Astellas to Present Data on Long-Term Outcomes and Clinical Use of Its Portfolio Across Disease Stages at ASCO 2026
Rhea-AI Summary
Astellas (NYSE:PFE) will present 10 oncology-related abstracts at the ASCO 2026 meeting, including two oral presentations, covering urothelial carcinoma, prostate cancer, women’s health and pipeline programs.
Data span long-term outcomes, quality of life, subgroup analyses, and a trial-in-progress of fezolinetant and TROP2-targeted ADC ASP2998.
AI-generated analysis. Not financial advice.
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News Market Reaction – PFE
On the day this news was published, PFE declined NaN%, reflecting a moderate negative market reaction.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Market Reality Check
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PFE is down 1.63%. Key peers mostly declined: GILD -2.04%, AMGN -2.82%, SNY -0.77%, GSK -0.98%, while BMY rose 0.67%. No momentum scanner signals for peers.
Historical Context
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| May 13 | EU drug approval | Positive | +0.3% | EU approval expanding HYMPAVZI use in hemophilia A or B with inhibitors. |
| May 05 | Earnings and guidance | Positive | +0.6% | Q1 2026 results with $14.5B revenue and reaffirmed full‑year guidance. |
| Apr 29 | Clinical trial success | Positive | -0.8% | ELREXFIO Phase 3 trial met primary PFS endpoint vs DPd regimen. |
| Apr 28 | Patent settlements | Positive | -1.2% | VYNDAMAX patent settlements extending effective U.S. expiry to June 1, 2031. |
| Apr 24 | Access/price strategy | Positive | +1.2% | Eliquis added to Mark Cuban Cost Plus platform at $345 per 30‑day supply. |
Recent positive regulatory and clinical updates often led to modest gains, but some favorable clinical and IP news saw negative reactions, indicating mixed pricing of good news.
Over the last month, Pfizer reported multiple positive developments. The European Commission approved HYMPAVZI for hemophilia A/B with inhibitors, and Q1 2026 revenue of $14.5B came with reaffirmed full‑year guidance. ELREXFIO achieved a significant progression‑free survival benefit in multiple myeloma, while VYNDAMAX patent settlements extended effective U.S. exclusivity to June 1, 2031. Access expansion for Eliquis via Mark Cuban Cost Plus further supported the portfolio. The current Astellas ASCO news is unrelated but sits against this backdrop of steady Pfizer pipeline and commercial updates.
Market Pulse Summary
This announcement highlights Astellas’ broad oncology and women’s health presence at ASCO 2026, with 10 abstracts spanning urothelial carcinoma, prostate cancer, vasomotor symptoms in breast cancer, and a TROP2‑targeted antibody‑drug conjugate. While the news centers on Astellas rather than Pfizer, it underscores ongoing innovation and competitive activity in oncology. Against Pfizer’s recent approvals, patent extensions to 2031, and positive Phase 3 data, investors may watch how cross‑company trial results shape therapeutic standards and market share over time.
Key Terms
urothelial carcinoma medical
phase 3 medical
neoadjuvant medical
adjuvant medical
androgen-deprivation therapy (adt) medical
androgen receptor pathway inhibitors (arpis) medical
vasomotor symptoms medical
trophoblast cell-surface antigen 2 (trop2) medical
AI-generated analysis. Not financial advice.
10 abstracts, including two oral presentations, reinforce Astellas' long-term commitment to advancing oncology care
Urothelial carcinoma
In urothelial cancer, a key highlight will be a 3.5-year follow-up oral presentation from the Phase 3 EV-302 study (also known as KEYNOTE-A39), evaluating enfortumab vedotin in combination with pembrolizumab in previously untreated locally advanced or metastatic disease. These data provide additional insight into the durability of outcomes with this treatment approach in advanced disease, an important consideration in clinical management.
Additional data from multiple studies exploring the use of this combination in earlier settings will be presented during the congress. Together, these findings contribute to a broader understanding of how this treatment approach may be applied across advanced disease settings, as well as across patient subgroups.
Prostate cancer
In advanced prostate cancer, additional analyses from established clinical programs in non-metastatic hormone- (or castration-) sensitive prostate cancer (nmHSPC or nmCSPC) with high-risk biochemical recurrence (BCR) and hormone- (or castration-) sensitive prostate cancer (mHSPC or mCSPC), including EMBARK and ARCHES, will provide further insight into treatment outcomes in patients with varying clinical characteristics, supporting clinical decision-making in practice.
Women's health
For the first time at ASCO, Astellas will present an update on HIGHLIGHT 1, a trial-in-progress investigating the safety and efficacy of fezolinetant for the treatment of moderate to severe vasomotor symptoms in women with stage 0 to 3 hormone receptor-positive breast cancer who are receiving adjuvant endocrine therapy. The safety and efficacy of fezolinetant have not been established in this patient population. Fezolinetant is currently approved by the
Astellas Presentations at the 2026 ASCO Annual Meeting
Enfortumab vedotin
Presentation Title | Lead Author | Presentation Details |
Enfortumab vedotin plus pembrolizumab vs chemotherapy for previously untreated locally advanced or | T. Powles | Type: Oral Presentation Abstract Number: 4507 Date: May 29, 2026, 2:45 PM-5:45 PM CDT |
Health-related quality of life with neoadjuvant and adjuvant enfortumab vedotin plus pembrolizumab in | P. O'Donnell | Type: Oral Presentation Abstract Number: 4510 Date: May 30, 2026, 8:00 AM-9:30 AM CDT |
Neoadjuvant and adjuvant enfortumab vedotin plus pembrolizumab in participants with cisplatin-ineligible | N. Adra | Type: Poster Presentation Abstract Number: 4613 Date: May 31, 2026, 9:00 AM-12:00 PM CDT |
Exploratory subgroup outcomes in the phase 3 KEYNOTE-B15 study of neoadjuvant-adjuvant enfortumab | C. Hoimes | Type: Poster Presentation Abstract Number: 4614 Date: May 31, 2026, 9:00 AM-12:00 PM CDT |
Enzalutamide
Presentation Title | Lead Author | Presentation Details |
Predictors of treatment duration in patients with metastatic hormone-sensitive prostate cancer treated with | A. | Type: Poster Presentation Abstract Number: 5093 Date: May 31, 2026, 9:00 AM-12:00 PM CDT |
Efficacy and safety of enzalutamide in patients with metastatic hormone-sensitive prostate cancer and | A. Stenzl | Type: Poster Presentation Abstract Number: 5092 Date: May 31, 2026, 9:00 AM-12:00 PM CDT |
EMBARK: Testosterone recovery to >250 ng/dL following treatment suspension | S. Freedland | Type: Poster Presentation Abstract Number: 5088 Date: May 31, 2026, 9:00 AM-12:00 PM CDT |
Outcomes with androgen-deprivation therapy (ADT) plus androgen receptor pathway inhibitors (ARPIs) in | M. Schoen | Type: Poster Presentation Abstract Number: 5094 Date: May 31, 2026, 9:00 AM-12:00 PM CDT |
Fezolinetant
Presentation Title | Lead Author | Presentation Details |
HIGHLIGHT 1: A randomized, placebo-controlled, double-blind, phase 3 clinical study to investigate the | C. Bouchard | Type: Poster Presentation Abstract Number: TPS642 Date: June 1, 2026, 1:30 PM-4:30 PM CDT |
Pipeline
Presentation Title | Lead Author | Presentation Details |
Trial in progress: ASP2998, a trophoblast cell-surface antigen 2 (TROP2)–targeted immunostimulatory | G. Sonpavde | Type: Poster Presentation Abstract Number: TPS2665 Date: May 30, 2026, 1:30 PM-4:30 PM CDT |
About Astellas
Astellas is a global life sciences company committed to turning innovative science into VALUE for patients. We provide transformative therapies in disease areas that include oncology, ophthalmology, urology, immunology and women's health. Through our research and development programs, we are pioneering new healthcare solutions for diseases with high unmet medical need. Learn more at www.astellas.com.
About the Pfizer, Astellas and Merck Collaboration
Seagen and Astellas previously entered a clinical collaboration agreement with Merck to evaluate the combination of Seagen's and Astellas' PADCEV® (enfortumab vedotin-ejfv) and Merck's KEYTRUDA® (pembrolizumab) in patients with previously untreated metastatic urothelial cancer and in patients with muscle-invasive bladder cancer (MIBC). Pfizer Inc. successfully completed its acquisition of Seagen on December 14, 2023. KEYTRUDA is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.,
About XTANDI and the Pfizer/Astellas Collaboration
In October 2009, Medivation, Inc., which is now part of Pfizer (NYSE:PFE), and Astellas (TSE: 4503) entered into a commercial agreement to jointly develop and commercialize XTANDI® (enzalutamide) in
Cautionary Notes
In this press release, statements made with respect to current plans, estimates, strategies and beliefs and other statements that are not historical facts are forward-looking statements about the future performance of Astellas. These statements are based on management's current assumptions and beliefs in light of the information currently available to it and involve known and unknown risks and uncertainties. A number of factors could cause actual results to differ materially from those discussed in the forward-looking statements. Such factors include, but are not limited to: (i) changes in general economic conditions and in laws and regulations, relating to pharmaceutical markets, (ii) currency exchange rate fluctuations, (iii) delays in new product launches, (iv) the inability of Astellas to market existing and new products effectively, (v) the inability of Astellas to continue to effectively research and develop products accepted by customers in highly competitive markets, and (vi) infringements of Astellas' intellectual property rights by third parties. Information about pharmaceutical products (including products currently in development) which is included in this press release is not intended to constitute an advertisement or medical advice.
PADCEV Important Safety Information
BOXED WARNING: SERIOUS SKIN REACTIONS
- PADCEV (enfortumab vedotin-ejfv) can cause severe and fatal cutaneous adverse reactions including Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN), which occurred predominantly during the first cycle of treatment, but may occur later.
- Closely monitor patients for skin reactions.
- Immediately withhold PADCEV and consider referral for specialized care for suspected SJS or TEN or severe skin reactions.
- Permanently discontinue PADCEV in patients with confirmed SJS or TEN; or Grade 4 or recurrent Grade 3 skin reactions.
INDICATIONS
PADCEV, in combination with pembrolizumab or pembrolizumab and berahyaluronidase alfa-pmph, as neoadjuvant treatment and then continued after cystectomy as adjuvant treatment, is indicated for the treatment of adult patients with muscle invasive bladder cancer (MIBC) who are ineligible for cisplatin-containing chemotherapy.
PADCEV, in combination with pembrolizumab or pembrolizumab and berahyaluronidase alfa-pmph, is indicated for the treatment of adult patients with locally advanced or metastatic urothelial cancer (mUC).
PADCEV, as a single agent, is indicated for the treatment of adult patients with locally advanced or mUC who:
- have previously received a programmed death receptor-1 (PD-1) or programmed death-ligand 1 (PD-L1) inhibitor and platinum-containing chemotherapy, or
- are ineligible for cisplatin-containing chemotherapy and have previously received one or more prior lines of therapy.
IMPORTANT SAFETY INFORMATION
WARNINGS AND PRECAUTIONS
Skin reactions Severe cutaneous adverse reactions, including fatal cases of SJS or TEN occurred in patients treated with PADCEV. SJS and TEN occurred predominantly during the first cycle of treatment but may occur later.
Skin reactions occurred in
Skin reactions occurred in
Skin reactions occurred in
Monitor patients closely throughout treatment for skin reactions. Consider topical corticosteroids and antihistamines, as clinically indicated. For persistent or recurrent Grade 2 skin reactions, consider withholding PADCEV until Grade ≤1. Withhold PADCEV and refer for specialized care for suspected SJS, TEN or for Grade 3 skin reactions. Permanently discontinue PADCEV in patients with confirmed SJS or TEN; or Grade 4 or recurrent Grade 3 skin reactions.
Hyperglycemia and diabetic ketoacidosis (DKA), including fatal events, occurred in patients with and without pre‑existing diabetes mellitus, treated with PADCEV. Patients with baseline hemoglobin A1C ≥
Pneumonitis/Interstitial lung disease (ILD) Severe, life-threatening or fatal pneumonitis/ILD occurred in patients treated with PADCEV.
When PADCEV was given in combination with intravenous pembrolizumab for the treatment of MIBC,
When PADCEV was given in combination with intravenous pembrolizumab for the treatment of locally advanced or mUC,
In clinical trials of PADCEV as a single agent,
Monitor patients for signs and symptoms indicative of pneumonitis/ILD such as hypoxia, cough, dyspnea or interstitial infiltrates on radiologic exams. Evaluate and exclude infectious, neoplastic and other causes for such signs and symptoms through appropriate investigations. Withhold PADCEV for patients who develop Grade 2 pneumonitis/ILD and consider dose reduction. Permanently discontinue PADCEV in all patients with Grade 3 or 4 pneumonitis/ILD.
Peripheral neuropathy (PN) When PADCEV was given in combination with intravenous pembrolizumab for the treatment of MIBC,
When PADCEV was given in combination with intravenous pembrolizumab for the treatment of locally advanced or mUC,
PN occurred in
Monitor patients for symptoms of new or worsening PN and consider dose interruption or dose reduction of PADCEV when PN occurs. Permanently discontinue PADCEV in patients who develop Grade >3 PN.
Ocular disorders were reported in
Infusion site extravasation Skin and soft tissue reactions secondary to extravasation have been observed after administration of PADCEV. Of the 720 patients treated with PADCEV as a single agent in clinical trials,
Embryo-fetal toxicity PADCEV can cause fetal harm when administered to a pregnant woman. Advise patients of the potential risk to the fetus. Advise female patients of reproductive potential to use effective contraception during PADCEV treatment and for 2 months after the last dose. Advise male patients with female partners of reproductive potential to use effective contraception during treatment with PADCEV and for 4 months after the last dose.
ADVERSE REACTIONS
Most common adverse reactions, including laboratory abnormalities (≥
- PADCEV in combination with intravenous pembrolizumab for the treatment of MIBC: increased glucose, decreased hemoglobin, increased aspartate aminotransferase (AST), rash, increased alanine aminotransferase (ALT), fatigue, pruritus, increased creatinine, decreased sodium, decreased lymphocytes, peripheral neuropathy, increased potassium, alopecia, dysgeusia, diarrhea, decreased appetite, constipation, nausea, decreased phosphate, urinary tract infection, dry eye, and decreased weight.
- PADCEV in combination with intravenous pembrolizumab for the treatment of locally advanced or mUC: increased AST, increased creatinine, rash, increased glucose, peripheral neuropathy, increased lipase, decreased lymphocytes, increased ALT, decreased hemoglobin, fatigue, decreased sodium, decreased phosphate, decreased albumin, pruritus, diarrhea, alopecia, decreased weight, decreased appetite, increased urate, decreased neutrophils, decreased potassium, dry eye, nausea, constipation, increased potassium, dysgeusia, urinary tract infection, and decreased platelets.
- PADCEV as a single agent: increased glucose, increased AST, decreased lymphocytes, increased creatinine, rash, fatigue, peripheral neuropathy, decreased albumin, decreased hemoglobin, alopecia, decreased appetite, decreased neutrophils, decreased sodium, increased ALT, decreased phosphate, diarrhea, nausea, pruritus, increased urate, dry eye, dysgeusia, constipation, increased lipase, decreased weight, decreased platelets, abdominal pain, and dry skin.
EV-303 Study: Patients with cisplatin-ineligible MIBC (PADCEV in combination with intravenous pembrolizumab)
- Neoadjuvant phase: Of a total of 167 patients, serious adverse reactions occurred in
27% of patients receiving PADCEV in combination with intravenous pembrolizumab. The most frequent (≥2% ) serious adverse reactions were urinary tract infection (3.6% ) and hematuria (2.4% ). Fatal adverse reactions occurred in1.2% of patients including myasthenia gravis and toxic epidermal necrolysis (0.6% each). Additional fatal adverse reactions were reported in2.7% of patients in the post-surgery phase before adjuvant treatment started, including sepsis and intestinal obstruction (1.4% each). Adverse reactions leading to discontinuation of PADCEV occurred in22% of patients. The most common adverse reactions (≥1% ) leading to discontinuation of PADCEV were rash (4.8% ), peripheral neuropathy (2.4% ), and diarrhea, dysgeusia, fatigue, pruritus, and toxic epidermal necrolysis (1.2% each). Adverse reactions leading to dose interruption of PADCEV occurred in29% of patients. The most common adverse reactions (≥2% ) leading to dose interruption of PADCEV were rash (8% ), neutropenia (3.6% ), and hyperglycemia (3% ), and fatigue and peripheral neuropathy (2.4% each). Adverse reactions leading to dose reduction of PADCEV occurred in13% of patients. The most common adverse reactions (≥1% ) leading to dose reduction of PADCEV were rash (4.8% ), pruritus (1.8% ), and peripheral neuropathy, increased alanine aminotransferase, increased aspartate aminotransferase, decreased appetite, fatigue, neutropenia, and decreased weight (1.2% each). Seven (4.2% ) patients did not receive surgery due to adverse reactions. The adverse reactions that led to cancellation of surgery were acute myocardial infarction, bile duct cancer, colon cancer, respiratory distress, urinary tract infection and deaths due to myasthenia gravis and toxic epidermal necrolysis (0.6% each). Of the 146 patients who received neoadjuvant treatment with PADCEV in combination with intravenous pembrolizumab and underwent RC, 6 (4.1% ) patients experienced delay of surgery due to adverse reactions. - Adjuvant phase: Of the 149 patients who underwent surgery, 100 patients received adjuvant treatment with PADCEV in combination with intravenous pembrolizumab. Of the 49 patients who did not receive adjuvant treatment, discontinuation of treatment with PADCEV in combination with intravenous pembrolizumab prior to the adjuvant phase was due to an adverse event in 21 patients. Serious adverse reactions occurred in
43% of patients receiving PADCEV in combination with pembrolizumab. The most frequent (≥2% ) serious adverse reactions were urinary tract infection (8% ), acute kidney injury and pyelonephritis (5% each), urosepsis (4% ), and hypokalemia, intestinal obstruction, and sepsis (2% each). Fatal adverse reactions occurred in7% of patients, including urosepsis, hemorrhage intracranial, death, myocardial infarction, multiple organ dysfunction syndrome, and pneumonia pseudomonal (1% each). Adverse reactions leading to discontinuation of PADCEV occurred in26% of patients. The most common adverse reactions (≥2% ) leading to discontinuation of PADCEV were peripheral neuropathy (5% ) and rash (4% ). Adverse reactions leading to dose interruption of PADCEV occurred in36% of patients. The most common adverse reactions (≥2% ) leading to dose interruption of PADCEV were rash (6% ), diarrhea and urinary tract infection (5% each), fatigue (4% ), pruritus (3% ), and peripheral neuropathy and pyelonephritis (2% each). Adverse reactions leading to dose reduction of PADCEV occurred in7% of patients. The most common adverse reactions (≥2% ) leading to dose reduction of PADCEV was weight decreased (2% ).
EV-302 Study: 440 patients with previously untreated la/mUC (PADCEV in combination with intravenous pembrolizumab)
Serious adverse reactions occurred in
Adverse reactions leading to discontinuation of PADCEV occurred in
EV-301 Study: 296 patients previously treated with a PD-1/L1 inhibitor and platinum-based chemotherapy (PADCEV monotherapy)
Serious adverse reactions occurred in
EV-201, Cohort 2 Study: 89 patients previously treated with a PD-1/L1 inhibitor and not eligible for cisplatin-based chemotherapy (PADCEV monotherapy)
Serious adverse reactions occurred in
DRUG INTERACTIONS
Effects of other drugs on PADCEV (Dual P-gp and Strong CYP3A4 Inhibitors)
Concomitant use with dual P-gp and strong CYP3A4 inhibitors may increase unconjugated monomethyl auristatin E exposure, which may increase the incidence or severity of PADCEV toxicities. Closely monitor patients for signs of toxicity when PADCEV is given concomitantly with dual P-gp and strong CYP3A4 inhibitors.
SPECIFIC POPULATIONS
Lactation Advise lactating women not to breastfeed during treatment with PADCEV and for 3 weeks after the last dose.
Hepatic impairment Avoid the use of PADCEV in patients with moderate or severe hepatic impairment.
Full Prescribing Information for PADCEV (enfortumab vedotin-ejfv)
XTANDI Important Safety Information
Indications
XTANDI (enzalutamide) is indicated for the treatment of patients with:
- castration-resistant prostate cancer (CRPC)
- metastatic castration-sensitive prostate cancer (mCSPC)
- nonmetastatic castration‑sensitive prostate cancer (nmCSPC) with biochemical recurrence at high risk for metastasis (high-risk BCR)
Important Safety Information
Warnings and Precautions
Seizure occurred in
Posterior Reversible Encephalopathy Syndrome (PRES) There have been reports of PRES in patients receiving XTANDI. PRES is a neurological disorder that can present with rapidly evolving symptoms including seizure, headache, lethargy, confusion, blindness, and other visual and neurological disturbances, with or without associated hypertension. A diagnosis of PRES requires confirmation by brain imaging, preferably MRI. Discontinue XTANDI in patients who develop PRES.
Hypersensitivity reactions, including edema of the face (
Ischemic Heart Disease In the combined data of five randomized, placebo-controlled clinical studies, ischemic heart disease occurred more commonly in patients on the XTANDI arm compared to patients on the placebo arm (
Falls and Fractures occurred in patients receiving XTANDI. Evaluate patients for fracture and fall risk. Monitor and manage patients at risk for fractures according to established treatment guidelines and consider use of bone-targeted agents. In the combined data of five randomized, placebo-controlled clinical studies, falls occurred in
Embryo-Fetal Toxicity The safety and efficacy of XTANDI have not been established in females. XTANDI can cause fetal harm and loss of pregnancy when administered to a pregnant female. Advise males with female partners of reproductive potential to use effective contraception during treatment with XTANDI and for 3 months after the last dose of XTANDI.
Dysphagia or Choking Severe dysphagia or choking, including events that could be life-threatening requiring medical intervention or fatal, can occur due to XTANDI product size. Advise patients to take each capsule or tablet whole with a sufficient amount of water to ensure that all medication is successfully swallowed. Consider use of a smaller tablet size of XTANDI in patients who have difficulty swallowing. Discontinue XTANDI for patients who cannot swallow capsules or tablets.
Interference with Immunoassay Measurement of Digoxin XTANDI can interfere with certain digoxin immunoassays (e.g., Chemiluminescent Microparticle Immunoassays), resulting in falsely elevated digoxin plasma concentration results. Notify the laboratory conducting the digoxin plasma concentration assay to use an appropriate method in patients receiving XTANDI and digoxin.
Adverse Reactions (ARs)
In the data from the five randomized placebo-controlled trials, the most common ARs (≥
In AFFIRM, the placebo-controlled study of metastatic CRPC (mCRPC) patients who previously received docetaxel, Grade 3 and higher ARs were reported among
In PROSPER, the placebo-controlled study of nonmetastatic CRPC (nmCRPC) patients, Grade 3 or higher ARs were reported in
In ARCHES, the placebo-controlled study of metastatic CSPC (mCSPC) patients, Grade 3 or higher ARs were reported in
In EMBARK, the placebo-controlled study of nonmetastatic CSPC (nmCSPC) with high-risk biochemical recurrence (BCR) patients, Grade 3 or higher adverse reactions during the total duration of treatment were reported in
Lab Abnormalities: Lab abnormalities that occurred in ≥
Hypertension: In the combined data from five randomized placebo-controlled clinical trials, hypertension was reported in
Drug Interactions
Effect of Other Drugs on XTANDI Avoid coadministration with strong CYP2C8 inhibitors. If coadministration cannot be avoided, reduce the dosage of XTANDI.
Avoid coadministration with strong CYP3A4 inducers. If coadministration cannot be avoided, increase the dosage of XTANDI.
Effect of XTANDI on Other Drugs Avoid coadministration with certain CYP3A4, CYP2C9, and CYP2C19 substrates for which minimal decrease in concentration may lead to therapeutic failure of the substrate. If coadministration cannot be avoided, increase the dosage of these substrates in accordance with their Prescribing Information. In cases where active metabolites are formed, there may be increased exposure to the active metabolites.
Full Prescribing Information for XTANDI (enzalutamide)
VEOZAH Important Safety Information
INDICATIONS AND USAGE
VEOZAH™ (fezolinetant) is a neurokinin 3 (NK3) receptor antagonist indicated for the treatment of moderate to severe vasomotor symptoms due to menopause.
IMPORTANT SAFETY INFORMATION
WARNING: RISKS OF HEPATOTOXICITY |
Hepatotoxicity has occurred with the use of VEOZAH in the postmarketing setting.
|
CONTRAINDICATIONS
VEOZAH is contraindicated in women with any of the following: • Known cirrhosis • Severe renal impairment or end-stage renal disease • Concomitant use with CYP1A2 inhibitors
WARNINGS AND PRECAUTIONS
Hepatotoxicity
In 3 clinical trials, elevations in serum transaminase [alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST)] levels > 3x ULN occurred in
In the postmarketing setting, cases of drug-induced liver injury with elevations of ALT, AST, alkaline phosphatase (ALP), and total bilirubin occurred within 40 days of starting VEOZAH. Patients reported a general sense of feeling unwell and symptoms of fatigue, nausea, pruritus, jaundice, pale feces, and dark urine. The patients' signs and symptoms gradually resolved after discontinuation of VEOZAH.
Perform baseline hepatic laboratory tests to evaluate for hepatic function and injury [including serum ALT, serum AST, serum ALP, and serum bilirubin (total and direct)] prior to VEOZAH initiation. Do not start VEOZAH if ALT or AST is ≥ 2x ULN or if the total bilirubin is ≥ 2x ULN for the evaluating laboratory.
Perform follow-up hepatic laboratory tests monthly for the first 3 months, at 6 months, and 9 months after initiation of therapy.
See BOXED WARNING for full hepatic laboratory testing protocol and discontinuation criteria. Exclude alternative causes of hepatic laboratory test elevations.
ADVERSE REACTIONS
The most common adverse reactions with VEOZAH ≥
Full Prescribing Information for VEOZAH (fezolinetant)
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SOURCE Astellas Pharma Inc.