Letter to Healthcare Professionals - Amgen
Letter to Healthcare Professionals - Amgen
Letter to Healthcare Professionals - Amgen
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69924-R1-V1<br />
(oxaliplatin, irinotecan, bolus 5-FU, and/or infusional 5-FU) over the first 24 weeks on study,<br />
compared with those randomized <strong>to</strong> bevacizumab and chemotherapy.<br />
In a single-arm study of 19 patients receiving Vectibix in combination with IFL, the incidence of NCI-<br />
CTC grade 3-4 diarrhea was 58%; in addition, grade 5 diarrhea occurred in one patient. In a singlearm<br />
study of 24 patients receiving Vectibix plus FOLFIRI, the incidence of NCI-CTC grade 3 diarrhea<br />
was 25%.<br />
Severe diarrhea and dehydration, which may lead <strong>to</strong> acute renal failure and other complications,<br />
have been observed in patients treated with Vectibix in combination with chemotherapy.<br />
Vectibix is indicated as a single agent for the treatment of epidermal growth fac<strong>to</strong>r recep<strong>to</strong>r (EGFR)-expressing,<br />
metastatic colorectal carcinoma (mCRC) with disease progression on or following fluoropyrimidine-, oxaliplatin-,<br />
and irinotecan-containing chemotherapy regimens. The effectiveness of Vectibix as a single agent for the<br />
treatment of EGFR-expressing, metastatic colorectal carcinoma is based on improvement of progression-free<br />
survival. Currently, no data demonstrate an improvement in disease-related symp<strong>to</strong>ms or increased survival with<br />
Vectibix.<br />
These are not the only risks associated with the use of Vectibix. Please see the enclosed full prescribing<br />
information for more information about the risks associated with the use of this product. This information is also<br />
available at www.vectibix.com.<br />
Should you have any questions, require further information on product safety, or wish <strong>to</strong> report adverse patient<br />
experiences, please contact <strong>Amgen</strong>’s Medical Information Connection at 1-800-77-AMGEN.<br />
Alternatively, adverse events may be reported <strong>to</strong> FDA’s MedWatch reporting system:<br />
� by phone (1-800-FDA-1088), by facsimile (1-800-FDA-0178),<br />
� online (https://www.accessdata.fda.gov/scripts/medwatch/), or<br />
� by mail using the MedWatch Form FDA 3500 postage paid form, <strong>to</strong> the FDA Medical Products<br />
Reporting Program, 5600 Fishers Lane, Rockville, MD 20852-9787.<br />
Sincerely,<br />
Michael E. Severino, MD<br />
Senior Vice President, Global Development and Chief Medical Officer<br />
<strong>Amgen</strong>