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Janssen, Present

The Janssen Pharmaceutical Companies of Johnson & Johnson have announced the latest research to be presented at the 24th European Hematology Association (EHA) Annual Congress taking place in Amsterdam, The Netherlands, from 13–16 June 2019.

10.06.2019 - 11:08:22

Janssen to Present Data from its Robust Oncology Portfolio and Pipeline at the 24th EHA Annual Congress. Janssen will present 28 company-sponsored abstracts from its leading haematological malignancy portfolio at the congress, including the latest results for DARZALEX® (daratumumab) and IMBRUVICA® (ibrutinib).

Highlights of the data to be presented by Janssen include:

First-Time Daratumumab Data in the Treatment of Newly Diagnosed Patients with Relapsed/Refractory Multiple Myeloma, and its Investigational Subcutaneous Formulation1,2
Fourteen daratumumab abstracts have been selected for presentation at the EHA Annual Congress this year, four of which will be featured in oral sessions. Notably, results from the Phase 3 CASSIOPEIA study evaluating daratumumab in combination with bortezomib, thalidomide and dexamethasone for newly diagnosed patients with multiple myeloma who are transplant eligible have been selected for presentation as part of the Presidential Symposium (Abstract #S145).1 The Presidential Symposium includes the six best abstracts of the Congress, reflecting ground-breaking research as chosen by the Scientific Program Committee. These data recently supported regulatory filings in both the European Union and the U.S., seeking to expand the current indication for daratumumab in the frontline setting.

Findings from the Phase 3 COLUMBA study will be presented (Abstract #S823) evaluating a daratumumab subcutaneous formulation in the treatment of patients with relapsed or refractory multiple myeloma.2

Ibrutinib Long-Term Data in Chronic Lymphocytic Leukaemia3
Results from the final analysis of the Phase 3 RESONATETM-2 study (PCYC-1115/1116) study evaluating ibrutinib monotherapy in previously untreated patients with chronic lymphocytic leukaemia (CLL) will be presented in an oral session (Abstract #S107).3 Ibrutinib, a once daily oral BTK inhibitor, is jointly developed and commercialised by Janssen Biotech, Inc. and Pharmacyclics LLC, an AbbVie company.3

Select company-sponsored abstracts follow below. Abstracts for additional Janssen therapies will also be presented and can be found through the EHA abstract database here.

Abstract No.   Title   Date/Time Daratumumab Oral Presentations

Abstract #S1451

Phase 3 Randomized Study of Daratumumab + Bortezomib/Thalidomide/Dexamethasone (D-VTd) Versus VTd in Transplant-eligible Newly Diagnosed Multiple Myeloma: Part 1 CASSIOPEIA Results Presidential Symposium,

Friday, June 14 3:45 – 4:00 PM CEST

Abstract #S8744

Efficacy of Daratumumab, Bortezomib, Thalidomide, and Dexamethasone in Transplant-eligible Newly Diagnosed Multiple Myeloma Based Minimal Residual Disease Status: Analysis of CASSIOPEIA Saturday, June 15

4:45 – 5:00 PM CEST

Abstract #S8232

Randomized, Open-label, Non-inferiority, Phase 3 Study of Subcutaneous Versus Intravenous Daratumumab Administration in Patients with Relapsed or Refractory Multiple Myeloma: COLUMBA Saturday, June 15

11:30 – 11:45 AM CEST

Abstract #S8755

Subcutaneous Daratumumab, Cyclophosphamide, Bortezomib, and Dexamethasone in Patients with Newly Diagnosed Amyloid Light Chain Amyloidosis: Updated Safety Run-in Results of ANDROMEDA Saturday, June 15

5:00 – 5:15 PM CEST

Poster Presentations

Abstract #PF5986

Stem Cell Yield and Transplantation in Transplant-eligible Newly Diagnosed Multiple Myeloma Patients Receiving Daratumumab, Bortezomib, Thalidomide, and Dexamethasone: Phase 3 CASSIOPEIA Study Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF5927

Impact of Age on Efficacy and Safety of Daratumumab in Combination with Lenalidomide and Dexamethasone in Patients with Transplant-ineligible Newly Diagnosed Multiple Myeloma: MAIA Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF6038

Faster and Sustained Improvement in Health-related Quality of Life in Transplant-ineligible Newly Diagnosed Multiple Myeloma Patients Treated with Daratumumab, Lenalidomide, and Dexamethasone (D-Rd) Versus Rd: MAIA Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF5919

 

Efficacy and Safety of Daratumumab, Lenalidomide, and Dexamethasone in Relapsed or Refractory Multiple Myeloma: Updated Subgroup Analysis of POLLUX Based on Cytogenetic Risk Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF59610

Efficacy and Safety of Daratumumab, Bortezomib, and Dexamethasone in Relapsed or Refractory Multiple Myeloma: Updated Subgroup Analysis of CASTOR Based on Cytogenetic Risk Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF64111

Characterization of Treatments and Real-life Outcomes in Patients with Newly Diagnosed Multiple Myeloma Who Received Frontline Autologous Stem Cell Transplantation in Sweden Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF64312

Characterization of Frontline Treatment Patterns and the Proportion of Patients Reaching Subsequent Lines of Therapy in Transplant-eligible Patients with Newly Diagnosed Multiple Myeloma Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PS137713

Improvement in Health-related Quality of Life for Newly Diagnosed Multiple Myeloma Transplant-eligible Patients Treated with Daratumumab, Bortezomib, Thalidomide, and Dexamethasone: CASSIOPEIA Saturday, June 15

5:30 – 7:00 PM CEST

Abstract #PS142514

Results of the Daratumumab Monotherapy Early Access Treatment Protocol in Patients from Europe and Russia with Relapsed or Refractory Multiple Myeloma Saturday, June 15

5:30 – 7:00 PM CEST

Abstract #PS139515

Comparative Effectiveness of Frontline Treatments for Patients with Newly Diagnosed Multiple Myeloma Who are Transplant-ineligible Saturday, June 15

5:30 – 7:00 PM CEST

Ibrutinib Oral Presentation

Abstract #S1073

Five Year Follow-Up of Patients Receiving Ibrutinib For First-Line Treatment of Chronic Lymphocytic Leukemia Friday, June 14

12:00 – 12:15 PM CEST

Poster Presentations

Abstract #PF38416

Effectiveness and Safety of Ibrutinib for Chronic Lymphocytic Leukemia (CLL) in Routine Clinical Practice: Interim Analysis (IA) of the Belgian Ibrutinib Real-World Data (BIRD) Study Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF38717

French Ibrutinib Observational Study (FIRE): Real-World Study of Ibrutinib Treatment for Chronic Lymphocytic Leukemia (CLL) in France Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF38318

Prognostic Testing and Treatment Approaches Based on Real-World Clinical Experience from An Interim Analysis of the INFORMCLL Registry of Patients With Chronic Lymphocytic Leukemia [ASH encore] Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF49419

Clinical Outcomes with Single-Agent Ibrutinib for Relapsed/Refractory (R/R) Mantle Cell Lymphoma (MCL): Interim Analysis (IA) of the Belgian Ibrutinib Real-World Data (BIRD) Study Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PF38920

Progression-Free Survival Predicts Overall Survival in Frontline CLL Friday, June 14

5:30 – 7:00 PM CEST

Abstract #PS126421

French Ibrutinib Observational Study (FIRE): Real-World Study of Ibrutinib Treatment for Mantle Cell Lymphoma (MCL) in France Saturday, June 15

5:30 – 7:00 PM CEST

#ENDS#

About daratumumab
Daratumumab is a first-in-class22 biologic targeting CD38, a surface protein that is highly expressed across multiple myeloma cells, regardless of disease stage.23 Daratumumab is believed to induce tumour 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.24 A subset of myeloid-derived suppressor cells (CD38+ MDSCs), CD38+ regulatory T cells (Tregs) and CD38+ B cells (Bregs) were decreased by daratumumab.26 Daratumumab is being evaluated in a comprehensive clinical development programme across a range of treatment settings in multiple myeloma, such as in frontline and relapsed settings.25,26,27,28,29,30,31,32 Additional studies are ongoing or planned to assess its potential in other malignant and pre-malignant haematologic diseases in which CD38 is expressed, such as smouldering myeloma.33,34 For more information, please see www.clinicaltrials.gov.

For further information on daratumumab, please see the Summary of Product Characteristics at https://www.ema.europa.eu/documents/product-information/darzalex-epar-product-information_en.pdf.

In August 2012, Janssen Biotech, Inc. and Genmab A/S entered a worldwide agreement, which granted Janssen an exclusive licence to develop, manufacture and commercialise daratumumab.35

About ibrutinib
Ibrutinib is a first-in-class Bruton's tyrosine kinase (BTK) inhibitor, which works by forming a strong covalent bond with BTK to block the transmission of cell survival signals within the malignant B-cells.36 By blocking this BTK protein, ibrutinib decreases survival and migration of B lymphocytes, thereby delaying the progression of the cancer.37

Ibrutinib is currently approved in Europe for:38

Chronic lymphocytic leukaemia (CLL): As a single agent for the treatment of adult patients with previously untreated CLL, and as a single agent or in combination with bendamustine and rituximab (BR) for the treatment of adult patients with CLL who have received at least one prior therapy. Mantle cell lymphoma (MCL): Adult patients with relapsed or refractory mantle cell lymphoma. Waldenström’s macroglobulinemia (WM): Adult patients who have received at least one prior therapy or in first-line treatment for patients unsuitable for chemoimmunotherapy.

Ibrutinib is approved in more than 90 countries, and, to date, has been used to treat more than 140,000 patients worldwide across its approved indications.

The most common adverse reactions seen with ibrutinib include diarrhoea, neutropenia, haemorrhage (e.g. bruising), musculoskeletal pain, nausea, rash, and pyrexia.38

For a full list of side effects and information on dosage and administration, contraindications and other precautions when using ibrutinib please refer to the Summary of Product Characteristics for further information.

About the Janssen Pharmaceutical Companies of Johnson & Johnson
At Janssen, we’re creating a future where disease is a thing of the past. We’re the Pharmaceutical Companies of Johnson & Johnson, working tirelessly to make that future a reality for patients everywhere by fighting sickness with science, improving access with ingenuity, and healing hopelessness with heart. We focus on areas of medicine where we can make the biggest difference: Cardiovascular & Metabolism, Immunology, Infectious Diseases & Vaccines, Neuroscience, Oncology, and Pulmonary Hypertension.

Learn more at www.janssen.com/emea. Follow us at www.twitter.com/janssenEMEA for our latest news. Janssen Biotech, Inc., Janssen-Cilag International NV, and Janssen-Cilag France Limited 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 daratumumab and ibrutinib. 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 materialise, actual results could vary materially from the expectations and projections of Janssen Research & Development, LLC., Janssen-Cilag France and 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 behaviour 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 30, 2018, 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.govwww.jnj.com or on request from Johnson & Johnson. None of 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.

References

1 Moreau P, Attal M, Hulin C, et al. Phase 3 randomized study of daratumumab + bortezomib/thalidomide/dexamethasone (D-VTD) in transplant-eligible newly diagnosed multiple myeloma: part 1 CASSIOPEIA results. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract S145. 2 Mateos MV, Nahi H, Legiec W, et al. Randomized, open-label, non-inferiority Phase 3 study of subcutaneous (sc) versus intravenous (iv) daratumumab (DARA) administration in patients with relapsed or refractory multiple myeloma: COLUMBA. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract S823. 3 Tedeschi A, Burger J, Barr PM, et al. Five-year follow of patients receiving ibrutinib for first-line treatment of chronic ltmphocytic leukemia. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract S107. 4 Avet-Loiseau H, Moreau P, van der Velden VH, et al. Efficacy of daratumumab + bortezomib/thalidomide/dexamethasone (D-VTD) in transplant-eligible newly diagnosed multiple myeloma based on minimal residual disease status: analysis of CASSIOPEIA. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract S874. 5 Comenzo RL, Kastritis E, Maurer M, et al. Subcutaneous daratumumab + cyclophosphamide, bortezomib, and dexamethasone (CyBorD) in patients with newly diagnosed amyloid light chain (AL) amyloidosis: updated safety run-in results of ANDROMEDA. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract S875. 6 Hulin C, Moreau P, Attal M, et al. Stem cell yield and transplantation in transplant-eligible newly diagnosed multiple myeloma patients receiving daratumumab + bortezomib/thalidomide/dexamethasone (D-VTD): phase 3 CASSIOPEIA study. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF598. 7 Hulin C, Facon T, Kumar S, et al. Impact of age on efficacy and safety of daratumumab in combination with lenalidomide and dexamethasone (D-RD) in patients with transplant-ineligible newly diagnosed multiple myeloma (NDMM): MAIA. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF592. 8 Perrot A, Facon T, Plesner T, et al. Faster & sustained improvement in health-related quality of life in transplant-ineligible newly diagnosed multiple myeloma patients treated with daratumumab, lenalidomide, and dexamethasone (D-Rd) versus Rd: MAIA. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF603. 9 Dimopoulos MA, San-Miguel J, White D, et al. Efficacy and safety of daratumumab, lenalidomide, and dexamethasone (D-Rd) in relapsed or refractory multiple myeloma (RRMM): updated subgroup analysis of POLLUX based on cytogenetic risk. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF591. 10 Weisel K, Spencer A, Lentzsch S, et al. Efficacy and safety of daratumumab, bortezomib, and dexamethasone (D-Vd) in relapsed or refractory multiple myeloma (RRMM): updated subgroup analysis of CASTOR based on cytogenetic risk. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF596. 11 Schain F, Cote S, Lam A, et al. Characterization of treatments and real-life outcomes in patients with newly diagnosed multiple myeloma who received frontline autologous stem cell transplantation in Sweden. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF641. 12 Voorhees PM, Fonseca R, Cote S, et al. Characterization of frontline treatment patterns and the proportion of patients reaching subsequent lines of therapy in transplant-eligible patients with newly diagnosed multiple myeloma. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF643. 13 Roussel M, Moreau P, Attal M, et al. Improvement in health-related quality of life for newly diagnosed multiple myeloma transplant-eligible patients treated with daratumumab, bortezomib, thalidomide, and dexamethasone: CASSIOPEIA study. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PS1377. 14 Cook G, Corso A, Streetly M, et al. Results of the daratumumab monotherapy early access treatment protocol (EAP) in patients from Europe and Russia with relapsed or refractory multiple myeloma. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PS1425. 15 Facon T, et al. Comparative effectiveness of frontline treatments for patients with newly diagnosed multiple myeloma who are transplant-ineligible. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PS1395. 16 Janssens A, Andre M, Berneman Z, et al. Effectiveness and safety of Ibrutinib for chronic lymphocytic leukemia (CLL) in routine clinical practice: interim analysis (IA) of the Belgian Ibrutinib Real-World Data (BIRD) study. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF384. 17 Dartigeas C, et al. French Ibrutinib Observational Study (FIRE): real-world study of ibrutinib treatment for chronic lymphocytic leukemia (CLL) in France. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF387. 18 Mato AR, Barrientos JC, Brander D, et al. Prognostic testing and treatment approaches based on real-world clinical experience from an interim analysis of the INFORMCLL registry of patients with chronic lymphocytic leukemia. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF383. 19 Janssens A, Berneman Z, Bron D, et al. Clinical outcomes with single-agent ibrutinib for relapsed/refractory (R/R) mantle cell lymphoma (MCL): interim analysis (IA) of the Belgian Ibrutinib Real-World Data (BIRD) study. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF494. 20 Baculea S, Horsburgh S, Chadda S, et al. Progression-free survival predicts overall survival in frontline CLL. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PF389. 21 Slama R, Delmer A, Cartron G, et al. French Ibrutinib Observational Study (FIRE): real-world study of ibrutinib treatment for mantle cell lymphoma (MCL) in France. Presented at 24th Annual Congress of the European Hematology Association (EHA), Amsterdam, Netherlands, 13-16 June 2019: abstract PS1264. 22 Sanchez L, Wang Y, Siegel DS, Wang ML. Daratumumab: a first-in-class CD38 monoclonal antibody for the treatment of multiple myeloma. J Hematol Oncol. 2016;9:51. 23 Fedele G, Di Girolamo M, Recine U, 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;2013:564687.

24 European Medicines Agency. DARZALEX summary of product characteristics, January 2019. Available at:

https://www.ema.europa.eu/documents/product-information/darzalex-epar-product-information_en.pdf Last accessed June 2019.

25 ClinicalTrials.gov. A study to evaluate daratumumab in transplant eligible participants with previously untreated multiple myeloma (Cassiopeia). NCT02541383. Available at: https://clinicaltrials.gov/ct2/show/NCT02541383 Last accessed June 2019.

26 ClinicalTrials.gov. A study comparing daratumumab, lenalidomide, and dexamethasone with lenalidomide and dexamethasone in relapsed or refractory multiple myeloma. NCT02076009. Available at: https://clinicaltrials.gov/ct2/show/NCT02076009 Last accessed June 2019.

27 ClinicalTrials.gov. Addition of daratumumab to combination of bortezomib and dexamethasone in participants with relapsed or refractory multiple myeloma. NCT02136134. Available at: https://clinicaltrials.gov/ct2/show/NCT02136134 Last accessed June 2019.

28 ClinicalTrials.gov. 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. NCT02195479. Available at: https://clinicaltrials.gov/ct2/show/NCT02195479 Last accessed June 2019.

29 ClinicalTrials.gov. Study comparing daratumumab, lenalidomide, and dexamethasone with lenalidomide and dexamethasone in participants with previously untreated multiple myeloma. NCT02252172. Available at: https://clinicaltrials.gov/ct2/show/NCT02252172 Last accessed June 2019.

30 ClinicalTrials.gov. 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). NCT03217812. Available at: https://clinicaltrials.gov/ct2/show/NCT03217812 Last accessed June 2019.

31 ClinicalTrials.gov. Comparison of pomalidomide and dexamethasone with or without daratumumab in subjects with relapsed or refractory multiple myeloma previously treated with lenalidomide and a proteasome inhibitor daratumumab/pomalidomide/dexamethasone vs pomalidomide/dexamethasone (EMN14). NCT03180736. Available at: https://clinicaltrials.gov/ct2/show/NCT03180736 Last accessed June 2019.

32 ClinicalTrials.gov. Study of carfilzomib, daratumumab and dexamethasone for patients with relapsed and/or refractory multiple myeloma (CANDOR). NCT03158688. Available at: https://clinicaltrials.gov/ct2/show/NCT03158688 Last accessed June 2019.

33 ClinicalTrials.gov. A study to evaluate 3 dose schedules of daratumumab in participants with smoldering multiple myeloma. NCT02316106. Available at: https://clinicaltrials.gov/ct2/show/NCT02316106 Last accessed June 2019.

34 ClinicalTrials.gov. An efficacy and safety proof of concept study of daratumumab in relapsed/refractory mantle cell lymphoma, diffuse large B-cell lymphoma, and follicular lymphoma. NCT02413489. Available at: https://clinicaltrials.gov/ct2/show/NCT02413489 Last accessed June 2019.

35 Johnson & Johnson. Janssen Biotech announces global license and development agreement for investigational anti-cancer agent daratumumab. Press release August 30, 2012. Available at: https://www.jnj.com/media-center/press-releases/janssen-biotech-announces-global-license-and-development-agreement-for-investigational-anti-cancer-agent-daratumumab Last accessed June 2019.

36 O’Brien S, Furman RR, Coutre SE, et al. Ibrutinib as initial therapy for elderly patients with chronic lymphocytic leukaemia or small lymphocytic lymphoma: an open-label, multicentre, phase 1b/2 trial. Lancet Oncol. 2014;15:48-58.

37 European Medicines Agency. Imbruvica (ibrutinib): an overview of Imbruvica and why it is authorised in the EU. Available at: https://www.ema.europa.eu/documents/overview/imbruvica-epar-summary-public_en.pdf Last accessed June 2019.

38 Imbruvica Summary of Product Characteristics, May 2019. Available at: https://www.ema.europa.eu/en/documents/product-information/imbruvica-epar-product-information_en.pdf Last accessed June 2019.

CP-94635
June 2019

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