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Safety

NETTER-1 Safety Profile


Adverse reactions1

Most of the adverse reactions seen in the LUTATHERA arm were grade 1/21

Adverse Reactions Occurring at a Higher Incidence in the LUTATHERA Arm 
(Between-Arm Difference of 5% [All Grades] or ≥2% [Grade 3/4])1

Adverse reactions with a higher incidence in the LUTATHERA arm include disorders involving the GI, general disorders, metabolic/nutrition, nervous system, vascular, musculoskeletal, renal/urinary, psychiatric, skin, respiratory, and cardiac systems.
aNational Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03. Only displays adverse reactions occurring at a higher incidence in LUTATHERA-treated patients (between-arm difference of ≥5% [all grades] or ≥2% [grade 3/4]).1
bIncludes the terms glomerular filtration rate decreased, acute kidney injury, acute prerenal failure, azotemia, renal disorder, renal failure, and renal impairment.1
cIncludes the terms dysuria, micturition urgency, nocturia, pollakiuria, renal colic, renal pain, urinary tract pain, and urinary incontinence.1

The most common grade 3/4 adverse reactions with a higher incidence in the LUTATHERA arm were lymphopenia (44%), increased GGT (20%), vomiting (7%), nausea (5%), increased AST (5%), increased ALT (4%), hyperglycemia (4%), and hypokalemia (4%).1

ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, gamma-glutamyl transferase; LAR, long-acting release.

Laboratory abnormalities1

Established safety profile in the pivotal study for LUTATHERA1

Laboratory Abnormalities Occurring at a Higher Incidence in the LUTATHERA Arm (Between-Arm Difference of ≥5% [All Grades] or ≥2% [Grade 3/4])1

Laboratory abnormalities with a higher incidence in the LUTATHERA arm, including hematologic (eg, lymphopenia, anemia), renal/metabolic (eg, creatinine increased, hyperglycemia), and hepatic (eg, increases in GGT and alkaline phosphates).

aValues are worse grade observed after randomization.1
bNational Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03. Only displays laboratory abnormalities occurring at a higher incidence in patients treated with LUTATHERA (between-arm difference of ≥5% [all grades] or ≥2% [grade 3/4]).1

Dose reduction and discontinuation
6% (7 of 111) of patients required a dose reduction, and 13% (14 of 111) of patients discontinued LUTATHERA.1

Reference: 1. Lutathera. Prescribing information. Novartis Pharmaceuticals Corp.