Screening report

AbbVie Inc. · Package insert of record

EMRELIS (TELISOTUZUMAB VEDOTIN)

Special-handling language in the label
The FDA label carries manufacturer special-handling information — for example cytotoxic, antineoplastic, or “special handling.”
5 / 6NIOSH hazard criteria present in this label
Special handling: present in the label
Carcinogenicity: not found
Developmental: present in the label
Reproductive: present in the label
Genotoxicity: present in the label
Organ toxicity: present in the label
Manufacturer special-handling information
5 passages in the label

“…in 29 responders. 15 REFERENCES 1. "OSHA Hazardous Drugs." OSHA . http://www.osha.gov/SLTC/hazardousdrugs/index.html 16 HOW SUPPLIED/STORAGE AND HANDLING How Supplied EMRELIS…”

2 more passages

“…vedotin-tllv) For Injection 20 mg per vial Hazardous Drug For Intravenous Infusion after reconstitution and dilution Single-Dose Vial Discard Unused Portion Dispense the enclose…”

“…a hazardous component. Follow applicable special handling and disposal procedures in accordance with local requirements. 1 Reconstitute and further dilute EMRELIS prior to intravenous infusi…”

Genotoxicity / mutagenicity
5 passages in the label

“…2 months after the last dose. Males Based on genotoxicity findings, advise male patients with female partners of reproductive potential to use effective contraception durin…”

2 more passages

Animal study“…vedotin-tllv or the small molecule MMAE. Mutagenesis MMAE was positive for genotoxicity in the in vivo rat bone marrow micronucleus study through an aneugenic mechanism…”

Animal study“…MMAE. Mutagenesis MMAE was positive for genotoxicity in the in vivo rat bone marrow micronucleus study through an aneugenic mechanism. MMAE was not mutagenic in the ba…”

Developmental / embryo-fetal toxicity
18 passages in the label

“…prior to subsequent infusions. ( 5.4 ) Embryo-Fetal Toxicity : Can cause fetal harm. Advise patients about the potential risk to a fetus and to use effective contraception…”

2 more passages

“…prior to subsequent infusions. 5. 5 Embryo-Fetal Toxicity Based on the mechanism of action and findings in animals, EMRELIS can cause fetal harm when administered to a…”

“…pregnant rats during organogenesis resulted in embryo-fetal mortality and structural abnormalities at exposures similar to the clinical exposure at the recommended dose [see Data…”

Reproductive / fertility toxicity
5 passages in the label

“…not to breastfeed. ( 8.2 ) Infertility : May impair fertility. ( 8.3 ) 8.1 Pregnancy Risk Summary Based on the mechanism of action and findings in animals, EMRELIS can cause fetal h…”

2 more passages

“…of reproductive potential that EMRELIS may impair fertility [see ( 13 ) ]. EMRELIS™ [telisotuzumab vedotin-tllv] Manufactured by: AbbVie Inc. North Chicago, IL 60064, U.S.A. U.S…”

“…) Lactation : Advise not to breastfeed. ( 8.2 ) Infertility : May impair fertility. ( 8.3 ) 8.1 Pregnancy Risk Summary Based on the mechanism of action and findings in animals, EM…”

Organ toxicity (verify at low doses)
24 passages in the label

“…level. Grade 4 Permanently discontinue EMRELIS. Interstitial Lung Disease (ILD)/Pneumonitis [see Warnings and Precautions ( 5.2 )] Grade 1 Withhold EMRELIS and consider corticosteroids as soon…”

2 more passages

“…[see Dosage and Administration ( 2.3 )]. 5.2 Interstitial Lung Disease /Pneumonitis EMRELIS can cause severe, life-threatening, or fatal interstitial lung disease (ILD)/pneumonitis. In the s…”

“…can cause severe, life-threatening, or fatal interstitial lung disease (ILD)/pneumonitis. In the safety population [see Adverse Reactions ( 6.1 )], ILD/pneumonitis occurred in 10% of patient…”

Drug-class hint
Context only · not counted

“…Telisotuzumab vedotin-tllv is a c-Met directed antibody-drug conjugate (ADC) comprised of a humanized immunoglobulin G1 kappa (IgG1κ) monoclonal antibody conjugated to the small molecule mic…”

Set aside: found but not counted (4)
NegatedCarcinogenicity: “and effectiveness of EMRELIS. 13 13.1 Carcinogenesis Carcinogenicity studies in animals have not been performed with telisotuzumab vedotin-tllv or the small molecule MM”
NegatedCarcinogenicity: “of EMRELIS. 13 13.1 Carcinogenesis Carcinogenicity studies in animals have not been performed with telisotuzumab vedotin-tllv or the small molecule MMAE. Mutagenesis”
NegatedGenotoxicity / mutagenicity: “through an aneugenic mechanism. MMAE was not mutagenic in the bacterial reverse mutation (Ames) assay or the L5178Y TK +/- mouse lymphoma forward mutation assay. Fertilit”
NegatedDevelopmental / embryo-fetal toxicity: “risks to a fetus. Data Animal Data No embryo-fetal development studies in animals have been performed with telisotuzumab vedotin-tllv. In an embryo-fetal development stud”
These matched a hazard term but the text negates the finding, or names a test, a disease or a drug class rather than a finding about this drug. Shown so you can review them yourself.

For information only. This is a count of how many of the six NIOSH hazard-criteria appear in this label after negated and supporting-only statements are set aside. Findings from animal studies count, as NIOSH’s definition counts them, and are tagged “Animal data”. It is not a hazard determination, and the drug-class hint is not counted.