DOCSLIB.ORG

Combinations of Belantamab Mafodotin with Lenalidomide

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Combinations of Belantamab Mafodotin with Lenalidomide Combinations of belantamab mafodotin with lenalidomide, pomalidomide, bortezomib and/or dexamethasone synergize in vitro and potentiate in vivo anti-tumor activity in multiple myeloma Poster No. 6711 Rocio Montes De Oca1*, Ira Gupta1, Chris Shelton1 1GlaxoSmithKline, 1250 South Collegeville Ave, Collegeville, PA, 19426 Background Figure 3. Single-agent activity of bortezomib, lenalidomide, pomalidomide, and Figure 5. Activity of belantamab mafodotin in combination with bortezomib, ● In vitro combination synergy was analyzed based on the Bliss independence dexamethasone in two MM cell lines lenalidomide, pomalidomide and dexamethasone in two MM cell lines (cont.) principle, which is appropriate when two drugs are mutually nonexclusive and/or ● Multiple myeloma (MM) is a hematological malignancy that affects plasma cells and have different mechanisms of action.5 leads to devastating clinical features. Typically, front line and relapsed/refractory OPM-2 OPM-2 120 120 MM (RRMM) treatments comprise standard of care (SOC) combinations that include Bor Len ● The Bliss model showed potential synergy in both cell lines with all agents to 100 Dex 100 Pom 80 proteasome inhibitors (e.g., bortezomib [Bor]), immunostimulatory drugs (e.g., 80 ● Dose response varying degrees, particularly when the combinations employed lower doses of 60 lenalidomide [Len] or pomalidomide [Pom]) and/or a steroid (e.g., dexamethasone 60 40 OPM-2 OPM-2 curves and Bliss 3D each drug than those used when delivered as single agents. [Dex]). While these therapies have significantly improved patient outcomes, the 20 40 916+Bor 916+Len response surface Survival (%) 1 T0 Survival (%) T0 ● Belantamab mafodotin had significant tumor growth inhibition efficacy and disease remains incurable and novel targeted therapies are urgently needed. 0 20 plots show synergy -20 0 between belantamab provided a survival advantage when administered as monotherapy in the OPM-2 ● Belantamab mafodotin (belamaf; GSK2857916) is a promising candidate for the 0.0001 0.001 0.01 0.1 1 10 0.0001 0.001 0.01 0.1 1 10 100 mafodotin and SOC and MOLP-8 (not shown) MM xenograft models. treatment of MM. In the primary analysis of the pivotal, Phase II study DREAMM-2 Concentration (µM) Concentration (µM) agents in OPM-2 cells. (NCT03525678), single-agent belamaf demonstrated an acceptable safety profile MOLP-8 MOLP-8 ● Belantamab mafodotin combinations with immunomodulatory drugs (IMiDs) and rapid, deep and durable clinical responses (at a follow-up of 13 months, overall 120 120 (e.g., Len or Pom) or Bor provided additional benefit compared with each single survival was 14.9 and 14.0 months and duration of response was 11 and 6.2 Bor Len ● Similar in vitro 100 Dex 100 Pom combinatorial activity agent by significantly increasing tumor growth inhibition and survival in the OPM-2 months in the 2.5 mg/kg and 3.4 mg/kg cohorts, respectively) in patients with heavily 80 80 was obtained in the 2,3 60 OPM-2 OPM-2 model. Similar results were obtained with the MOLP-8 model, but to a lesser extent. pretreated MM. 60 MOLP-8 cells (not 40 916+Dex 916+Pom Figure 1. Mechanisms of action of 40 shown), but to a ● Combining belantamab mafodotin with Dex in double or triple combinations did ● Belantamab mafodotin targets the Survival (%) 20 T0 Survival (%) 20 T0 lesser extent. B-cell maturation antigen (BCMA) belantamab mafodotin 0 not provide significant added benefit compared to single agents or double 0 protein, highly expressed in MM 0.0001 0.001 0.01 0.1 1 10 0.0001 0.001 0.01 0.1 1 10 100 combinations, respectively. Belantamab µ mafodotin ADC Concentration ( M) Concentration (µM) and other B cell malignancies. Synergy score (Bliss) 3D response surface plots. ADCC/ADCP Belantamab mafodotin is an BCMA Fc immunoconjugate that consists of receptor ● Treatment of OPM-2 cells with Bor, Dex, Len, or Pom led to direct cell kill. Conclusions Lysosome BCMA Figure 6. In vivo combination of belantamab mafodotin with lenalidomide, a humanized afucosylated anti- Effector ● Direct cell kill of MOLP-8 cells was only observed with Bor treatment. cell bortezomib and/or dexamethasone in the OPM-2 xenograft model BCMA monoclonal antibody BCMA ● IC (µM) and maximum growth inhibition (%) values are shown in . ● In vitro, belantamab mafodotin as a single agent demonstrated direct cell kill (GSK2857914) conjugated to the BCMA 50 Table 1 Saline activity in OPM-2 and MOLP-8 cells after 72 hours of exposure. Treatment of microtubule inhibitor monomethyl Vehicles + IgG-MMAF Table 1. IC50 and maximum growth inhibition OPM-2 cells with Bor, Dex, Len or Pom also led to direct cell kill. However, direct auristatin-F (MMAF) that enables Malignant plasma 916 MOLP-8 OPM-2 cell kill of MOLP-8 cells was only observed with Bor treatment. Combining anti-tumor activity by: 1) direct cell cell Compound Len + IgG-MMAF kill (ADC), 2) antibody-dependent IC50 (µM) Max inh.(%) IC50 (µM) Max inh.(%) belantamab mafodotin with each SOC agent led to synergistic activity in both cellular cytotoxicity or cellular GSK2857916 1.77 81.3% 0.5 99.1% Len + 916 cell lines. NA 0.7 NA NA phagocytosis (ADCC/ADCP), and GSK2857914 Bor + IgG-MMAF ICD 3) immunogenic cell death (ICD; Bor 0.002 100.6% 0.001 100.1% ● In vivo, belantamab mafodotin induced tumor growth inhibition and provided 4 Bor + 916 Figure 1). Dex NA 7.1% 0.031 65.9% survival advantage when administered as monotherapy to immune-compromised Dex + IgG-MMAF mice bearing OPM-2 and MOLP-8 xenografts. Combinations with Len, Pom, or ● To determine potential combinatorial activity, we conducted in vitro and in vivo Len NA -8.1% NA 44.4% Bor enhanced this anti-tumor activity and provided additional survival benefit studies of belantamab mafodotin in double and/or triple combinations with MM SOC Pom NA -6.9% 1.110 57.8% Dex + 916 compared to each single agent. agents (Bor, Dex, Len, or Pom) in two MM models: OPM-2 and MOLP-8. Bort + Dex + IgG-MMAF Figure 4. Activity of belantamab mafodotin in combination with bortezomib, Bort + Dex + 916 ● The observed synergy in in vitro cell cultures and in vivo xenograft models lenalidomide, pomalidomide, and dexamethasone in two MM cell lines Methods Dosing started at Day 12 after cell inoculation. provided preclinical evidence for combining belantamab mafodotin with IMiDs or Concentrations GSK2857916 Bor Dex Len Pom 916 or IgG-MMAF (isotype control) were Bor in MM. Selected combinations are currently under clinical evaluation in ● We evaluated direct cell kill activity of GSK2857916, GSK2857914 (naked antibody tested (μg/mL) (μM) (μM) (μM) (μM) dosed BIW x 2 wk at 2 mg/kg. Len was dosed RRMM in the DREAMM-6 trial. QDx4 x 2 wk at 10 mg/kg. Bor was dosed BIW without MMAF toxin) and SOC agents (Len, Pom, Bor, Dex) in two human MM cell lines. 50, 12.5, 3.125, 0.01, 0.0033, 10, 3.333, 1.111, 30, 10, 3.333, 30, 10, 3.333, x 2 wk at 1 mg/kg. Dex was dosed QD x 2 wk MOLP-8 0.7813, 0.1953, 0.0011, 0.00037, ● Additionally, we evaluated tumor growth inhibition and effects on survival of 0.3704, 0.1235 1.111, 0.3704 1.111, 0.3704 0.0488, 0.0122 0.00012 BIW, twice per week; QD, once per day; IgG, immunoglobulin G. at 3 mg/kg. GSK2857916 and SOC as single agents and/or in combination in murine 50, 12.5, 3.125, 0.01, 0.0033, subcutaneous xenograft models using the same two MM cell lines. 0.3, 0.1, 0.033, 10, 2, 0.4, 0.08, 10, 2, 0.4, 0.08, OPM-2 0.7813, 0.1953, 0.0011, 0.00037, 0.011, 0.0037 0.016 0.016 0.0488, 0.0122 0.00012 Figure 7. In vivo combination of belatamab mafodotin with pomalidomide and/or dexamethasone in the OPM-2 xenograft model Results OPM-2 OPM-2 916+Bor 916+Len Vehicle + IgG-MMAF References 120 120 916 + Bor (µM) 0.01 916 + Len (µM) 10 Figure 2. Single-agent activity of belantamab mafodotin (GSK2857916) versus 100 916 + Bor (µM) 0.0033 100 916 + Len (µM) 2 916 µ unconjugated antibody (GSK2857914) in two MM cell lines 80 916 + Bor ( M) 0.0011 80 916 + Len (µM) 0.4 1. Goldschmidt, et al. Annals of Hematology (2019) 98:1–18. 916 + Bor (µM) 0.00037 916 + Len (µM) 0.08 60 60 2. Lonial S, et al. Lancet Oncology (2020) 21(2):207–21. 916 + Bor (µM) 0.00012 916 + Len (µM) 0.016 Pom + IgG-MMAF MOLP-8 3. Lonial S, et al. ASCO (2020) Poster 436. OPM-2 40 916 40 916 % Survival % % Survival % 120 120 4. Tai, Y.T. & Anderson, K.C. Immunotherapy (2015) 11:1187-99. 20 20 Pom + 916 100 100 5. Bliss, C.I. Annals of Applied Biology (1939) 26:585–615. 0 0 80 80 GSK2857914 GSK2857914 0.001 0.01 0.1 1 10 100 0.001 0.01 0.1 1 10 100 Dex + IgG-MMAF 60 60 µg/mL µg/mL GSK2857916 GSK2857916 40 40 OPM-2 OPM-2 Disclosures and acknowledgments % Survival % % Survival % Cisplatin Dex + Pom + IgG-MMAF 20 Cisplatin 20 916+Dex 916+Pom 0 0 120 120 -20 -20 916 + Dex (µM) 0.3 916 + Pom (µM) 10 Dex + Pom + 916 ● All authors are employees of GlaxoSmithKline (GSK) and hold stocks/shares. 0.001 0.01 0.1 1 10 100 0.001 0.01 0.1 1 10 100 100 916 + Dex (µM) 0.1 100 916 + Pom (µM) 2 µ µ Concentration(Concentration (µg/mL)µg/mL) ConcentrationConcentration (µg/mL)(µg/mL) 80 916 + Dex ( M) 0.033 80 916 + Pom ( M) 0.4 ● This study was funded by GSK; drug linker technology licensed from Seattle Genetics; monoclonal 916 + Dex (µM) 0.011 916 + Pom (µM) 0.08 Dosing started at Day 17 after cell inoculation.
Load more

Recommended publications
  • Revlimid U.S. Full Prescribing Information
    HIGHLIGHTS OF PRESCRIBING INFORMATION • FL or MZL: 20 mg once daily orally on Days 1-21 of repeated 28-day cycles for up to These highlights do not include all the information needed to use REVLIMID® safely 12 cycles (2.4). and effectively. See full prescribing information for REVLIMID. • Renal impairment: Adjust starting dose based on the creatinine clearance value (2.6). • For concomitant therapy doses, see Full Prescribing Information (2.1, 2.4, 14.1, 14.4). REVLIMID (lenalidomide) capsules, for oral use Initial U.S. Approval: 2005 ------------------------- DOSAGE FORMS AND STRENGTHS ------------------------- Capsules: 2.5 mg, 5 mg, 10 mg, 15 mg, 20 mg, and 25 mg (3). WARNING: EMBRYO-FETAL TOXICITY, HEMATOLOGIC TOXICITY, -------------------------------- CONTRAINDICATIONS -------------------------------- and VENOUS and ARTERIAL THROMBOEMBOLISM • Pregnancy (Boxed Warning, 4.1, 5.1, 8.1). See full prescribing information for complete boxed warning. • Demonstrated severe hypersensitivity to lenalidomide (4.2, 5.9, 5.15). EMBRYO-FETAL TOXICITY --------------------------- WARNINGS AND PRECAUTIONS --------------------------- • Lenalidomide, a thalidomide analogue, caused limb abnormalities in a developmental monkey study similar to birth defects caused by thalidomide • Increased Mortality: serious and fatal cardiac adverse reactions occurred in patients in humans. If lenalidomide is used during pregnancy, it may cause birth with CLL treated with REVLIMID (lenalidomide) (5.5). defects or embryo-fetal death. • Second Primary Malignancies (SPM): Higher incidences of SPM were observed in • Pregnancy must be excluded before start of treatment. Prevent pregnancy controlled trials of patients with MM receiving REVLIMID (5.6). during treatment by the use of two reliable methods of contraception (5.1). • Increased Mortality: Observed in patients with MM when pembrolizumab was added REVLIMID is available only through a restricted distribution program, called the to dexamethasone and a thalidomide analogue (5.7).
    [Show full text]
  • Revlimid-INN Lenalidomide
    ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 This medicinal product is subject to additional monitoring. This will allow quick identification of new safety information. Healthcare professionals are asked to report any suspected adverse reactions. See section 4.8 for how to report adverse reactions. 1. NAME OF THE MEDICINAL PRODUCT Revlimid 2.5 mg hard capsules Revlimid 5 mg hard capsules Revlimid 7.5 mg hard capsules Revlimid 10 mg hard capsules Revlimid 15 mg hard capsules Revlimid 20 mg hard capsules Revlimid 25 mg hard capsules 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Revlimid 2.5 mg hard capsules Each capsule contains 2.5 mg of lenalidomide. Excipient(s) with known effect Each capsule contains 73.5 mg of lactose (as anhydrous lactose). Revlimid 5 mg hard capsules Each capsule contains 5 mg of lenalidomide. Excipient(s) with known effect Each capsule contains 147 mg of lactose (as anhydrous lactose). Revlimid 7.5 mg hard capsules Each capsule contains 7.5 mg of lenalidomide. Excipient(s) with known effect Each capsule contains 144.5 mg of lactose (as anhydrous lactose). Revlimid 10 mg hard capsules Each capsule contains 10 mg of lenalidomide. Excipient(s) with known effect Each capsule contains 294 mg of lactose (as anhydrous lactose). Revlimid 15 mg hard capsules Each capsule contains 15 mg of lenalidomide. Excipient(s) with known effect Each capsule contains 289 mg of lactose (as anhydrous lactose). Revlimid 20 mg hard capsules Each capsule contains 20 mg of lenalidomide. Excipient(s) with known effect Each capsule contains 244.5 mg of lactose (as anhydrous lactose).
    [Show full text]
  • Overcoming the Immunosuppressive Tumor Microenvironment in Multiple Myeloma
    cancers Review Overcoming the Immunosuppressive Tumor Microenvironment in Multiple Myeloma Fatih M. Uckun 1,2,3 1 Norris Comprehensive Cancer Center and Childrens Center for Cancer and Blood Diseases, University of Southern California Keck School of Medicine (USC KSOM), Los Angeles, CA 90027, USA; [email protected] 2 Department of Developmental Therapeutics, Immunology, and Integrative Medicine, Drug Discovery Institute, Ares Pharmaceuticals, St. Paul, MN 55110, USA 3 Reven Pharmaceuticals, Translational Oncology Program, Golden, CO 80401, USA Simple Summary: This article provides a comprehensive review of new and emerging treatment strategies against multiple myeloma that employ precision medicines and/or drugs capable of improving the ability of the immune system to prevent or slow down the progression of multiple myeloma. These rationally designed new treatment methods have the potential to change the therapeutic landscape in multiple myeloma and improve the long-term survival outcome. Abstract: SeverFigurel cellular elements of the bone marrow (BM) microenvironment in multiple myeloma (MM) patients contribute to the immune evasion, proliferation, and drug resistance of MM cells, including myeloid-derived suppressor cells (MDSCs), tumor-associated M2-like, “alter- natively activated” macrophages, CD38+ regulatory B-cells (Bregs), and regulatory T-cells (Tregs). These immunosuppressive elements in bidirectional and multi-directional crosstalk with each other inhibit both memory and cytotoxic effector T-cell populations as well as natural killer (NK) cells. Immunomodulatory imide drugs (IMiDs), protease inhibitors (PI), monoclonal antibodies (MoAb), Citation: Uckun, F.M. Overcoming the Immunosuppressive Tumor adoptive T-cell/NK cell therapy, and inhibitors of anti-apoptotic signaling pathways have emerged as Microenvironment in Multiple promising therapeutic platforms that can be employed in various combinations as part of a rationally Myeloma.
    [Show full text]
  • In Relapsed Or Refractory Diffuse
    Dührsen et al. Blood Cancer Journal (2021) 11:95 https://doi.org/10.1038/s41408-021-00485-5 Blood Cancer Journal CORRESPONDENCE Open Access Phase I/II trial of lenalidomide, methotrexate, leucovorin, cytarabine, and rituximab (LeMLAR) in relapsed or refractory diffuse large B cell lymphoma Ulrich Dührsen 1, Mareike Tometten2,FrankKroschinsky3, Arnold Ganser4,StefanIbach5, Stefanie Bertram6 and Andreas Hüttmann 1 Dear Editor, ≥2.5 mg/dl, serum aspartate [AST] or alanin amino- Lenalidomide has moderate activity in relapsed or transferase [ALT] >4× upper limit of normal [ULN]), refractory diffuse large B cell lymphoma (r/rDLBCL)1. active hepatitis B or C, human immunodeficiency virus Based on the COMLA regimen used in the 1970s and infection, any other uncontrolled infection, as well as 1980s2, we combined lenalidomide with methotrexate pregnancy and nursing period. All patients gave written (plus leucovorin), cytarabine, and rituximab (LeMLAR) in informed consent. The LeMLAR regimen (Fig. 1) com- a phase I/II trial. Lenalidomide induces apoptosis and cell prised up to six 28-day cycles consisting of lenalidomide cycle arrest in the G0/G1 phase3. After discontinuation, (day 1–21), methotrexate (5–10 min i.v. bolus; day 1, 8, surviving cells start to proliferate and become susceptible 15), leucovorin (four oral 45 mg doses six hours apart, to the S-phase-specific agents methotrexate and cytar- starting 24 h after methotrexate), cytarabine (5-10 min i.v. 1234567890():,; 1234567890():,; 1234567890():,; 1234567890():,; abine administered in the subsequent cycle. Because of bolus; day 1, 8, 15), and rituximab (375 mg/m², day 1). All – low toxicity for immune effector cells4 6, these drugs are patients received prophylactic enoxaparin (40 mg s.c.).
    [Show full text]
  • Safety and Tolerability of Lenalidomide Maintenance in Post-Transplant
    www.nature.com/bmt ARTICLE OPEN Safety and tolerability of lenalidomide maintenance in post-transplant acute myeloid leukemia and high-risk myelodysplastic syndrome ✉ Brian Pham 1 , Rasmus Hoeg1, Rajeev Krishnan2, Carol Richman1, Joseph Tuscano1 and Mehrdad Abedi 1 © The Author(s) 2021 Relapse after allogeneic stem cell transplant in unfavorable-risk acute myeloid leukemia (AML) and high-risk myelodysplastic syndrome (MDS) portends a poor prognosis. We conducted a single-center phase I dose-escalation study with lenalidomide maintenance in high-risk MDS and AML patients after allogeneic transplantation. Sixteen patients enrolled in a “3 + 3” study design starting at lenalidomide 5 mg daily, increasing in increments of 5 mg up to 15 mg. Lenalidomide was given for 21 days of a 28-day cycle for a total of six cycles. Most common dose-limiting toxicities were lymphopenia, diarrhea, nausea, and neutropenia. Two patients had acute graft-versus-host disease (GVHD), and five patients developed chronic GVHD. The maximum tolerated dose was 10 mg, after dose-limiting toxicities were seen in the 15 mg group. Two dose-limiting toxicities were seen from development of acute GVHD and grade III diarrhea. Limitations of the study include time to initiation at 6 months post transplant, as many high-risk patients will have relapsed within this time frame before starting maintenance lenalidomide. Overall, lenalidomide was well tolerated with minimal GVHD and low rates of relapse rates, warranting further study. Bone Marrow Transplantation; https://doi.org/10.1038/s41409-021-01444-1 INTRODUCTION mutations, the role for post-transplant maintenance is less clear. Allogeneic stem cell transplantation (allo-SCT) remains the best Hypomethylating agents have been studied for post allo-SCT option for cure in most patients with unfavorable-risk acute maintenance therapy.
    [Show full text]
  • REVLIMID (Lenalidomide) 5 Mg, 10 Mg, 15 Mg and 25 Mg Capsules
    ® 1 REVLIMID (lenalidomide) 2 5 mg, 10 mg, 15 mg and 25 mg capsules 3 WARNINGS: 4 1. POTENTIAL FOR HUMAN BIRTH DEFECTS 5 2. HEMATOLOGIC TOXICITY (NEUTROPENIA AND 6 THROMBOCYTOPENIA) 7 3. DEEP VENOUS THROMBOSIS AND PULMONARY EMBOLISM 8 9 POTENTIAL FOR HUMAN BIRTH DEFECTS 10 WARNING: POTENTIAL FOR HUMAN BIRTH DEFECTS 11 LENALIDOMIDE IS AN ANALOGUE OF THALIDOMIDE. THALIDOMIDE IS 12 A KNOWN HUMAN TERATOGEN THAT CAUSES SEVERE LIFE­ 13 THREATENING HUMAN BIRTH DEFECTS. IF LENALIDOMIDE IS TAKEN 14 DURING PREGNANCY, IT MAY CAUSE BIRTH DEFECTS OR DEATH TO AN 15 UNBORN BABY. FEMALES SHOULD BE ADVISED TO AVOID PREGNANCY 16 WHILE TAKING REVLIMID® (lenalidomide). 17 Special Prescribing Requirements 18 BECAUSE OF THIS POTENTIAL TOXICITY AND TO AVOID FETAL 19 EXPOSURE TO REVLIMID® (lenalidomide), REVLIMID® (lenalidomide) IS 20 ONLY AVAILABLE UNDER A SPECIAL RESTRICTED DISTRIBUTION 21 PROGRAM. THIS PROGRAM IS CALLED "RevAssist®." UNDER THIS 22 PROGRAM, ONLY PRESCRIBERS AND PHARMACISTS REGISTERED WITH 23 THE PROGRAM CAN PRESCRIBE AND DISPENSE THE PRODUCT. IN 24 ADDITION, REVLIMID® (lenalidomide) MUST ONLY BE DISPENSED TO 25 PATIENTS WHO ARE REGISTERED AND MEET ALL THE CONDITIONS OF 26 THE RevAssist® PROGRAM. 27 PLEASE SEE THE FOLLOWING INFORMATION FOR PRESCRIBERS, 28 FEMALE PATIENTS, AND MALE PATIENTS ABOUT THIS RESTRICTED 29 DISTRIBUTION PROGRAM. 30 RevAssist® PROGRAM DESCRIPTION 31 Prescribers 32 REVLIMID® (lenalidomide) can be prescribed only by licensed prescribers who are 33 registered in the RevAssist® program and understand the potential risk of teratogenicity if 34 lenalidomide is used during pregnancy. 1 35 Effective contraception must be used by female patients of childbearing potential for at 36 least 4 weeks before beginning REVLIMID® (lenalidomide) therapy, during 37 REVLIMID® (lenalidomide) therapy, during dose interruptions and for 4 weeks 38 following discontinuation of REVLIMID® (lenalidomide) therapy.
    [Show full text]
  • Phase I/II Clinical Trial of Temsirolimus and Lenalidomide in Patients with Relapsed and Refractory Lymphomas by Ajay Major, Justin Kline, Theodore G
    Phase I/II clinical trial of temsirolimus and lenalidomide in patients with relapsed and refractory lymphomas by Ajay Major, Justin Kline, Theodore G. Karrison, Paul A.S. Fishkin, Amy S. Kimball, Adam M. Petrich, Sreenivasa Nattam, Krishna Rao, Bethany G. Sleckman, Kenneth Cohen, Koen van Besien, Aaron P. Rapoport, and Sonali M. Smith Received: April 18, 2021. Accepted: July 22, 2021. Citation: Ajay Major, Justin Kline, Theodore G. Karrison, Paul A.S. Fishkin, Amy S. Kimball, Adam M. Petrich, Sreenivasa Nattam, Krishna Rao, Bethany G. Sleckman, Kenneth Cohen, Koen van Besien, Aaron P. Rapoport and Sonali M. Smith. Phase I/II clinical trial of temsirolimus and lenalidomide in patients with relapsed and refractory lymphomas. Haematologica. 2021 Jul 29. doi: 10.3324/haematol.2021.278853. [Epub ahead of print] Publisher's Disclaimer. E-publishing ahead of print is increasingly important for the rapid dissemination of science. Haematologica is, therefore, E-publishing PDF files of an early version of manuscripts that have completed a regular peer review and have been accepted for publication. E-publishing of this PDF file has been approved by the authors. After having E-published Ahead of Print, manuscripts will then undergo technical and English editing, typesetting, proof correction and be presented for the authors' final approval; the final version of the manuscript will then appear in a regular issue of the journal. All legal disclaimers that apply to the journal also pertain to this production process. Phase I/II TEM/LEN clinical trial Phase I/II clinical trial of temsirolimus and lenalidomide in patients with relapsed and refractory lymphomas Ajay Major1; Justin Kline1; Theodore G.
    [Show full text]
  • Unsupported Price Increase Report
    Unsupported Price Increase Report 2019 Assessment October 8, 2019 (Updated November 6, 2019) ©Institute for Clinical and Economic Review, 2019 Authors David M. Rind, MD, MSc Eric Borrelli, PharmD, MBA Chief Medical Officer Evidence Synthesis Intern Institute for Clinical and Economic Review Institute for Clinical and Economic Review Foluso Agboola, MBBS, MPH Steven D. Pearson, MD, MSc Director, Evidence Synthesis President Institute for Clinical and Economic Review Institute for Clinical and Economic Review Varun M. Kumar, MBBS, MPH, MSc (Former) Associate Director of Health Economics Institute for Clinical and Economic Review None of the above authors disclosed any conflicts of interest. DATE OF PUBLICATION: October 8, 2019 (Updated November 6, 2019) We would also like to thank Laura Cianciolo and Maria M. Lowe for their contributions to this report. ©Institute for Clinical and Economic Review, 2019 Page ii Unsupported Price Increase Report About ICER The Institute for Clinical and Economic Review (ICER) is an independent non-profit research organization that evaluates medical evidence and convenes public deliberative bodies to help stakeholders interpret and apply evidence to improve patient outcomes and control costs. Through all its work, ICER seeks to help create a future in which collaborative efforts to move evidence into action provide the foundation for a more effective, efficient, and just health care system. More information about ICER is available at http://www.icer-review.org. The funding for this report comes from the Laura and John Arnold Foundation. No funding for this work comes from health insurers, pharmacy benefit managers (PBMs), or life science companies. ICER receives approximately 21% of its overall revenue from these health industry organizations to run a separate Policy Summit program, with funding approximately equally split between insurers/PBMs and life science companies.
    [Show full text]
  • Health Plan Insights
    Health Plan Insights September 2020 Updates from August 2020 Confidential – Do not copy or distribute. 800-361-4542 | elixirsolutions.com 1 Recent FDA Approvals New Medications TRADE NAME DOSAGE FORM APPROVAL MANUFACTURER INDICATION(S) (generic name) STRENGTH DATE Blenrep GlaxoSmithKline Injection, For the treatment of adult patients with August 5, 2020 (belantamab 2.5 mg/kg relapsed or refractory multiple myeloma who mafodotin-blmf) have received at least 4 prior therapies including an anti-CD38 monoclonal antibody, a proteasome inhibitor, and an immunomodulatory agent. Lampit Bayer Healthcare Tablets, For use in pediatric patients (birth to less than August 6, 2020 (nifurtimox) 30 mg and 120 18 years of age and weighing at least 2.5 kg) mg for the treatment of Chagas disease (American Trypanosomiasis), caused by Trypanosoma cruzi. Olinvyk Trevena, Inc. Injection, For use in adults for the management of August 7, 2020 (oliceridine) 1 mg/mL acute pain severe enough to require an intravenous opioid analgesic and for whom alternative treatments are inadequate. Evrysdi Genentech, Inc. Oral Solution, For the treatment of spinal muscular atrophy August 7, 2020 (risdiplam) 0.75 mg/mL (SMA) in patients 2 months of age and older. Viltepso NS Pharma, Inc. Injection, For the treatment of Duchenne muscular August 12, 2020 (viltolarsen) 50 mg/mL dystrophy (DMD) in patients who have a confirmed mutation of the DMD gene that is amenable to exon 53 skipping. This indication is approved under accelerated approval based on an increase in dystrophin production in skeletal muscle observed in patients treated with VILTEPSO. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.
    [Show full text]
  • BMT CTN Protocol #1401
    Phase II Multicenter Trial of Single Autologous Hematopoietic Cell Transplant Followed by Lenalidomide Maintenance for Multiple Myeloma with or without Vaccination with Dendritic Cell /Myeloma Fusions (Posted on clinincaltrials.gov as NCT02728102) BMT CTN PROTOCOL 1401 Version 4.0 Study Co-Chairs David Avigan, MD1, Nina Shah, MD2, David Chung, MD3 Protocol Team Devine, Steven4 Logan, Brent9 Poland, Nancy11 Fay, Joseph5 Mendizabal, Adam10 Rosenblatt, Jacalyn1 Geller, Nancy6 Nelson, Courtney10 Rapoport, Aaron12 Holstein, Sarah7 O’Brien, Kelly10 Soiffer, Robert13 Lazarus, Hillard8 Pasquini, Marcelo9 Waller, Edmund14 Manufacturing Team: Choi, Chris7 Reese, Jane8 Uhl, Lynne1 Copland, Ian14 Keever-Taylor, Carolyn16 Stroopinsky, Dina1 Hematti, Peiman15 Young, James3 Herman, Michele1 O'Donnell, Lynn4 Zurawski, Gerard5 Sponsored by the National Institutes of Health National Heart, Lung, and Blood Institute and National Cancer Institute FDA IND # 16655 1 Beth Israel Deaconess Medical 6 National Heart, Lung, and 10 The EMMES Corporation Center Blood Institute 11 National Marrow Donor 2 University of California- San 7 Roswell Park Cancer Institute Program Francisco 8 University Hospitals Case 12University of Maryland 3 Memorial Sloan-Kettering Medical Center, Case Western 13 Dana Farber Cancer Institute Cancer Center Reserve University 14 Emory University 4 The Ohio State University 9 Center for International Blood 15 University of Wisconsin 5 Baylor Institute for and Marrow Transplant 16 Medical College of Wisconsin Immunology Research, Baylor Research,
    [Show full text]
  • Samaritan Fund
    Items supported by the Samaritan Fund (a) Non-drug Items supported by the Fund (b) Other items supported by the Samaritan Fund Mechanism (c) Self-financed Drugs supported by the Samaritan Fund (SF) and Community Care Fund (CCF) Medical Assistance Programme (First Phase Programme) (for specified self- financed cancer drugs) (a) Non-drug Items supported by the Fund 1. Percutaneous Transluminal Coronary Angioplasty (PTCA) and other consumables for interventional cardiology 2. Cardiac Pacemakers 3. Myoelectric Prosthesis 4. Custom-made Prosthesis 5. Appliances for prosthetic and orthotic services, physiotherapy and occupational therapy services (e.g. prosthesis) 6. Home use equipment and appliances (e.g. wheelchair, replacement of external speech processor for patients done with cochlear implant) 7. Gamma knife surgery 8. Harvesting of marrow in a foreign country for marrow transplant The Fund will only support the model which can meet the basic medical needs of the patients. (b) Other items supported by the Samaritan Fund Mechanism 1. Positron Emission Tomography (PET) service (c) Drugs supported by the Samaritan Fund The following specific self-financed drugs are supported by the Samaritan Fund: Item Drug Types of Clinical indications diseases 1 Abatacept Rheumatology Rheumatoid arthritis 2a Adalimumab Dermatology Severe psoriasis 2b Ophthalmology Non-infectious intermediate, posterior and panuveitis 2c Paediatric chronic non-infectious anterior uveitis 2d Rheumatology Ankylosing spondylitis 2e Juvenile idiopathic arthritis 2f Psoriatic
    [Show full text]
  • (Revlimid®), Pomalidomide (Pomalyst®), Thalidomide (Thalomid®) EOCCO POLICY Policy Type: PA/SP Pharmacy Coverage Policy: EOCCO111
    lenalidomide (Revlimid®), pomalidomide (Pomalyst®), thalidomide (Thalomid®) EOCCO POLICY Policy Type: PA/SP Pharmacy Coverage Policy: EOCCO111 Description Thalidomide (Thalomid) is an oral immunomodulatory medication that inhibits FGF-dependent angiogenesis in vivo and exhibits antineoplastic activity. Lenalidomide (Revlimid) and pomalidomide (Pomalyst) are orally administered thalidomide analogues. These agents are thought to attack multiple targets in the microenvironment of the myeloma cell, producing apoptosis, inhibition of angiogenesis, and cytokine circuits, among others. Length of Authorization Initial: i. Lenalidomide (Revlimid) 1. Follicular lymphoma/Marginal zone lymphoma: 12 months 2. All other indications: Six months ii. Pomalidomide (Pomalyst) and thalidomide (Thalomid) 1. All indications: Three months Renewal: i. Lenalidomide (Revlimid) 1. Follicular lymphoma/Marginal zone lymphoma: Cannot be renewed 2. All other indications: 12 months ii. Pomalidomide (Pomalyst) 1. All indications: 12 months iii. Thalidomide (Thalomid) 1. Cutaneous manifestations of moderate to severe Erythema Nodosum Leprosum (ENL): Three months 2. Multiple myeloma: Six months Quantity limits Product Name Dosage Form Indication Quantity Limit Follicular lymphoma; M arginal zone 2.5 mg capsules lymphoma; Multiple myeloma; 28 capsules/28 days Myelodysplastic syndromes 5 mg capsules 28 capsules/28 days lenalidomide Follicular lymphoma; Mantle cell lymphoma; Marginal zone (Revlimid) 10 mg capsules lymphoma; Multiple myeloma; 28 capsules/28 days 15 mg capsules
    [Show full text]