Grade 3–4 AEs
Cytopenias and infections were the only grade 3–4 AEs that affected ≥10% of patients1
Safety and considerations
Review the most frequently reported ADRs and when to modify the POLVY dose
Adapted from Sehn et al. 20201 and Sehn et al. 2017.2
- 43.6% of patients had peripheral neuropathy with POLIVY + R-Benda — all instances were grade ≤2 and were usually reversible; two cases led to dose reduction of POLIVY1
- Patients should be monitored for symptoms of peripheral neuropathy. Patients experiencing new or worsening symptoms may require a delay, dose reduction, or discontinuation of POLIVY3
Adapted from Sehn et al. 20201 and Sehn et al. 2017.2
POLIVY safety profile and considerations
- The most frequently reported (≥30%) ADRs were anaemia (46.7%), thrombocytopenia (46.7%), neutropenia (46.7%), fatigue (40.0%), diarrhoea (37.8%), nausea (33.3%) and pyrexia (33.3%)
- SARs were reported in 27% of patients, which includes febrile neutropenia (6.7%), pyrexia (4.4%) and pneumonia (4.4%)
- Treatment discontinuations due to ADRs in >5% of patients were caused by thrombocytopenia (8.9%) and neutropenia (6.7%)
Dose modifications
- The infusion rate of POLIVY should be slowed or interrupted if a patient develops an IRR
- POLIVY should be discontinued immediately and permanently if the patient experiences a life-threatening reaction
POLIVY dose modifications for peripheral neuropathy3
POLIVY, bendamustine and rituximab dose modifications for myelosuppression3
POLIVY, bendamustine and rituximab dose modifications for IRRs3
* POLIVY discontinuation: 12 (30.8%).2
† If primary cause is due to lymphoma, the dose of bendamustine may not need to be reduced.
R-Benda, rituximab and bendamustine; AE, adverse event; MOA, mode of action; ADR, adverse drug reaction; R/R, relapsed/refractory; DLBCL, diffuse large B-cell lymphoma; HSCT, haematopoietic stem cell transplant; SAE, serious adverse event; SAR, serious adverse reaction; IRR, infusion-related reaction; ANC, absolute neutrophil count.
References:
- Sehn LH et al. J Clin Oncol 2020;38(2):155–165.
- Sehn LH et al. Poster presented at ASH 2017, poster number 2821.
- POLIVY Summary of Product Characteristics.
Date of preparation: October 2020