AbbVie to Showcase Breadth of Oncology Portfolio and Pipeline at the 2021 ASCO and EHA Annual Congresses

Rhea-AI Summary

AbbVie (NYSE: ABBV) will present results from 43 abstracts across 12 cancers at the ASCO Annual Meeting (June 4-8) and EHA Congress (June 9-17). Key presentations include data on the CAPTIVATE study concerning chronic lymphocytic leukemia (CLL) patients treated with an ibrutinib and venetoclax combination. Notable highlights include long-term data from various trials such as CLL14 and MURANO. These presentations aim to advance blood cancer treatment and showcase AbbVie's expanding oncology portfolio, reflecting its commitment to improving patient outcomes.

Positive

• Presentation of 43 abstracts across 12 cancer types, indicating a strong oncology portfolio.
• Data from CAPTIVATE study reinforces the efficacy of ibrutinib and venetoclax for CLL.
• Long-term results from CLL14 and MURANO trials may enhance treatment standards.

Negative

• None.

NORTH CHICAGO, Ill., May 19, 2021 /PRNewswire/ -- AbbVie (NYSE: ABBV) will present results from 43 abstracts across 12 types of cancer during the upcoming virtual American Society of Clinical Oncology (ASCO) Annual Meeting (June 4-8) and the virtual European Hematology Association (EHA) congress (June 9-17).

"We are advancing discovery and innovation to improve on the standards of care for blood cancer treatment," said Mohamed Zaki, M.D., Ph.D., vice president and global head of oncology development, AbbVie. "We look forward to showcasing research from our expanding oncology portfolio at the ASCO 2021 annual meeting and EHA 2021 congress."

Presentations include nine oral presentations (two at ASCO and seven at EHA) and 32 poster presentations (13 at ASCO and 19 at EHA).

At ASCO, AbbVie will present data from its Phase 2 CAPTIVATE study evaluating complete response (CR) and progression-free survival (PFS) among other study metrics in previously untreated patients with chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL) who received an ibrutinib (IMBRUVICA^®) + venetoclax (VENCLEXTA^®/VENCLYXTO^®) combination regimen.

In addition, during the congresses, AbbVie will present results from several studies, including those that evaluate venetoclax in several combination regimens and in multiple hematological malignancies. These include a four-year follow-up of the CLL14 trial of venetoclax plus obinutuzumab in patients with previously untreated CLL, long-term results from the MURANO trial of venetoclax plus rituximab in relapsed/refractory CLL, and additional post-hoc analyses of the VIALE-A trial of venetoclax in combination with azacitidine in patients with acute myeloid leukemia (AML). An up-to seven-year follow up of the ibrutinib RESONATE-2 study in first-line CLL will also be presented and add to robust long-term efficacy and safety data for this therapy.

Details about presentations are as follows:

ASCO 2021 Abstracts
Abstract	Presentation Details All Times in CT
Ibrutinib
Up to Seven Years of Follow-up in the RESONATE-2 Study of First-line Ibrutinib Treatment for Patients with Chronic L ymphocytic Leukemia (CLL)	Session: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster Discussion
Phase 1/2 Study of Cirmtuzumab and Ibrutinib in Mantle Cell Lymphoma (MCL) or Chronic Lymphocytic Leukemia (CLL)	Session: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster Discussion
Randomized, Double-blind, Placebo- controlled Phase Three study of Ibrutinib Plus Rituximab in Patients with Previously Untreated Marginal Zone Lymphoma (MZL).	Session: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster
Fixed-Duration (FD) First-line Treatment (tx) with Ibrutinib (I) Plus Venetoclax (V) for Chronic Lymphocytic Leukemia (CLL)/small Lymphocytic Lymphoma (SLL): Primary Analysis of the FD Cohort of the Phase 2 CAPTIVATE study	Session: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia Monday, June 7 10:30 a.m. to 1:30 p.m. (CT) Oral Presentation
Venetoclax
Measurable Residual Disease Response in Acute Myeloid Leukemia Treated with Venetoclax and Azacitidine	Session: Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant Friday, June 4 8:00 (CT) Poster
Venetoclax and Azacitidine Combination in Chemotherapy Ineligible Untreated Patients with Therapy-related Myeloid Neoplasms, Antecedent Myelodysplastic Syndromes or Myelodysplastic/Myeloproliferative Neoplasms	Session: Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant Friday, June 4 8:00 (CT) Poster
Phase 3 VERONA Study of Venetoclax with Azacitidine to Assess Change in Complete Remission and Overall Survival in Treatment- Naïve Higher-Risk Myelodysplastic Syndromes	Session: Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant Friday, June 4 8:00 a.m. (CT) Poster
Comparison of Dose Modification Strategies to Address Expected Hematologic Toxicities in Treatment-Naïve Higher-Risk (HR) MDS Patients Treated with Venetoclax + Azacitidine	Session: Hematologic Malignancies—Leukemia, Myelodysplastic Syndromes, and Allotransplant Friday, June 4 8:00 a.m. (CT) Poster
Randomized, Phase III Study of Early Intervention with Venetoclax and Obinutuzumab Versus Delayed Therapy with Venetoclax and Obinutuzumab in Newly Diagnosed Asymptomatic High-Risk Patients with Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL): Evolve CLL/SLL Study (SWOG S1925; NCT#04269902)	Session: Hematologic Malignancies – Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster
Polatuzumab Vedotin + Obinutuzumab + Venetoclax in Patients with Relapsed/refractory (R/R) Follicular Lymphoma (FL): Primary Analysis of a Phase 1b/2 Trial	Session: Hematologic Malignancies – Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster
Epcoritamab*
Subcutaneous Epcoritamab in Patients With Relapsed/Refractory B-Cell Non-Hodgkin Lymphoma: Safety Profile and Antitumor Activity	Session: Hematologic Malignancies – Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster
Phase 3 Trial (GCT3013-05) of Epcoritamab Versus Standard of Care in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)	Session: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia Friday, June 4 8:00 a.m. (CT) Poster
ABBV-155
A First-in-Human Study of Mirzotamab Clezutoclax as Monotherapy and in Combination with Taxane Therapy in Relapsed/Refractory Solid Tumors: Dose Escalation Results	Session: Developmental Therapeutics—Molecularly Targeted Agents and Tumor Biology Friday, June 4 8:00 a.m. (CT) Poster
ABBV-184
Phase 1 First-in-human Study of ABBV-184 Monotherapy in Adult Patients with Previously Treated Acute Myeloid Leukemia or Non -small Cell Lung Cancer	Session: Developmental Therapeutics—Immunotherapy Friday, June 4 8:00 a.m. (CT) Poster

The ASCO 2021 Annual Meeting abstracts are available at: https://meetings.asco.org/am/abstracts

* Epcoritamab is being co-developed by Genmab and AbbVie as part of the companies' broad oncology collaboration.

EHA 2021 Abstracts
Abstract	Presentation Details All Times in CEST
Ibrutinib
Ibrutinib vs Placebo in Combination with Corticosteriods in Patients with New-Onset Chronic Graft-Versus-Host Disease (cGVHD): Results from the Randomized, Double-Blind Phase 3 iNTEGRATE Study	Session: Stem Cell Transplantation - cGVHD Friday, June 11 9:00 a.m. (CEST) Oral Presentation
Primary Analysis of the Fixed-Duration Cohort from the Phase 2 CAPTIVATE Study of First- Line Ibrutinib + Venetoclax for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma	Session: Clinical Trials with Targeted Therapies in CLL Friday, June 11 9:00 a.m. (CEST) Oral Presentation
Real-World Application of National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for CLL/SLL from the informCLL Registry	Session: Chronic Lymphocytic Leukemia and Related-Disorders – Clinical Friday, June 11 Session: 9:00 a.m. (CEST) Poster
Effectiveness and Safety of Ibrutinib in Chronic Lymphocytic Leukemia (CLL) and Mantle Cell Lymphoma (MCL) in Belgian Routine Clinical Practice with a 3-Year Follow-up	Session: Chronic Lymphocytic Leukemia and Related-Disorders – Clinical Friday, June 11 Session: 9:00 a.m. (CEST) Poster
Ibrutinib, Bendamustine, Rituximab for Relapsed and Refractory Aggressive B Cell Lymphoma – Final Analysis of Phase II Clinical Trial	Session: Aggressive Non-Hodgkin Lymphoma – Clinical Friday, June 11 Session: 9:00 a.m. (CEST) Poster
Ibrutinib Treatment in the First-Line Setting for Patients with Chronic Lymphocytic Leukemia: Up to 7 Years of Follow-up in the Resonate-2 Study	Session: Chronic Lymphocytic Leukemia and Related-Disorders – Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Ibrutinib Plus Rituximab (IR) vs Placebo Plus Rituximab (R) for Waldenström's Macroglobulinemia (WM): Final Analysis After Five Years of Follow-up from the Randomized Phar 3 INNOVATE Study	Session: Indolent and Mantle-Cell Non-Hodgkins Lymphoma – Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Preliminary Clinical Data from a Phase 1B Study of Mavorixafor and Ibrutinib in Patients with Waldenström's Macroglobulinemia with MYD88 and CXCR4 Mutations	Session: Indolent and Mantle-cell Non-Hodgkin Lymphoma - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Role of Maintenance Rituximab (MR) After First-Line (1L) Bendamustine + Rituximab (BR) or R-Chop in Patients (PTS) With Mantle Cell Lymphoma (MCL) From a Large US Real- World (RW) Cohort	Session: Indolent and Mantle-Cell Non-Hodgkins Lymphoma – Clinical Friday, June 11 9:00 (CEST) Poster
Real-World Treatment Patterns and Outcomes of 3455 Previously Untreated Mantle Cell Lymphoma Patients in U.S. Routine Clinical Practice	Session: Indolent and Mantle-Cell Non-Hodgkin Lymphoma Friday, June 11 9:00 (CEST) Poster
Venetoclax
Efficacy and Safety of Venetoclax in Combination with Gilteritinib for Relapsed/Refractory FLT3-Mutated Acute Myeloid Leukemia: Updated Analyses of a Phase 1b Study	Session: Developments in AML therapy Friday, June 11 9:00 a.m. (CEST) Oral Presentation
Measurable Residual Disease Response in Acute Myeloid Leukemia Treated with Venetoclax and Azacitidine	Session: Developments in AML therapy Friday, June 11 9:00 a.m. (CEST) Oral Presentation
Venetoclax-Obinutuzumab for Previously Untreated Chronic Lymphocytic Leukemia: 4- Year Follow-up Analysis of the Randomized CLL14 Study	Session: Clinical Trials with Targeted Therapies in CLL Friday, June 11 9:00 a.m. (CEST) Oral Presentation
Genetic Markers and Outcome in Front Line Obinutuzumab Plus Chlorambucil or Venetoclax - Updated Analysis of the CLL14 Trial	Session: New Biological and Translational Insights in CLL Friday, June 11 9:00 a.m. (CEST) Oral Presentation
Primary Analysis of the Fixed-Duration Cohort From the Phase 2 CAPTIVATE Study of First- Line Ibrutinib + Venetoclax for Chronic Lymphocytic Leukemia/Small Lymphocytic Leukemia	Session: Chronic Lymphoid Malignancies Friday, June 11 9:00 a.m. (CEST) Oral Presentation
French Venetoclax Observational Study (VERONE): Real-world Study of Venetoclax Monotherapy for Chronic Lymphocytic Leukemia (CLL) in France	Session: Chronic lymphocytic leukemia and related disorders – Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Safety and Effectiveness of Venetoclax in Combination with Rituximab in Elderly Patients with Relapsed/Refractory CLL Treated Under Real-Life Conditions – Data from the Observational Study Verve	Session: Chronic Lymphocytic Leukemia and Related-Disorders -- Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Updated Safety and Efficacy of Venetoclax in Combination with Azacitidine for the Treatment of Patients with Treatment-Naïve Higher-Risk Myelodysplastic Syndromes: Phase 1B Results	Session: Myelodysplastic Syndromes - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Comparison of Dose Modification Strategies to Address Expected Hematologic Toxicities in Treatment-Naïve Higher-Risk (HR) MDS Patients Treated with Venetoclax + Azacitidine	Session: Myelodysplastic Syndromes - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Venetoclax and Azacitidine Combination in Chemotherapy Ineligible Untreated Patients with Therapy-related Myeloid Neoplasms, Antecedent Myelodysplastic Syndromes or Myelodysplastic/Myeloproliferative Neoplasms	Session: Myelodysplastic syndromes - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Relationship Between Venetoclax Exposure and Post-Remission Cytopenias in Subject with Treatment-Naïve Acute Myeloid Leukemia Treated with Venetoclax Plus Azacitidine in the Viale-A Study	Session: Acute Myeloid Leukemia - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Venetoclax-Obinutuzumab Modulates Clonal Growth: Results of a Population-based Minimal Residual Disease Model from the Randomized CLL14 Study	Session: Chronic Lymphocytic Leukemia and Related Disorders - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Impact of Unfavorable Genetics on Minimal Residual Disease (MRD) Response to Venetoclax+Rituximab Retreatment in Relapsed or Refractory Chronic Lymphocytic Leukemia (R/R CLL): Phase 3 Murano Substudy	Session: Chronic lymphocytic leukemia and Related Disorders - Biology & Translational Research Friday, June 11 9:00 a.m. (CEST) Poster
Assessing Time to Deterioration in HRQoL in Patients with Multiple Myeloma Using Venetoclax in Combination with Bortezomib and Dexamethasone Compared with Patients Using Bortezomib and Dexamethasone	Session: Myeloma and Other Monoclonal Gammopathies – Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Cytopenia Management in the Phase 3 VIALE- C Study of Venetoclax Plus Low Dose Cytarabine for Patients With Newly Diagnosed Acute Myeloid Leukemia Ineligible for Intensive Chemotherapy	Session: Acute Myeloid Leukemia - Clinical Friday, June 11 9:00 a.m. (CEST) Poster
Real World Treatment Patterns and Clinical Outcomes in Unfit Patients with AML Receiving First Line Systemic Treatment or Best Supportive Care (CURRENT). A Belgian Subanalysis	Acute Myeloid Leukemia - Clinical Abstract publication only
A Retrospective Analysis of Clinical Outcomes of Patients with Chronic Lymphocytic Leukemia (CLL) Treated with Venetoclax in the Real-life Setting in Spain (VENARES)	Chronic Lymphocytic Leukemia and Related-Disorders - Clinical Abstract publication only
Navitoclax
Navitoclax and Ruxolitinib for Patients with Myelofibrosis and JAK Inhibitor Experience: Response Duration in Phase 2 Study	Session: Myeloproliferative Neoplasms - Clinical Friday, June 11 9:00 a.m. (CEST) Poster

The EHA 2021 Congress abstracts are available at: https://ehaweb.org/congress/eha-congress-2021/abstracts-and-awards/abstract-submission/abstracts-online/

About Ibrutinib (IMBRUVICA^®) 
IMBRUVICA (ibrutinib) is a once-daily, first-in-class BTK inhibitor that is administered orally, and is jointly developed and commercialized by Pharmacyclics, LLC, an AbbVie Company, and Janssen Biotech, Inc. (Janssen). The BTK protein sends important signals that tell B cells to mature and produce antibodies. BTK signaling is needed by specific cancer cells to multiply and spread.^1,2 By blocking BTK, IMBRUVICA may help move abnormal B cells out of their nourishing environments in the lymph nodes, bone marrow, and other organs.³

Since its launch in 2013, IMBRUVICA^® has received 11 FDA approvals across six disease areas: chronic lymphocytic leukemia (CLL) with or without 17p deletion (del17p); small lymphocytic lymphoma (SLL) with or without del17p; Waldenström macroglobulinemia; previously-treated patients with mantle cell lymphoma (MCL)*; previously-treated patients with marginal zone lymphoma (MZL) who require systemic therapy and have received at least one prior anti-CD20-based therapy* – and previously-treated patients with chronic graft-versus-host disease (cGVHD) after failure of one or more lines of systemic therapy.⁴

IMBRUVICA^® is now approved in 101 countries and has been used to treat more than 200,000 patients worldwide across its approved indications. IMBRUVICA^® is the only FDA-approved medicine in WM and cGVHD. IMBRUVICA^® has been granted four Breakthrough Therapy Designations from the U.S. FDA. This designation is intended to expedite the development and review of a potential new drug for serious or life-threatening diseases. IMBRUVICA^® was one of the first medicines to receive FDA approval via the Breakthrough Therapy Designation pathway.

Since 2019, the National Comprehensive Cancer Network^® (NCCN^®), a not-for-profit alliance of 28 leading cancer centers devoted to patient care, research, and education, recommends ibrutinib (IMBRUVICA^®) as a preferred regimen for the initial treatment of CLL/SLL and has Category 1 treatment status for treatment-naïve patients without deletion 17p. In January 2020, the NCCN Guidelines^® were updated to elevate IMBRUVICA^® with or without rituximab from other recommended regimens to a preferred regimen for the treatment of relapsed/refractory MCL, regardless of duration of response to prior chemoimmunotherapy. As of September 2020, the NCCN guidelines were updated to reflect IMBRUVICA^® with or without rituximab as the only Category 1 preferred regimen for both untreated and previously treated WM patients.
IMBRUVICA^® is being studied alone and in combination with other treatments in several blood and solid tumor cancers and other serious illnesses. IMBRUVICA^® is the most comprehensively studied BTK inhibitor, with more than 150 ongoing clinical trials. There are approximately 30 ongoing company-sponsored trials, 14 of which are in Phase 3, and more than 100 investigator-sponsored trials and external collaborations that are active around the world. For more information, visit www.IMBRUVICA.com.

*Accelerated approval was granted for the MCL and MZL indications based on overall response rate. Continued approval for MCL and MZL may be contingent upon verification and description of clinical benefit in confirmatory trials.

Important Side Effect Information⁵

Before taking IMBRUVICA^®, tell your healthcare provider about all of your medical conditions, including if you:

• have had recent surgery or plan to have surgery. Your healthcare provider may stop IMBRUVICA^® for any planned medical, surgical, or dental procedure.
• have bleeding problems.
• have or had heart rhythm problems, smoke, or have a medical condition that increases your risk of heart disease, such as high blood pressure, high cholesterol, or diabetes.
• have an infection.
• have liver problems.
• are pregnant or plan to become pregnant. IMBRUVICA^® can harm your unborn baby. If you are able to become pregnant, your healthcare provider will do a pregnancy test before starting treatment with IMBRUVICA^®. Tell your healthcare provider if you are pregnant or think you may be pregnant during treatment with IMBRUVICA^®.
• Females who are able to become pregnant should use effective birth control (contraception) during treatment with IMBRUVICA^® and for 1 month after the last dose.
• Males with female partners who are able to become pregnant should use effective birth control, such as condoms, during treatment with IMBRUVICA^® and for 1 month after the last dose.
• are breastfeeding or plan to breastfeed. Do not breastfeed during treatment with IMBRUVICA^® and for 1 week after the last dose.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking IMBRUVICA^® with certain other medicines may affect how IMBRUVICA^® works and can cause side effects.
How should I take IMBRUVICA^®?

• Take IMBRUVICA^® exactly as your healthcare provider tells you to take it.
• Take IMBRUVICA^® 1 time a day.
• Swallow IMBRUVICA^® capsules or tablets whole with a glass of water.
• Do not open, break or chew IMBRUVICA^® capsules.
• Do not cut, crush or chew IMBRUVICA^® tablets.
• Take IMBRUVICA^® at about the same time each day.
• If you miss a dose of IMBRUVICA^® take it as soon as you remember on the same day. Take your next dose of IMBRUVICA^® at your regular time on the next day. Do not take extra doses of IMBRUVICA^® to make up for a missed dose.
• If you take too much IMBRUVICA^® call your healthcare provider or go to the nearest hospital emergency room right away.

What should I avoid while taking IMBRUVICA^®?

• You should not drink grapefruit juice, eat grapefruit, or eat Seville oranges (often used in marmalades) during treatment with IMBRUVICA^®. These products may increase the amount of IMBRUVICA^® in your blood.

What are the possible side effects of IMBRUVICA^®?
IMBRUVICA^® may cause serious side effects, including:

• Bleeding problems (hemorrhage) are common during treatment with IMBRUVICA^®, and can also be serious and may lead to death. Your risk of bleeding may increase if you are also taking a blood thinner medicine. Tell your healthcare provider if you have any signs of bleeding, including: blood in your stools or black stools (looks like tar), pink or brown urine, unexpected bleeding, or bleeding that is severe or that you cannot control, vomit blood or vomit looks like coffee grounds, cough up blood or blood clots, increased bruising, dizziness, weakness, confusion, change in your speech, or a headache that lasts a long time or severe headache.
• Infections can happen during treatment with IMBRUVICA^®. These infections can be serious and may lead to death. Tell your healthcare provider right away if you have fever, chills, weakness, confusion, or other signs or symptoms of an infection during treatment with IMBRUVICA^®.
• Decrease in blood cell counts. Decreased blood counts (white blood cells, platelets, and red blood cells) are common with IMBRUVICA^®, but can also be severe. Your healthcare provider should do monthly blood tests to check your blood counts.
• Heart problems. Serious heart rhythm problems (ventricular arrhythmias, atrial fibrillation, and atrial flutter), heart failure, and death have happened in people treated with IMBRUVICA^®, especially in people who have an increased risk for heart disease, have an infection, or who have had heart rhythm problems in the past. Tell your healthcare provider if you get any symptoms of heart problems, such as feeling as if your heart is beating fast and irregular, lightheadedness, dizziness, shortness of breath, swelling of the feet, ankles, or legs, chest discomfort, or you faint. If you develop any of these symptoms, your healthcare provider may do a test to check your heart (ECG) and may change your IMBRUVICA^® dose.
• High blood pressure (hypertension). New or worsening high blood pressure has happened in people treated with IMBRUVICA^®. Your healthcare provider may start you on blood pressure medicine or change current medicines to treat your blood pressure.
• Second primary cancers. New cancers have happened during treatment with IMBRUVICA^®, including cancers of the skin or other organs.
• Tumor lysis syndrome (TLS). TLS is caused by the fast breakdown of cancer cells. TLS can cause kidney failure and the need for dialysis treatment, abnormal heart rhythm, seizure, and sometimes death. Your healthcare provider may do blood tests to check you for TLS.

The most common side effects of IMBRUVICA^® in adults with B-cell malignancies (MCL, CLL/SLL, WM and MZL) include:

• diarrhea
• tiredness
• muscle and bone pain
• rash
• bruising

The most common side effects of IMBRUVICA^® in adults with cGVHD include:

• tiredness
• bruising
• diarrhea
• mouth sores (stomatitis)
• muscle spasms
• nausea
• pneumonia

Diarrhea is a common side effect in people who take IMBRUVICA^®. Drink plenty of fluids during treatment with IMBRUVICA^® to help reduce your risk of losing too much fluid (dehydration) due to diarrhea. Tell your healthcare provider if you have diarrhea that does not go away.
These are not all the possible side effects of IMBRUVICA^®. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about the safe and effective use of IMBRUVICA^® 
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use IMBRUVICA^® for a condition for which it was not prescribed. Do not give IMBRUVICA^® to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about IMBRUVICA^® that is written for health professionals.

Please click here for full Prescribing Information.

About VENCLEXTA®/VENCLYXTO® (venetoclax)

VENCLEXTA®/VENCLYXTO® (venetoclax) is a first-in-class medicine that selectively binds and inhibits the B-cell lymphoma-2 (BCL-2) protein. In some blood cancers, BCL-2 prevents cancer cells from undergoing their natural death or self-destruction process, called apoptosis. VENCLXEXTA/VENCLYXTO targets the BCL-2 protein and works to help restore the process of apoptosis.

VENCLEXTA/VENCLYXTO is being developed by AbbVie and Roche. It is jointly commercialized by AbbVie and Genentech, a member of the Roche Group, in the U.S. and by AbbVie outside of the U.S. Together, the companies are committed to BCL-2 research and to studying venetoclax in clinical trials across several blood cancers. Venetoclax is approved in more than 80 countries, including the U.S.

Important Safety Information
What is the most important information I should know about VENCLEXTA?
VENCLEXTA can cause serious side effects, including:
Tumor lysis syndrome (TLS). TLS is caused by the fast breakdown of cancer cells. TLS can cause kidney failure, the need for dialysis treatment, and may lead to death. Your healthcare provider will do tests to check your risk of getting TLS before you start taking VENCLEXTA. You will receive other medicines before starting and during treatment with VENCLEXTA to help reduce your risk of TLS. You may also need to receive intravenous (IV) fluids into your vein. Your healthcare provider will do blood tests to check for TLS when you first start treatment and during treatment with VENCLEXTA. It is important to keep your appointments for blood tests. Tell your healthcare provider right away if you have any symptoms of TLS during treatment with VENCLEXTA, including fever, chills, nausea, vomiting, confusion, shortness of breath, seizures, irregular heartbeat, dark or cloudy urine, unusual tiredness, or muscle or joint pain.

Drink plenty of water during treatment with VENCLEXTA to help reduce your risk of getting TLS.

Drink 6 to 8 glasses (about 56 ounces total) of water each day, starting 2 days before your first dose, on the day of your first dose of VENCLEXTA, and each time your dose is increased.

Your healthcare provider may delay, decrease your dose, or stop treatment with VENCLEXTA if you have side effects. When restarting VENCLEXTA after stopping for 1 week or longer, your healthcare provider may again check for your risk of TLS and change your dose.

Who should not take VENCLEXTA?
Certain medicines must not be taken when you first start taking VENCLEXTA and while your dose is being slowly increased because of the risk of increased TLS.

• Tell your healthcare provider about all the medicines you take, including prescription and over-the counter medicines, vitamins, and herbal supplements. VENCLEXTA and other medicines may affect each other causing serious side effects.
• Do not start new medicines during treatment with VENCLEXTA without first talking with your healthcare provider.

Before taking VENCLEXTA, tell your healthcare provider about all of your medical conditions,
including if you:

• have kidney or liver problems.
• have problems with your body salts or electrolytes, such as potassium, phosphorus, or calcium.
• have a history of high uric acid levels in your blood or gout.
• are scheduled to receive a vaccine. You should not receive a "live vaccine" before, during, or after treatment with VENCLEXTA, until your healthcare provider tells you it is okay. If you are not sure about the type of immunization or vaccine, ask your healthcare provider. These vaccines may not be safe or may not work as well during treatment with VENCLEXTA.
• are pregnant or plan to become pregnant. VENCLEXTA may harm your unborn baby. If you are able to become pregnant, your healthcare provider should do a pregnancy test before you start treatment with VENCLEXTA, and you should use effective birth control during treatment and for at least 30 days after the last dose of VENCLEXTA. If you become pregnant or think you are pregnant, tell your healthcare provider right away.
• are breastfeeding or plan to breastfeed. It is not known if VENCLEXTA passes into your breast milk. Do not breastfeed during treatment with VENCLEXTA and for 1 week after the last dose.

What should I avoid while taking VENCLEXTA?
You should not drink grapefruit juice or eat grapefruit, Seville oranges (often used in marmalades), or starfruit while you are taking VENCLEXTA. These products may increase the amount of VENCLEXTA in your blood.

What are the possible side effects of VENCLEXTA?
VENCLEXTA can cause serious side effects, including:

• Low white blood cell counts (neutropenia). Low white blood cell counts are common with VENCLEXTA, but can also be severe. Your healthcare provider will do blood tests to check your blood counts during treatment with VENCLEXTA and may pause dosing.
• Infections. Death and serious infections such as pneumonia and blood infection (sepsis) have happened during treatment with VENCLEXTA. Your healthcare provider will closely monitor and treat you right away if you have a fever or any signs of infection during treatment with VENCLEXTA.

Tell your healthcare provider right away if you have a fever or any signs of an infection during treatment with VENCLEXTA.

The most common side effects of VENCLEXTA when used in combination with obinutuzumab or rituximab or alone in people with CLL or SLL include low white blood cell counts; low platelet counts; low red blood cell counts; diarrhea; nausea; upper respiratory tract infection; cough; muscle and joint pain; tiredness; and swelling of your arms, legs, hands, and feet.

The most common side effects of VENCLEXTA in combination with azacitidine or decitabine or low-dose cytarabine in people with AML include nausea; diarrhea; low platelet count; constipation; low white blood cell count; fever with low white blood cell count; tiredness; vomiting; swelling of arms, legs, hands, or feet; fever; infection in lungs; shortness of breath; bleeding; low red blood cell count; rash; stomach (abdominal) pain; infection in your blood; muscle and joint pain; dizziness; cough; sore throat; and low blood pressure.

VENCLEXTA may cause fertility problems in males. This may affect your ability to father a child. Talk to your healthcare provider if you have concerns about fertility. 

These are not all the possible side effects of VENCLEXTA. Call your doctor for medical advice about side effects.

You are encouraged to report side effects of prescription drug to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

If you cannot afford your medication, contact genentech-access.com/patient/brands/venclexta for assistance.

The full U.S. prescribing information, including Medication Guide, for VENCLEXTA^® can be found here. 

Indication and Important VENCLYXTO^® (venetoclax) EU Safety Information⁷
Indication

Venclyxto^® in combination with obinutuzumab is indicated for the treatment of adult patients with previously untreated chronic lymphocytic leukaemia (CLL).

Venclyxto^® in combination with rituximab is indicated for the treatment of adult patients with CLL who have received at least one prior therapy.

Venclyxto^® monotherapy is indicated for the treatment of CLL:

• In the presence of 17p deletion or TP53 mutation in adult patients who are unsuitable for or have failed a B-cell receptor pathway inhibitor, or
• In the absence of 17p deletion or TP53 mutation in adult patients who have failed both chemoimmunotherapy and a B-cell receptor pathway inhibitor.

Contraindications
Hypersensitivity to the active substance or to any of the excipients is contraindicated.  Concomitant use of strong CYP3A inhibitors at initiation and during the dose-titration phase due to increased risk for tumor lysis syndrome (TLS). Concomitant use of preparations containing St. John's wort as VENCLYXTO^® efficacy may be reduced.

Special Warnings & Precautions for Use
TLS, including fatal events, has occurred in patients with previously treated CLL with high tumour burden when treated with VENCLYXTO^®. VENCLYXTO^® poses a risk for TLS in the initial 5-week dose-titration phase. Changes in electrolytes consistent with TLS that require prompt management can occur as early as 6 to 8 hours following the first dose of VENCLYXTO^® and at each dose increase. Patients should be assessed for risk and should receive appropriate prophylaxis, monitoring, and management for TLS.

Neutropenia (grade 3 or 4) has been reported and complete blood counts should be monitored throughout the treatment period. 

Serious infections including sepsis with fatal outcome have been reported. Monitoring of any signs and symptoms of infection is required.  Suspected infections should receive prompt treatment including antimicrobials and dose interruption or reduction as appropriate.  
Live vaccines should not be administered during treatment or thereafter until B-cell recovery.

Drug Interactions
CYP3A inhibitors may increase VENCLYXTO^® plasma concentrations. At initiation and dose-titration phase: Strong CYP3A inhibitors are contraindicated due to increased risk for TLS and moderate CYP3A inhibitors should be avoided. If moderate CYP3A inhibitors must be used, physicians should refer to the SmPC for dose adjustment recommendations. At steady daily dose:  moderate or strong CYP3A inhibitors must be used, physicians should refer to the VENCLYXTO^® summary of product characteristics (SmPC) for dose adjustment recommendations.

Avoid concomitant use of P-gp and BCRP inhibitors at initiation and during the dose titration phase.

CYP3A4 inducers may decrease VENCLYXTO^® plasma concentrations. Avoid coadministration with strong or moderate CYP3A inducers. These agents may decrease venetoclax plasma concentrations. 

Co-administration of bile acid sequestrants with VENCLYXTO^® is not recommended as this may reduce the absorption of VENCLYXTO^®.

Adverse Reactions
The most commonly occurring adverse reactions (>=20%) of any grade in patients receiving venetoclax in the combination studies with obinutuzumab or rituximab were neutropenia, diarrhoea, and upper respiratory tract infection.  In the monotherapy studies, the most common adverse reactions were neutropenia/neutrophil count decreased, diarrhoea, nausea, anaemia, fatigue, and upper respiratory tract infection.

The most frequently occurring serious adverse reactions (>=2%) in patients receiving venetoclax in combination with obinutuzumab or rituximab were pneumonia, sepsis, febrile neutropenia, and TLS.  In the monotherapy studies, the most frequently reported serious adverse reactions (>=2%) were pneumonia and febrile neutropenia.
Discontinuations due to adverse reactions occurred in 16% of patients treated with venetoclax in combination with obinutuzumab or rituximab in the CLL14 and Murano studies respectively.  In the monotherapy studies with venetoclax, 11% of patients discontinued due to adverse reactions. 

Dosage reductions due to adverse reactions occurred in 21% of patients treated with the combination of venetoclax and obinutuzumab in CLL14 and in 15% of patients treated with the combination of venetoclax and in Murano and in 14% of patients treated with venetoclax in the monotherapy studies.    The most common adverse reaction that led to dose interruptions was neutropenia. 

Specific Populations
Patients with reduced renal function (CrCl <80 mL/min) may require more intensive prophylaxis and monitoring to reduce the risk of TLS.  Safety in patients with severe renal impairment (CrCl <30 mL/min) or on dialysis has not been established, and a recommended dose for these patients has not been determined.

For patients with severe (Child-Pugh C) hepatic impairment, a dose reduction of at least 50% throughout treatment is recommended.

VENCLYXTO^® may cause embryo-fetal harm when administered to a pregnant woman. Advise nursing women to discontinue breastfeeding during treatment.
This is not a complete summary of all safety information. See VENCLYXTO^® full summary of product characteristics (SmPC) at https://www.ema.europa.eu/en/documents/product-information/venclyxto-epar-product-information_en.pdf. Globally, prescribing information varies; refer to the individual country product label for complete information.

About AbbVie in Oncology

At AbbVie, we are committed to transforming standards of care for multiple blood cancers while advancing a dynamic pipeline of investigational therapies across a range of cancer types. Our dedicated and experienced team joins forces with innovative partners to accelerate the delivery of potentially breakthrough medicines. We are evaluating more than 20 investigational medicines in over 300 clinical trials across some of the world's most widespread and debilitating cancers. As we work to have a remarkable impact on people's lives, we are committed to exploring solutions to help patients obtain access to our cancer medicines. For more information, please visit http://www.abbvie.com/oncology. 

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas: immunology, oncology, neuroscience, eye care, virology, women's health and gastroenterology, in addition to products and services across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com.  Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn.

Forward-Looking Statements
Some statements in this news release are, or may be considered, forward-looking statements for purposes of the Private Securities Litigation Reform Act of 1995. The words "believe," "expect," "anticipate," "project" and similar expressions, among others, generally identify forward-looking statements. AbbVie cautions that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements. Such risks and uncertainties include, but are not limited to, failure to realize the expected benefits from AbbVie's acquisition of Allergan plc ("Allergan"), failure to promptly and effectively integrate Allergan's businesses, competition from other products, challenges to intellectual property, difficulties inherent in the research and development process, adverse litigation or government action, changes to laws and regulations applicable to our industry and the impact of public health outbreaks, epidemics or pandemics, such as COVID-19. Additional information about the economic, competitive, governmental, technological and other factors that may affect AbbVie's operations is set forth in Item 1A, "Risk Factors," of AbbVie's 2020 Annual Report on Form 10-K, which has been filed with the Securities and Exchange Commission, as updated by its subsequent Quarterly Reports on Form 10-Q. AbbVie undertakes no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments, except as required by law.

REFERENCES
¹ Genetics Home Reference. Isolated growth hormone deficiency.  http://ghr.nlm.nih.gov/condition/isolated-growth-hormone-deficiency. Accessed November 2020.
² Turetsky, et al. Single cell imaging of Bruton's Tyrosine Kinase using an irreversible inhibitor. Scientific Reports. volume 4, Article number: 4782 (2014)
³ de Rooij MF, Kuil A, Geest CR, et al. The clinically active BTK inhibitor PCI-32765 targets B-cell receptor- and chemokine-controlled adhesion and migration in chronic lymphocytic leukemia. Blood. 2012;119(11):2590-2594.
⁴ IMBRUVICA U.S. Prescribing Information, April 2020.
⁵ IMBRUVICA U.S. Prescribing Information, April 2020.
⁶ VENCLEXTA (venetoclax) [Package Insert]. North Chicago, IL.: AbbVie Inc.
⁷ Summary of Product Characteristics for VENCLYXTO (venetoclax). Ludwigshafen, Germany: AbbVie Deutschland GmbH & Co. KG. 
 

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SOURCE AbbVie

FAQ

What results will AbbVie present at ASCO 2021 for stock ABBV?

AbbVie will present results from 43 abstracts across 12 cancer types, highlighting studies on chronic lymphocytic leukemia (CLL) and therapies such as ibrutinib and venetoclax.

When is the ASCO Annual Meeting where AbbVie will present?

The ASCO Annual Meeting will take place from June 4-8, 2021.

What is the significance of the CAPTIVATE study data presented by ABBV?

The CAPTIVATE study data evaluates the efficacy of a combination therapy for previously untreated patients with chronic lymphocytic leukemia (CLL), critical for establishing treatment standards.

What other studies will ABBV showcase at EHA 2021?

At EHA 2021, AbbVie will present long-term results from trials like CLL14 and MURANO, along with various studies on venetoclax in different hematological malignancies.