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General questions and discussion about multiple myeloma (i.e., symptoms, lab results, news, etc.) If unsure where to post, use this discussion area.

Re: Canada & multiple myeloma

by Nancy Shamanna on Thu May 23, 2019 8:59 am

The Province of Saskatchewan has now extended occupational health and safety coverage for multiple myeloma to volunteer firefighters.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Thu May 23, 2019 9:01 am

Darzalex (dara­tu­mu­mab) is now funded in New Brunswick. It can be used in combination with bortezomib plus dexamethasone or dexa­meth­a­sone alone for relapsed/refrectory patients.

Kyprolis (carfilzomib) is now funded in New Brunswick. It can be used in combination with dexa­meth­a­sone for relapsed patients.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Thu Jul 25, 2019 7:31 pm

Saskatchewan, as of July 15, is now funding Darzalex (daratumumab). It is to be used with Revlimid plus dexamethasone or with bortezomib (Velcade) plus dexamethasone in patients who have had 1 prior therapy.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Thu Jul 25, 2019 7:35 pm

The triplet Pomalyst (poma­lido­mide, Imnovid) plus bortezomib (Velcade) and dexa­meth­a­sone has been approved by Health Canada as of July 10 (related press release). This triplet is approved for use in patients who have had at least 1 prior line of therapy including Revlimid (lena­lido­mide). The combination is not yet funded, however, by provincial government health plans.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Fri Oct 25, 2019 5:58 pm

The Canadian Agency for Drugs and Technologies in Health (CADTH) has recommended the re­im­burse­ment for Pomalyst (pomalidomide) in combination with dexamethasone and bortezomib (Velcade) for the treatment of adult patients with relapsed or refractory multiple myeloma who have received at least one prior treatment regimen including Revlimid (lenalidomide).

Also, as of Aug 16, 2019, Darzalex has been approved in Newfoundland, in combination with Revlimid and dexamethasone, or bortezomib and dexamethasone, for the treatment of patients with multiple myeloma with good performance status who have received at least one prior therapy.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Wed Oct 30, 2019 10:19 am

Health Canada has approved the combination of Darzalex, Revlimid (lenalidomide), and dexamethasone for the treatment of newly diagnosed, transplant-ineligible multiple myeloma. The decision by the Canadian regulatory authority was announced this morning in this press release issued by Janssen, the company that markets Darzalex in Canada and the rest of the world.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Wed Jul 08, 2020 10:40 am

Sarclisa in combination with Pomalyst and dexamethasone is now approved and available in Canada as a treatment option for relapsed / refractory multiple myeloma:

"Sarclisa (Isatuximab For Injection) Now Available In Canada For Patients With Relapsed And Refractory Multiple Myeloma," Sanofi Canada press release, July 8, 2020.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Canada & multiple myeloma

by Nancy Shamanna on Tue Aug 04, 2020 10:51 am

Health Canada has approved subcutaneous Darzalex, or "Darzalex SC" as it will be known in Canada (it's called Darzalex Faspro in the U.S.):

"Janssen Announces Health Canada Approval Of Darzalex SC, A New Sub­cu­ta­neous Formu­la­tion For The Treat­ment Of Patients With Multiple Myeloma," press release, Janssen Inc., August 4, 2020.

Excerpt:

"Health Canada has approved Darzalex SC (dara­tu­mu­mab), a new sub­cu­tane­ous for­mu­la­tion of dara­tu­mu­mab. Darzalex SC is approved in four regi­mens across five in­di­ca­tions in patients with mul­ti­ple myeloma, most notably newly diag­nosed, trans­plant-ineligible patients as well as re­lapsed or re­frac­tory patients. As a fixed-dose for­mu­la­tion, Darzalex SC can be admin­istered over approx­i­mately three to five min­utes, sig­nif­i­cantly less time than in­tra­venous (IV) Darzalex, which is admin­istered over hours. Darzalex SC is the only sub­cu­tane­ous CD38-directed anti­body approved in the treat­ment of mul­ti­ple myeloma.

In the Phase 3 COLUMBA study pub­lished in The Lancet, Darzalex SC dem­onstrated a con­sis­tent over­all re­sponse rate (ORR) and phar­ma­co­ki­­net­ics and a similar safety profile com­pared with IV Darzalex in patients with re­lapsed or re­frac­tory mul­ti­ple myeloma. In addi­tion, there was a nearly two-thirds re­duc­tion in sys­temic admin­istra­tion-related reac­tions (ARRs) for Darzalex SC com­pared to IV Darzalex (13 per cent vs. 34 per cent, re­spec­tively)."

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

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