Campath Demonstrated a Predictable, Manageable, and Reversible Safety Profile • Cytomegalovirus (CMV) infection was reported in 16% of patients treated with Campath vs 0% of patients treated with chlorambucil with no grade 4 events2 • All patients with CMV infection recovered without sequelae1 • CMV events were manageable with no apparent effect on PFS, ORR, or CR1 • Routinely monitor patients for CMV infection during Campath treatment and for at least 2 months following completion of treatment • Most common infusion reactions associated with Campath were mild to moderate in severity and declined sharply after the first week2 Now Approved as Single-agent, First-line Therapy for B-CLL* Campath Demonstrated Superior Efficacy Campath significantly improved progression-free survival (PFS) 100 Estimated Probability (%) Superior Efficacy and Well Tolerated 1 chlorambucil Campath 42% reduction in risk of disease progression or death with Campath (P=.0001; HR=0.58) 75 50 Median 14.6 months (0.6-25.1)2 25 0 Median 11.7 months (0.3-27.9)2 0 4 8 12 16 20 24 28 32 36 40 Time (Months) HR=hazard ratio. *B-CLL=B-cell chronic lymphocytic leukemia. • Median PFS was nearly 3 months longer with Campath than with chlorambucil • Median follow-up was about 25 months in both treatment arms1 • Campath achieved an 83% overall response rate (ORR) compared with 55% for chlorambucil and a complete response (CR) rate of 24% compared with 2% for chlorambucil (P <.0001) Please see Important Safety Information, including Boxed Warning, on the inside and accompanying full Prescribing Information. • The median treatment-free interval with Campath was more than double that of chlorambucil (88 weeks vs 36 weeks)1 References: 1. Hillmen P, Skotnicki AB, Robak T, et al. Alemtuzumab compared with chlorambucil as first-line therapy for chronic lymphocytic leukemia. J Clin Oncol. 2007;25:5616-5623. 2. Data on file, Bayer HealthCare Pharmaceuticals Inc. Manufactured by Genzyme Corporation, Cambridge, MA 02142 Distributed by Bayer HealthCare Pharmaceuticals Inc., Wayne, NJ 07470 © 2007 Bayer HealthCare Pharmaceuticals Inc., Wayne, NJ 07470 All rights reserved. 541-01-0004-07 305605 Printed in USA 12/07 Please see Important Safety Information, including Boxed Warning, on the inside and accompanying full Prescribing Information. Superior Efficacy and Well Tolerated Treat for the Recommended Duration of 12 Weeks First Infusion Week 1* Week 2 Administer as an intravenous infusion over 2 hours. Administer 3 mg/day until infusion reactions are grade 2 Second Infusion Then administer 10 mg/day until infusion reactions are grade 2 Third Infusion Then administer 30 mg/day Continue 30-mg/day therapeutic dose (alternate days 3 times weekly) Week 12 *Titration can take up to 3 to 7 days to accomplish. • Median length of treatment was 11.7 weeks in first-line patients • O btain complete blood counts (CBCs) and platelet counts at weekly intervals during therapy and CD4 counts after therapy until recovery to 200 cells/µL Important safety information Campath is indicated as a single agent for the treatment of B-cell chronic lymphocytic leukemia (B-CLL). The most commonly reported adverse reactions are infusion reactions (fever, chills, hypotension, urticaria, nausea, rash, tachycardia, dyspnea), cytopenias (neutropenia, lymphopenia, thrombocytopenia, anemia), and infections (CMV viremia, CMV infection, other infections). In clinical trials, the frequency of infusion reactions was highest in the first week of treatment. Other commonly reported adverse reactions include vomiting, abdominal pain, insomnia and anxiety. The most commonly reported serious adverse reactions are cytopenias, infusion reactions, and immunosuppression/infections. See “Warnings and Precautions,” and “Adverse Reactions” sections of full Prescribing Information. WARNING: Cytopenias, Infusion Reactions, and Infections Cytopenias: Serious, including fatal, pancytopenia/marrow hypoplasia, autoimmune idiopathic thrombocytopenia, and autoimmune hemolytic anemia can occur in patients receiving Campath. Single doses of Campath greater than 30 mg or cumulative doses greater than 90 mg per week increase the incidence of pancytopenia [see Warnings and Precautions (5.1)]. Infusion Reactions: Campath administration can result in serious, including fatal, infusion reactions. Carefully monitor patients during infusions and withhold Campath for Grade 3 or 4 infusion reactions. Gradually escalate Campath to the recommended dose at the initiation of therapy and after interruption of therapy for 7 or more days [see DOSAGE AND ADMINISTRATION (2) and Warnings and Precautions (5.2)]. Infections: Serious, including fatal, bacterial, viral, fungal, and protozoan infections can occur in patients receiving Campath. Administer prophylaxis against Pneumocystis jiroveci pneumonia (PCP) and herpes virus infections [see DOSAGE AND ADMINISTRATION (2.2) and Warnings and Precautions (5.3)]. Please see accompanying full Prescribing Information.
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