Optimize the convenient dosing schedule of TREANDA to help patients benefit from therapy

Step 1: Use TREANDA in appropriate* patients who meet the following criteria1

*For patient considerations, please see Important Safety Information below and full Prescribing Information.
Rituximab did not have to immediately precede treatment with TREANDA.

Step 2: Administer TREANDA with a convenient dosing schedule

TREANDA dosing schedule
IV=intravenous.
The NHL dosing schedule differs from the CLL dosing schedule.

  • The recommended NHL dose is 120 mg/m2 administered intravenously over 60 minutes on Days 1 and 2 of a 21-day treatment cycle, up to 8 cycles

Dose modifications may help patients continue therapy and achieve treatment results

Step 3: Help patients continue therapy

ANC=absolute neutrophil count.
§Treatment may be reinitiated at the discretion of the treating physician.

  • Continued toxicity despite dose modifications or certain severe reactions (see Warnings and Precautions in full Prescribing Information) may warrant discontinuation

68% of patients in the pivotal trial experienced changes to the prescribed treatment regimen2

  • Changes included dose delays, reductions, or lack of both doses in any given cycle
  • Neutropenia and thrombocytopenia were the most common reasons for dose reductions or delays

Indications

TREANDA is indicated for the treatment of patients with chronic lymphocytic leukemia (CLL). Efficacy relative to first-line therapies other than chlorambucil has not been established.

TREANDA is indicated for the treatment of patients with indolent B-cell non-Hodgkin’s lymphoma (NHL) that has progressed during or within 6 months of treatment with rituximab or a rituximab-containing regimen.

Important Safety Information

  • Serious adverse reactions, including myelosuppression, infections, infusion reactions and anaphylaxis, tumor lysis syndrome, skin reactions including SJS/TEN, other malignancies, and extravasation, have been associated with TREANDA. Some reactions, such as myelosuppression, infections, and SJS/TEN (when TREANDA was administered concomitantly with allopurinol and other medications known to cause SJS/TEN), have been fatal. Patients should be monitored closely for these reactions and treated promptly if any occur

  • Adverse reactions may require interventions such as decreasing the dose of TREANDA, or withholding or delaying treatment

  • TREANDA is contraindicated in patients with a known hypersensitivity to bendamustine or mannitol. Women should be advised to avoid becoming pregnant while using TREANDA

  • The most common non-hematologic adverse reactions associated with TREANDA (frequency ≥30%) were nausea, fatigue, vomiting, diarrhea, and pyrexia. The most common hematologic abnormalities associated with TREANDA (frequency ≥15%) were lymphopenia, leukopenia, anemia, neutropenia, and thrombocytopenia

TO REPORT SIDE EFFECTS: Contact us at 1-800-896-5855 or usmedinfo@cephalon.com

References
  1. Data on file. Cephalon, Inc.
  2. Kahl BS, Bartlett NL, Leonard JP, et al. Bendamustine is effective therapy in patients with rituximab-refractory, indolent B-cell non-Hodgkin lymphoma: results from a multicenter study. Cancer. 2010;116:106-114.
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Reimbursement

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Bendamustine is effective therapy in patients with rituximab-refractory, indolent B-cell NHL>>

This article contains information that may differ from the TREANDA Prescribing Information. Please review this article in conjunction with the accompanying full Prescribing Information.

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