U.S. FDA Approves Eliquis (apixaban) for the Treatment of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE), and for the Reduction in the Risk of Recurrent DVT and PE Following Initial Therapy

Aug 21, 2014
    --  Eliquis demonstrated noninferiority in the primary efficacy endpoint of
        recurrent symptomatic venous thromboembolism (VTE) or VTE-related death
        versus enoxaparin/warfarin in the AMPLIFY trial
    --  Eliquis demonstrated superiority in the primary safety endpoint of major
        bleeding versus enoxaparin/warfarin in the AMPLIFY trial

PRINCETON, N.J. & NEW YORK--(BUSINESS WIRE)-- Bristol-Myers Squibb Company (NYSE: BMY) and Pfizer Inc. (NYSE: PFE) today announced the U.S. Food and Drug Administration (FDA) has approved a Supplemental New Drug Application (sNDA) for Eliquis for the treatment of DVT and PE, and for the reduction in the risk of recurrent DVT and PE following initial therapy. Combined, DVT and PE are known as VTE. It is estimated that every year, approximately 900,000 Americans are affected by DVT and PE.

"We are pleased that Eliquis is now available as an effective treatment option for DVT and PE," said Douglas Manion, M.D., Head of Specialty Development, Bristol-Myers Squibb. "Eliquis offers oral dosing, no routine coagulation testing, and does not require the use of a parenteral anticoagulant or bridging during initiation."

"DVT, which may lead to PE, can be a serious medical condition, with PE requiring immediate medical attention for treatment. Once a VTE has occurred, approximately 33 percent of patients are at risk of a recurrence within 10 years," said Steve Romano, senior vice president, Head of Medicines Development Group for Global Innovative Pharmaceuticals, Pfizer Inc. "The Bristol-Myers Squibb and Pfizer alliance is committed to delivering important treatment options to patients and physicians."

The full Prescribing Information for Eliquis includes Boxed Warnings for the increased risk of thrombotic events in patients who prematurely discontinue Eliquis; and for the increased risk of epidural or spinal hematoma, which may cause long-term or permanent paralysis, in patients using Eliquis and undergoing spinal epidural anesthesia or spinal puncture.

Eliquis increases the risk of bleeding and can cause serious, potentially fatal, bleeding. Please see the complete Boxed Warnings and additional Important Safety Information in this press release.

The FDA approval of Eliquis for the treatment of DVT and PE, and for the reduction in the risk of recurrent DVT and PE following initial therapy, is based on data from the global AMPLIFY and AMPLIFY-EXT studies.

The AMPLIFY study, a randomized, double-blind trial, was designed to demonstrate the efficacy and safety of Eliquis for the treatment of DVT and PE, and included patients with confirmed symptomatic DVT or PE (2,609 for Eliquis and 2,635 for standard of care, which was initial enoxaparin treatment for at least five days, overlapped by warfarin therapy [International Normalized Ratio (INR) range 2.0-3.0] orally for six months).

In the AMPLIFY study, Eliquis 10 mg twice daily for one week followed by 5 mg twice daily for six months demonstrated efficacy comparable to standard of care in treating DVT and PE patients for the primary efficacy composite endpoint of recurrent, symptomatic VTE, or VTE-related death (2.3% vs. 2.7%, relative risk, 0.84; 95% confidence interval [CI], 0.60 to 1.18; P-value<0.0001 for noninferiority).

Eliquis demonstrated superiority in the primary safety endpoint of major bleeding versus standard of care (0.6% vs. 1.8%, relative risk 0.31; 95% CI, 0.17 to 0.55; P<0.0001 for superiority). Major bleeding was defined as clinically overt bleeding that was accompanied by one or more of the following: a decrease in the hemoglobin level of 2 g/dL or more; a transfusion of two or more units of packed red blood cells; bleeding that occurred in at least one of the following critical sites: intracranial, intraspinal, intraocular, pericardial, intra-articular, intramuscular with compartment syndrome, retroperitoneal; or bleeding that was fatal.

For the secondary safety endpoint in the AMPLIFY study, the event rates for clinically relevant nonmajor bleeding (CRNM) were fewer in Eliquis-treated patients compared to standard of care-treated patients (3.9% vs. 8.0%). CRNM was defined as overt bleeding that did not meet the criteria for major bleeding but was associated with a medical intervention, contact with a physician, interruption of the study drug, or discomfort or impairment in carrying out daily activities.

In AMPLIFY, the discontinuation rate due to bleeding events was 0.7% in the Eliquis-treated patients compared to 1.7% in enoxaparin/warfarin-treated patients.

About DVT and PE

DVT is a blood clot in a vein, usually in the lower leg, thigh, or pelvis, which partially or totally blocks the flow of blood. PE is a blood clot blocking one or more vessels in the lungs. DVT causes multiple symptoms including pain, swelling, and redness, and more importantly, can progress to PE, which carries the risk of sudden death.

About Eliquis

Eliquis (apixaban) is an oral selective Factor Xa inhibitor. By inhibiting Factor Xa, a key blood-clotting protein, Eliquis decreases thrombin generation and blood clot formation. Eliquis is approved for multiple indications in the U.S. based on efficacy and safety data, including results from seven Phase 3 clinical trials.

ELIQUIS Important Safety Information

Indications

ELIQUIS is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation.

ELIQUIS is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery.

ELIQUIS is indicated for the treatment of DVT and PE, and to reduce the risk of recurrent DVT and PE following initial therapy.

Important Safety Information

WARNING: (A) PREMATURE DISCONTINUATION OF ELIQUIS INCREASES THE RISK OF
THROMBOTIC EVENTS, (B) SPINAL/EPIDURAL HEMATOMA

 

(A) Premature discontinuation of any oral anticoagulant, including ELIQUIS,
increases the risk of thrombotic events. If anticoagulation with ELIQUIS is
discontinued for a reason other than pathological bleeding or completion of a
course of therapy, consider coverage with another anticoagulant.

 

(B) Epidural or spinal hematomas may occur in patients treated with ELIQUIS who
are receiving neuraxial anesthesia or undergoing spinal puncture. These
hematomas may result in long-term or permanent paralysis. Consider these risks
when scheduling patients for spinal procedures. Factors that can increase the
risk of developing epidural or spinal hematomas in these patients include:

 

    --  use of indwelling epidural catheters
    --  concomitant use of other drugs that affect hemostasis, such as
        nonsteroidal anti-inflammatory drugs (NSAIDs), platelet inhibitors,
        other anticoagulants
    --  a history of traumatic or repeated epidural or spinal punctures
    --  a history of spinal deformity or spinal surgery
    --  optimal timing between the administration of ELIQUIS and neuraxial
        procedures is not known
Monitor patients frequently for signs and symptoms of neurological impairment.
If neurological compromise is noted, urgent treatment is necessary.

 

Consider the benefits and risks before neuraxial intervention in patients
anticoagulated or to be anticoagulated.



CONTRAINDICATIONS

    --  Active pathological bleeding
    --  Severe hypersensitivity reaction to ELIQUIS (e.g., anaphylactic
        reactions)

WARNINGS AND PRECAUTIONS

    --  Increased Risk of Thrombotic Events after Premature
        Discontinuation:Premature discontinuation of any oral anticoagulant,
        including ELIQUIS, in the absence of adequate alternative
        anticoagulation increases the risk of thrombotic events. An increased
        rate of stroke was observed during the transition from ELIQUIS to
        warfarin in clinical trials in atrial fibrillation patients. If ELIQUIS
        is discontinued for a reason other than pathological bleeding or
        completion of a course of therapy, consider coverage with another
        anticoagulant.
    --  Bleeding Risk:ELIQUIS increases the risk of bleeding and can cause
        serious, potentially fatal bleeding.
        o Concomitant use of drugs affecting hemostasis increases the risk of
          bleeding including aspirin and other anti-platelet agents, other
          anticoagulants, heparin, thrombolytic agents, SSRIs, SNRIs, and
          NSAIDs.
        o Advise patients of signs and symptoms of blood loss and to report them
          immediately or go to an emergency room. Discontinue ELIQUIS in
          patients with active pathological hemorrhage.
        o There is no established way to reverse the anticoagulant effect of
          apixaban, which can be expected to persist for at least 24 hours after
          the last dose (i.e., about two half-lives). A specific antidote for
          ELIQUIS is not available.
    --  Spinal/Epidural Anesthesia or Puncture:Patients treated with Eliquis
        undergoing spinal/epidural anesthesia or puncture may develop an
        epidural or spinal hematoma which can result in long-term or permanent
        paralysis. The risk of these events may be increased by the
        postoperative use of indwelling epidural catheters or the concomitant
        use of medicinal products affecting hemostasis. Indwelling epidural or
        intrathecal catheters should not be removed earlier than 24 hours after
        the last administration of ELIQUIS. The next dose of ELIQUIS should not
        be administered earlier than 5 hours after the removal of the catheter.
        The risk may also be increased by traumatic or repeated epidural or
        spinal puncture. If traumatic puncture occurs, delay the administration
        of ELIQUIS for 48 hours. Monitor patients frequently and if neurological
        compromise is noted, urgent diagnosis and treatment is necessary.
        Physicians should consider the potential benefit versus the risk of
        neuraxial intervention in Eliquis patients.
    --  Prosthetic Heart Valves:The safety and efficacy of ELIQUIS have not been
        studied in patients with prosthetic heart valves and is not recommended
        in these patients.
    --  Acute PE in Hemodynamically Unstable Patients or Patients who Require
        Thrombolysis or Pulmonary Embolectomy:Initiation of ELIQUIS is not
        recommended as an alternative to unfractionated heparin for the initial
        treatment of patients with PE who present with hemodynamic instability
        or who may receive thrombolysis or pulmonary embolectomy.

ADVERSE REACTIONS

    --  The most common and most serious adverse reactions reported with ELIQUIS
        were related to bleeding.

TEMPORARY INTERRUPTION FOR SURGERY AND OTHER INTERVENTIONS

    --  ELIQUIS should be discontinued at least 48 hours prior to elective
        surgery or invasive procedures with a moderate or high risk of
        unacceptable or clinically significant bleeding. ELIQUIS should be
        discontinued at least 24 hours prior to elective surgery or invasive
        procedures with a low risk of bleeding or where the bleeding would be
        noncritical in location and easily controlled. Bridging anticoagulation
        during the 24 to 48 hours after stopping ELIQUIS and prior to the
        intervention is not generally required. ELIQUIS should be restarted
        after the surgical or other procedures as soon as adequate hemostasis
        has been established.

DRUG INTERACTIONS

    --  Strong Dual Inhibitors of CYP3A4 and P-gp:Inhibitors of CYP3A4 and P-gp
        increase exposure to apixaban and increase the risk of bleeding. For
        patients receiving ELIQUIS doses greater than 2.5 mg twice daily, the
        dose of ELIQUIS should be decreased by 50% when it is coadministered
        with drugs that are strong dual inhibitors of CYP3A4 and P-gp (e.g.,
        ketoconazole, itraconazole, ritonavir, or clarithromycin).For patients
        receiving ELIQUIS at a dose of 2.5 mg twice daily, avoid
        coadministration with strong dual inhibitors of CYP3A4 and P-gp.
    --  Strong Dual Inducers of CYP3A4 and P-gp:Avoid concomitant use of ELIQUIS
        with strong dual inducers of CYP3A4 and P-gp (e.g., rifampin,
        carbamazepine, phenytoin, St. John’s wort) because such drugs will
        decrease exposure to apixaban and increase the risk of stroke and other
        thromboembolic events.
    --  Anticoagulants and Antiplatelet Agents:Coadministration of antiplatelet
        agents, fibrinolytics, heparin, aspirin, and chronic NSAID use increases
        the risk of bleeding. APPRAISE-2, a placebo-controlled clinical trial of
        apixaban in high-risk post-acute coronary syndrome patients treated with
        aspirin or the combination of aspirin and clopidogrel, was terminated
        early due to a higher rate of bleeding with apixaban compared to
        placebo.

PREGNANCY CATEGORY B

    --  There are no adequate and well-controlled studies of ELIQUIS in pregnant
        women. Treatment is likely to increase the risk of hemorrhage during
        pregnancy and delivery. ELIQUIS should be used during pregnancy only if
        the potential benefit outweighs the potential risk to the mother and
        fetus.

Please see full Prescribing Information, including BOXED WARNINGS and Medication Guide, available at www.bms.com.

About the Bristol-Myers Squibb/Pfizer Collaboration

In 2007, Pfizer and Bristol-Myers Squibb entered into a worldwide collaboration to develop and commercialize apixaban, an oral anticoagulant discovered by Bristol-Myers Squibb. This global alliance combines Bristol-Myers Squibb's long-standing strengths in cardiovascular drug development and commercialization with Pfizer's global scale and expertise in this field.

About Bristol-Myers Squibb

Bristol-Myers Squibb is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. For more information, please visit www.bms.com.

About Pfizer Inc.: Working together for a healthier world(TM)

At Pfizer, we apply science and our global resources to bring therapies to people that extend and significantly improve their lives. We strive to set the standard for quality, safety and value in the discovery, development and manufacture of health care products. Our global portfolio includes medicines and vaccines as well as many of the world's best-known consumer health care products. Every day, Pfizer colleagues work across developed and emerging markets to advance wellness, prevention, treatments and cures that challenge the most feared diseases of our time. Consistent with our responsibility as one of the world's premier innovative biopharmaceutical companies, we collaborate with health care providers, governments and local communities to support and expand access to reliable, affordable health care around the world. For more than 150 years, Pfizer has worked to make a difference for all who rely on us. To learn more, please visit us at www.pfizer.com.

Bristol-Myers Squibb Forward-Looking Statement

This press release contains "forward-looking statements" as that term is defined in the Private Securities Litigation Reform Act of 1995 regarding product development. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including factors that could delay, divert or change any of them, and could cause actual outcomes and results to differ materially from current expectations. No forward-looking statement can be guaranteed. Among other risks, there can be no guarantee that the approval of these additional indications in the U.S. will lead to increased commercial success or that Eliquis will be approved for any other additional indications. Forward-looking statements in this press release should be evaluated together with the many uncertainties that affect Bristol-Myers Squibb's business, particularly those identified in the cautionary factors discussion in Bristol-Myers Squibb's Annual Report on Form 10-K for the year ended December 31, 2013, in our Quarterly Reports on Form 10-Q and our Current Reports on Form 8-K. Bristol-Myers Squibb undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise.

PFIZER DISCLOSURE NOTICE:

The information contained in this release is as of August 21, 2014. Pfizer assumes no obligation to update forward-looking statements contained in this release as the result of new information or future events or developments.

This release contains forward-looking information about Eliquis's (apixaban's) potential benefits and about additional indications for Eliquis in the U.S. for the treatment of DVT and PE, and for the reduction in the risk of recurrent DVT and PE following initial therapy, that involves substantial risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statements. Risks and uncertainties include, among other things, the uncertainties regarding the commercial success of the additional indications in the U.S.; whether and when regulatory authorities in other jurisdictions will approve applications for these potential additional indications, as well as their decisions regarding labeling and other matters that could affect the availability or commercial potential of such potential additional indications; and competitive developments.

A further description of risks and uncertainties can be found in Pfizer's Annual Report on Form 10-K for the fiscal year ended December 31, 2013 and in our subsequent reports on Form 10-Q, including in the sections thereof captioned "Risk Factors" and "Forward--10-Looking Information That May Affect Future Results", as well as in its subsequent reports on Form 8-K, all of which are filed with the SEC and available at www.sec.gov and www.pfizer.com.

    CONTACT: Bristol-Myers Squibb
             Media:
             Danielle Halstrom, 609-252-3403
             danielle.halstrom@bms.com
             Investors:
             Ranya Dajani, 609-252-5330
             ranya.dajani@bms.com
             Ryan Asay, 609-252-5020
             ryan.asay@bms.com
             or
             Pfizer Inc.
             Media:
             Jennifer Kokell, 212-733-2596
             jennifer.kokell@pfizer.com
             Investors:
             Ryan Crowe, 212-733-8160
             ryan.crowe@pfizer.com

    Source: Bristol-Myers Squibb Company & Pfizer Inc.
Bristol-Myers Squibb Media: Danielle Halstrom, 609-252-3403 danielle.halstrom@bms.com Investors: Ranya Dajani, 609-252-5330 ranya.dajani@bms.com Ryan Asay, 609-252-5020 ryan.asay@bms.com or Pfizer Inc. Media: Jennifer Kokell, 212-733-2596 jennifer.kokell@pfizer.com Investors: Ryan Crowe, 212-733-8160 ryan.crowe@pfizer.com