssen Pharmaceutical Companies nor Johnson & Johnson undertakes to update any forward-looking statement as a result of new information or future events or developments.
(1) Genetics Home Reference. Isolated growth hormone deficiency.
http://ghr.nlm.nih.gov/condition/isolated-growth-hormone-deficiency. Accessed August 2018.
((2)) IMBRUVICA U.S. Prescribing Information, August 2018.
((3)) Janssen Global Services, LLC. Data on file. 2018.
(4) DARZALEX Prescribing Information, June 2018.
(5) Fedele G et al. CD38 Ligation in Peripheral Blood Mononuclear Cells of Myeloma Patients Induces Release of Protumorigenic IL-6 and Impaired Secretion of IFN Cytokines and Proliferation. Mediators Inflamm. 2013;564687.
(6) Janssen Research & Development, LLC. A Study Comparing Daratumumab, Lenalidomide, and Dexamethasone With Lenalidomide and Dexamethasone in Relapsed or Refractory Multiple Myeloma. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24]. Available at: https://clinicaltrials.gov/ct2/show/NCT02076009?term=mmy3003&rank=1 Identifier: NCT02136134.
(7) Janssen Research & Development, LLC. Addition of Daratumumab to Combination of Bortezomib and Dexamethasone in Participants With Relapsed or Refractory Multiple Myeloma. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24]. Available at: https://clinicaltrials.gov/ct2/show/NCT02136134?term=mmy3004&rank=1 Identifier: NCT02076009.
(8) Janssen Research & Development, LLC. A Study to Evaluate Daratumumab in Transplant Eligible Participants With Previously Untreated Multiple Myeloma (Cassiopeia). In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24]. Available at: https://clinicaltrials.gov/ct2/show/NCT02541383?term=mmy3006&rank=2 NLM Identifier: NCT02541383.
(9) Janssen Research & Development, LLC. A Study of Combination of Daratumumab and Velcade (Bortezomib) Melphalan-Prednisone (DVMP) Compared to Velcade Melphalan-Prednisone (VMP) in Participants With Previously Untreated Multiple Myeloma In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24]. Available at: https://clinicaltrials.gov/ct2/show/NCT02195479?term=mmy3007&rank=1 Identifier: NCT02195479.
(10) Janssen Research & Development, LLC. Study Comparing Daratumumab, Lenalidomide, and Dexamethasone With Lenalidomide and Dexamethasone in Participants With Previously Untreated Multiple Myeloma. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24]. Available at: https://clinicaltrials.gov/ct2/show/NCT02252172?term=mmy3008&rank=1 Identifier: NCT02252172.
(11) Janssen Research & Development, LLC. A Study of VELCADE (Bortezomib) Melphalan-Prednisone (VMP) Compared to Daratumumab in Combination With VMP (D-VMP), in Participants With Previously Untreated Multiple Myeloma Who Are Ineligible for High-Dose Therapy (Asia Pacific Region). In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24]. Available at: https://clinicaltrials.gov/ct2/show/NCT03217812?term=MMY3011&rank=1 Identifier: NCT03217812.
(12) European Myeloma Network. Compare Progression Free Survival Btw Daratumumab/Pomalidomide/Dexamethasone vs Pomalidomide/Dexamethasone (EMN14). In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24] Available at: https://clinicaltrials.gov/ct2/show/NCT03180736?term=MMY3013&rank=2 Identifier: NCT03180736
(13) Amgen. Study of Carfilzomib, Daratumumab and Dexamethasone for Patients With Relapsed and/or Refractory Multiple Myeloma. (CANDOR). In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 July 24] Available at: https://clinicaltrials.gov/ct2/show/NCT03158688?term=NCT03158688&rank=1 Identifier: NCT03158688.
(14) Janssen Research & Development, LLC. "Janssen Announces the Initiation of Two Studies Evaluating Daratumumab (DARZALEX(®)) and Atezolizumab in Multiple Myeloma and Solid Tumor." Issued March 21, 2016.
(15) Janssen Research & Development, LLC. A Study to Evaluate 3 Dose Schedules of Daratumumab in Participants With Smoldering Multiple Myeloma In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 March 19]. Available at: https://clinicaltrials.gov/ct2/show/NCT02316106?term=smm2001&rank=1 Identifier: NCT02316106. (
16) Janssen Research & Development, LLC. An Efficacy and Safety Proof of Concept Study of Daratumumab in Relapsed/Refractory Mantle Cell Lymphoma, Diffuse Large B-Cell Lymphoma, and Follicular Lymphoma In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000-[cited 2018 March 19]. Available at: https://clinicaltrials.gov/ct2/show/NCT02413489?term=lym2001&rank=1 Identifier: NCT02413489
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