Risk Evaluation and Mitigation Strategies (REMS) Summary

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FDA Date: 11/28/16

Iclusig (ponatinib) Tablets REMS

Goals of the Iclusig (ponatinib) Tablets REMS Program

The goals of the Iclusig REMS are to:

Inform prescribers of the indications for Iclusig which are limited to:

• Treatment of adult patients with chronic phase, accelerated phase, or blast phase chronic myeloid leukemia (CML) or Philadelphia  chromosome positive acute lymphoblastic leukemia (Ph+ ALL) for whom no other tyrosine kinase inhibitor (TKI) therapy is indicated

• Treatment of adult patients with T315I-positive CML (chronic phase, accelerated phase, or blast phase) or T315I-positive Ph+ ALL
   Limitations of use: Iclusig is not indicated and is not recommended for the treatment of patients with newly diagnosed chronic phase CML.

Inform prescribers of the risks of arterial occlusion and venous thromboembolism associated with Iclusig treatment

REMS Elements

• Communication Plan

REMS Summary of Terms