College Student (Mateo) | VPRIV® (velaglucerase alfa) for injection

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VPRIV READY

MATEO — COLLEGE STUDENT*

*Patient profiles for illustrative purposes only and do not depict actual patients

NAME: Mateo

AGE: 20

AGE AT TYPE 1 GAUCHER DIAGNOSIS: 15

ETHNICITY: Caucasian

TREATMENT HISTORY: VPRIV, 5 years

SYMPTOMS AT BASELINE: Moderately low hemoglobin, mildly enlarged spleen, reduced bone density¹

LAST CHECK-UP: Maintained improvements in hemoglobin level and spleen volume^2–4

Once Mateo was diagnosed with type 1 Gaucher disease as a teenager, his parents and physician came up with a treatment plan.

After discussing the risks and benefits, they chose VPRIV as his treatment. Mateo received infusions at the hospital for the first 6 months and then transitioned to home infusions.²

When Mateo was 18 years old, he moved away from his home in Miami, Florida, to attend college in New York City.

Mateo and his parents planned for this transition and found an infusion center near his campus. He was able to schedule his infusions around his classes and settle into his new treatment schedule.

consider

VPRIV has been evaluated during clinical trials in 73 adult patients (≥18 years)⁵
VPRIV can be infused in multiple settings, including at infusion centers and hospitals.
Patients can also work with their HCPs to arrange for infusions to be taken at home
Young adults are able to change infusion sites when going to college or moving away from home
Note that Takeda Support Program services are available to eligible, opted-in VPRIV patients
throughout their treatment

CLICK ON EACH PATIENT BELOW TO READ THEIR STORY^†:

LIBBY Pediatric
Patient

MATEO College
Student

ALISON Patient Preference NATASHA Pregnant Patient DONNA Other Medical Considerations MICHAEL Delayed
Diagnosis JOHN Geriatric
Patient

^†These are hypothetical patient profiles intended to represent patients with type 1 Gaucher disease

IMPORTANT SAFETY INFORMATION

Hypersensitivity reactions, including anaphylaxis, have occurred. The most serious adverse reactions in patients treated with VPRIV were hypersensitivity reactions.

Hypersensitivity reactions were the most commonly observed adverse reactions in patients treated with VPRIV in clinical studies. Patients were not routinely pre-medicated prior to infusion of VPRIV.

INDICATION

VPRIV® (velaglucerase alfa) for injection is indicated for long-term enzyme replacement therapy (ERT) for patients with type 1 Gaucher disease.

IMPORTANT SAFETY INFORMATION

Hypersensitivity reactions, including anaphylaxis, have occurred. The most serious adverse reactions in patients treated with VPRIV were hypersensitivity reactions.

Hypersensitivity reactions were the most commonly observed adverse reactions in patients treated with VPRIV in clinical studies. Patients were not routinely pre-medicated prior to infusion of VPRIV. The most commonly observed symptoms of hypersensitivity reactions were: headache, dizziness, hypotension, hypertension, nausea, fatigue/asthenia, and pyrexia. Hypersensitivity reactions in the clinical trials include any event considered related to and occurring within up to 24 hours of VPRIV infusion, including one case of anaphylaxis. Generally the reactions were mild and, in treatment-naïve patients, onset occurred mostly during the first 6 months of treatment and tended to occur less frequently with time. Additional hypersensitivity reactions of chest discomfort, dyspnea, pruritus and vomiting have been reported in post-marketing experience. In some cases vomiting can be serious, requiring hospitalization and/or drug discontinuation.

As with any intravenous protein product, hypersensitivity reactions are possible, therefore, appropriate medical support, including personnel adequately trained in cardiopulmonary resuscitative measures and access to emergency measures, should be readily available when VPRIV is administered. If anaphylactic or other acute reactions occur, immediately discontinue the infusion of VPRIV and initiate the appropriate medical treatment.

Management of hypersensitivity reactions should be based on severity of the reaction, such as slowing the infusion rate, treatment with medications such as antihistamines, antipyretics and/or corticosteroids, and/or stopping and resuming treatment with increased infusion time. In cases where patients have exhibited symptoms of hypersensitivity to velaglucerase alfa or excipients in the drug product or to other enzyme replacement therapy, pre-treatment with antihistamines and/or corticosteroids may prevent subsequent reactions.

The most common adverse reactions during clinical studies (in ≥10% of patients) were hypersensitivity reactions, headache, dizziness, abdominal pain, nausea, back pain, joint pain, prolonged activated partial thromboplastin time (aPTT), fatigue/asthenia, and pyrexia. In clinical studies, the overall frequency of adverse events was generally higher in the population naïve to enzyme replacement therapy (ERT) than in the population switched from imiglucerase to VPRIV.

The safety and efficacy profiles were similar in pediatric (ages 4 to 17) and adult patients. The safety of VPRIV has not been established in patients under 4 years of age. Adverse reactions more commonly seen in pediatric patients compared to adult patients include (>10% difference): rash, prolonged aPTT, and pyrexia.

The adverse reaction profile in elderly patients was consistent with that previously observed across pediatric and adult patients. In general, dose selection for an elderly patient should be approached cautiously, considering comorbid conditions. As with all therapeutic proteins, there is a potential for immunogenicity. In clinical studies, 1 of 54 (2%) enzyme treatment-naïve patients treated with VPRIV developed IgG class antibodies (neutralizing in an in vitro assay). One additional patient developed IgG antibodies to VPRIV during an extension study. It is unknown if the presence of IgG antibodies to VPRIV is associated with a higher risk of infusion reactions. Patients with an immune response to other ERTs who are switching to VPRIV should continue to be monitored for antibodies to VPRIV.

Please click here for Full Prescribing Information.

To report SUSPECTED ADVERSE REACTIONS, contact Medical Information at 1-866-888-0660, option 2 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

For assistance with medical inquiries about VPRIV, please contact Takeda at 1-877-TAKEDA-7 (1-877-825-3327), or email medinfous@takeda.com.