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General Updates | Patient selection for rilzabrutinib and common adverse events with this agent

In this interview, Hanny Al-Samkari, MD, Massachusetts General Hospital, Boston, MA, discusses the selection of patients with immune thrombocytopenia (ITP) for rilzabrutinib treatment, highlighting that the agent has shown encouraging efficacy in a heavily relapsed/refractory (R/R) patient population. Dr Al-Samkari also mentions the commonly observed side effects with rilzabrutinib, which clinicians should be aware of when initiating therapy with this agent. This interview took place virtually.

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Transcript

So patient selection for rilzabrutinib is going to be somewhat dependent on the regulatory approval, right? What the label says. But in general, I mean, certainly for the patients that were enrolled in LUNA2 and LUNA3, those patients that have failed a number of prior therapies, I think rilzabrutinib becomes a very attractive option because the response rates overall in those two studies were quite good for that heavily relapsed/refractory population...

So patient selection for rilzabrutinib is going to be somewhat dependent on the regulatory approval, right? What the label says. But in general, I mean, certainly for the patients that were enrolled in LUNA2 and LUNA3, those patients that have failed a number of prior therapies, I think rilzabrutinib becomes a very attractive option because the response rates overall in those two studies were quite good for that heavily relapsed/refractory population. And the drug is oral, which is obviously a nice aspect to it. Again, I think getting more information on use earlier in the course of disease and in earlier lines will be very, very helpful in potentially introducing this drug in the disease course a bit earlier. 

Now, in terms of adverse events, most common adverse events that were shown in the LUNA 3 study were gastrointestinal in nature. And so there is some diarrhea and there are some other gastrointestinal side effects, which were mostly mild and tended to not result in treatment discontinuation or anything like that. So I think that’s something to recognize when starting the drug, that it is a tyrosine kinase inhibitor and that it is associated with certain adverse events that drugs like thrombopoietin receptor agonists are not associated with.

 

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Disclosures

Consultancy: Amgen, Alnylam, Alpine, Agios, Takeda, Pharmacosmos, Sanofi, Sobi, Novartis; Research funding to institution: Amgen, Agios, Novartis, Sobi, Vaderis.