Clinical use:
Authorization was based on overall response rate, complete response rate and durability of response from a single-arm clinical study. An improvement in progression-free survival or overall survival has not been established.
Pediatrics (<18 years of age): No data are available to Health Canada; therefore, Health Canada has not authorized an indication for pediatric use.
Geriatrics (≥65 years of age): Among 81 patients treated in the L-MIND study, 72% were 65 years and older. Patients 65 years of age and older had more serious treatment emergent adverse events (TEAEs) (57%) than younger patients (39%).
Evidence from clinical studies does not suggest that use in the geriatric population is associated with differences in effectiveness.
Contraindications:
Most serious warnings and precautions:
Infection: Clinically significant and/or life-threatening adverse events including fatal, life-threatening, or serious infections, including opportunistic infections have been reported in patients treated with MINJUVI® in combination with lenalidomide.
Myelosuppression: Serious and severe myelosuppression, including neutropenia, febrile neutropenia, thrombocytopenia, and anemia have been reported in patients treated with MINJUVI® in combination with lenalidomide.
Progressive Multifocal Leukoencephalopathy (PML): PML can occur in patients receiving MINJUVI® in combination with lenalidomide. MINJUVI® treatment should be interrupted in case of PML suspicion, until the diagnosis can be clearly established. Discontinue MINJUVI® therapy and consider discontinuation or reduction of lenalidomide therapy in patients who develop PML.
Hepatitis B Virus (HBV) Reactivation: HBV reactivation has been observed in studies of MINJUVI® in combination with lenalidomide. Patients should be screened for HBV infection before treatment initiation and should be monitored during and after treatment with MINJUVI®. In the event of HBV reactivation, MINJUVI® should be discontinued.
Other relevant warnings and precautions:
For more information:
Please consult the Product Monograph here for important information relating to monitoring and laboratory tests, adverse reactions, drug interactions, and dosing information which have not been discussed in this piece. The Product Monograph is also available by calling 1-833-309-2759 or contacting medinfocanada@incyte.com.