BRUKINSA® (zanubrutinib) logo
BRUKINSA® (zanubrutinib) logo

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SUPERIOR EFFICACY ACROSS LINES OF THERAPY

Sustained efficacy at ~3 and ~4 years
1L: SEQUOIA
SUPERIOR PFS vs BR WITH SUSTAINED EFFICACY AT ~4 YEARS1-3Superior PFS (initial analysis; primary endpoint): 86% estimated PFS at 24 months with BRUKINSA vs 70% with BR in patients without del(17p)/TP53; 58% relative risk reduction; HR=0.42 (95% CI: 0.28, 0.63); p<0.0001*†‡
Sustained PFS vs BR: patients without del(17p)/TP53§
(Cohort 1)
KM curve showing superior PFS data vs BR for SEQUOIA
Consistent PFS in BRUKINSA-only arm: patients with del(17p)§
(Cohort 2)
KM curve showing PFS data for patients with del(17p) in the SEQUOIA BRUKINSA® (zanubrutinib)-only arm

*Median PFS was not reached in either arm at the initial analysis.1,2

Prespecified analysis assessed by IRC.2

Median follow-up at the initial analysis: 26.2 months.2

§Long-term exploratory analysis.

IN PATIENTS WITHOUT DEL(17p)/TP53:
PFS GENERALLY FAVORED BRUKINSA AT INITIAL ANALYSIS, REGARDLESS OF MUTATION OR RISK STATUS*2
PFS data from SEQUOIA for patients without del(17p)/TP53 taking BRUKINSA® (zanubrutinib)

All subgroup analyses are exploratory and descriptive in nature.

*Assessed by IRC.2

Hazard ratio and 95% CI were from stratified (for all patients) or unstratified analysis (for subgroup) Cox regression model with BR arm as the reference group.2

HIGH ORR IN PATIENTS WITHOUT DEL(17p)/TP53 AND WITH DEL(17p) IN THE INITIAL ANALYSIS1,2

Cohort 1: without del(17p)/TP53

secondary endpoint*

93% ORR

with BRUKINSA (n=241) at ~2 years

(95% CI: 89.0, 96.0) vs 85%

with BR (n=238) (95% CI: 80.0, 90.0)

Cohort 2: with del(17p)

secondary endpoint

88% ORR

with BRUKINSA (n=110)

(95% CI: 81.0, 94.0)

*Prespecified analysis assessed by IRC; median follow-up of 26.2 months.2

Prespecified analysis assessed by IRC; median follow-up of 30.5 months.2

1L=first line; BR=bendamustine+rituximab; CI=confidence interval; ECOG PS=Eastern Cooperative Oncology Group performance status; HR=hazard ratio; IRC=independent review committee; ORR=overall response rate; PFS=progression-free survival.

READ THE SEQUOIA (1L) PUBLICATION
2L: ALPINE
SUPERIOR PFS vs IBRUTINIB WITH SUSTAINED EFFICACY AT ~3 YEARS1,4,5Superior PFS (initial analysis; secondary endpoint): 78% estimated PFS at 24 months with BRUKINSA vs 66% with ibrutinib; 35% relative risk reduction; HR=0.65 (95% CI: 0.49, 0.86); p=0.0024*
Sustained PFS: all-comer population
KM curve showing PFS data for the all-comer population in ALPINE
PFS: patients with del(17p)/TP53
KM curve showing PFS data for patients with del(17p)/TP53 in ALPINE

*Prespecified analysis assessed by both IRC and investigator with similar results. Median PFS has not yet been reached with BRUKINSA vs 34 months with ibrutinib.4

Median follow-up: 31 months.1

All analyses are exploratory and descriptive in nature.

CONSISTENT PFS vs IBRUTINIB AT INITIAL ANALYSIS, REGARDLESS OF MUTATION OR RISK STATUS*4
Consistent PFS across subgroups in ALPINE

All subgroup analyses are exploratory and descriptive in nature.

*Assessed by both IRC and investigator with similar results.4

Hazard ratio and 95% CI were unstratified for subgroups.4

THE ONLY BTKi TO ACHIEVE SUPERIOR ORR vs IBRUTINIB1Initial Analysis
(25 months for ORR)
Bar chart showing ORR data from ALPINE

Median follow-up: 24.7 months6

With BRUKINSA, 92% of patients sustained a response vs 86% with ibrutinib at 1 year1

Statistical analysis for ORR was conducted for noninferiority. When noninferiority was met, superiority was tested.4

*Assessed by both IRC and investigator with similar results.1,4

BRUKINSA DEMONSTRATED MORE COMPLETE RESPONSES OVER TIME vs IBRUTINIB5
Bar chart showing complete responses over time (PR+PR-L+nPR and CR+CRi) for BRUKINSA (zanubrutinib) vs ibrutinib from ALPINE
CONSISTENT ORR vs IBRUTINIB AT INITIAL ANALYSIS, REGARDLESS OF MUTATION OR RISK STATUS4
Consistent ORR across subgroups in ALPINE

All subgroup analyses are exploratory and descriptive in nature.

Assessed by both IRC and investigator with similar results. Median follow-up of 24.7 months.1,4,6

2L=second line; BTKi=Bruton's tyrosine kinase inhibitor; CI=confidence interval; CR=complete response; CRi=complete response with absolute neutrophil count <1,000/µL; ECOG PS=Eastern Cooperative Oncology Group performance status; HR=hazard ratio; IRC=independent review committee; nPR=nodular partial response; ORR=overall response rate; PFS=progression-free survival; PR=partial response; PR–L=partial response with lymphocytosis.

READ THE ALPINE (2L) PUBLICATION

Dr Anthony Nguyen discusses efficacy data across mutations and risk status in CLL

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IMPORTANT SAFETY INFORMATION

What should I tell my healthcare provider before taking BRUKINSA?

Before taking BRUKINSA, tell your healthcare provider about all of your medical conditions, including if you:

  • have bleeding problems.
  • have had recent surgery or plan to have surgery. Your healthcare provider may stop BRUKINSA for any planned medical, surgical, or dental procedure.
  • have an infection.
  • have or had heart rhythm problems.
  • have high blood pressure.
  • have liver problems, including a history of hepatitis B virus (HBV) infection.
  • are pregnant or plan to become pregnant. BRUKINSA can harm your unborn baby. If you are able to become pregnant, your healthcare provider may do a pregnancy test before starting treatment with BRUKINSA.
    • Females should avoid getting pregnant during treatment and for 1 week after the last dose of BRUKINSA. You should use effective birth control (contraception) during treatment and for 1 week after the last dose of BRUKINSA.
    • Males should avoid getting female partners pregnant during treatment and for 1 week after the last dose of BRUKINSA. You should use effective birth control (contraception) during treatment and for 1 week after the last dose of BRUKINSA.
  • are breastfeeding or plan to breastfeed. It is not known if BRUKINSA passes into your breast milk. Do not breastfeed during treatment with BRUKINSA and for 2 weeks after the last dose of BRUKINSA.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking BRUKINSA with certain other medications may affect how BRUKINSA works and can cause side effects.

What are the possible side effects of BRUKINSA?

BRUKINSA may cause serious side effects, including:

  • Bleeding problems (hemorrhage). Bleeding problems are common with BRUKINSA, and can be serious and may lead to death. Your risk of bleeding may increase if you are also taking a blood thinner medicine. Tell your healthcare provider if you have any signs or symptoms of bleeding, including:
    • blood in your stools or black stools (looks like tar)
    • pink or brown urine
    • unexpected bleeding, or bleeding that is severe or you cannot control
    • vomit blood or vomit that looks like coffee grounds
    • cough up blood or blood clots
    • increased bruising
    • dizziness
    • weakness
    • confusion
    • change in speech
    • headache that lasts a long time
  • Infections that can be serious and may lead to death. Tell your healthcare provider right away if you have fever, chills, or flu-like symptoms.
  • Decrease in blood cell counts (white blood cells, platelets, and red blood cells). Your healthcare provider should do blood tests during treatment with BRUKINSA to check your blood counts.
  • Second primary cancers. New cancers have happened in people during treatment with BRUKINSA, including cancers of the skin or other organs. Your healthcare provider will check you for other cancers during treatment with BRUKINSA. Use sun protection when you are outside in sunlight.
  • Heart rhythm problems (atrial fibrillation, atrial flutter, and ventricular arrhythmias) that can be serious and may lead to death. Tell your healthcare provider if you have any of the following signs or symptoms:
    • your heartbeat is fast or irregular
    • feel lightheaded or dizzy
    • pass out (faint)
    • shortness of breath
    • chest discomfort
  • Liver problems. Liver problems, which may be severe or life-threatening, or lead to death, can happen in people treated with BRUKINSA. Your healthcare provider will do blood tests to check your liver before and during treatment with BRUKINSA. Tell your healthcare provider or get medical help right away if you have any signs of liver problems, including stomach pain or discomfort, dark-colored urine, or yellow skin and eyes.

The most common side effects of BRUKINSA include:

  • decreased white blood cell count
  • decreased platelet count
  • upper respiratory tract infection
  • bleeding
  • muscle, bone, or joint pain

These are not all the possible side effects of BRUKINSA. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is BRUKINSA?

BRUKINSA is a prescription medicine used to treat adults with:

  • Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).
  • Waldenström’s macroglobulinemia (WM).
  • Mantle cell lymphoma (MCL) who have received at least one prior treatment for their cancer.
  • Marginal zone lymphoma (MZL) when the disease has come back or did not respond to treatment and who have received at least one certain type of treatment.
  • Follicular lymphoma (FL), in combination with the medicine obinutuzumab, when the disease has come back or did not respond to treatment and who have received at least two prior treatments.

It is not known if BRUKINSA is safe and effective in children.

Please see full Prescribing Information including Patient Information.

References: 1. BRUKINSA. Package insert. BeiGene USA, Inc.; 2024. 2. Tam CS, Brown JR, Kahl BS, et al. Zanubrutinib versus bendamustine and rituximab in untreated chronic lymphocytic leukaemia and small lymphocytic lymphoma (SEQUOIA): a randomised, controlled, phase 3 trial. Lancet Oncol. 2022;23(8):1031-1043. 3. Munir T, Shadman M, Robak T, et al. Zanubrutinib (zanu) vs bendamustine + rituximab (BR) in patients (pts) with treatment-naive chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL): extended follow-up of the SEQUOIA study. Presented at: European Hematology Association (EHA) 2023 Hybrid Congress; June 8-15, 2023. Abstract P639. 4. Brown JR, Eichhorst B, Hillmen P, et al. Zanubrutinib or ibrutinib in relapsed or refractory chronic lymphocytic leukemia. N Engl J Med. 2023;388(4):319-332. 5. Brown JR, Eichhorst B, Lamanna N, et al. Extended follow-up of ALPINE randomized phase 3 study confirms sustained superior progression-free survival of zanubrutinib versus ibrutinib for treatment of relapsed/refractory chronic lymphocytic leukemia and small lymphocytic lymphoma (R/R CLL/SLL). Presented at: American Society of Hematology (ASH) Annual Meeting and Exposition; December 9-12, 2023. 6. Data on file. BeiGene USA, Inc.

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