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WITH BREYANZI®, SUCCESS IS IN YOUR BLOOD

Home > Starting Breyanzi

THE KEY TO BREYANZI IS YOU

Your white blood cells (T cells) are combined with a chimeric antigen receptor ⁠(CAR) so they can better locate and fight your cancer cells. Learn more about each step in the CAR T treatment process.

CAR T consultation

You’ll have a consultation at a certified treatment center, where you'll be evaluated to make sure you’re a candidate for Breyanzi.

If eligible based on your consultation, you will be scheduled to have your blood drawn, a process called apheresis (also referred to as leukapheresis). After your blood is drawn, your white blood cells (T cells), a type of cell in your immune system, will be collected while the other parts of your blood are returned into your body. Apheresis can be done in 1 day and usually takes 2 to 6 hours.

Illustration of a patient undergoing apheresis in a CAR T treatment center
Breyanzi Live from the CAR T Treatment Center Video
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      Watch the treatment process from beginning to end

      This video outlines the infusion process in its entirety to help you and your loved ones better understand what to expect.

      “I remember watching while they were putting the CAR T cells into me. I felt hopeful that things were going to start turning around. This was our fresh start.”

      —Nick, a real Breyanzi patient

      Open Transcript

      Important Facts About
      BREYANZI      ®
      (lisocabtagene maraleucel)

      This is a summary of important information that you need to know about BREYANZI. Your healthcare team can work with you to help answer any questions you may have about this medication. Keep this document in a safe place, so you can refer to it before and during your treatment.

      Look out for the following icons as you read:

      Conversation bubbles

      Talk to your
      healthcare team

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      Call your healthcare
      provider right away

      Information

      Helpful information
      to remember

      What is BREYANZI?

      BREYANZI is a prescription medicine used to treat four types of non-Hodgkin lymphoma in adults with:

      Large B cell lymphoma (LBCL), when:

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      your first treatment has not worked or cancer has returned within 1 year; OR

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      your first treatment has not worked or cancer has returned, and you cannot receive hematopoietic stem cell transplantation (HSCT); OR

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      you have tried two or more types of treatment that have not worked or stopped working.

      X mark

      BREYANZI cannot be used to treat primary central nervous system (CNS) lymphoma.

      Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL), when:

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      you have tried two or more types of treatment that have not worked or have stopped working, including a Bruton tyrosine kinase (BTK) inhibitor and a B-cell lymphoma 2 (BCL-2) inhibitor.

      Follicular lymphoma (FL), when:

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      you have tried two or more types of treatment that have not worked or have stopped working.

      Mantle cell lymphoma (MCL), when:

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      you have tried two or more types of treatment that have not worked or have stopped working, including a Bruton tyrosine kinase (BTK) inhibitor medicine.

      Information

      BREYANZI is different than other cancer medicines because it is made from your own white blood cells, which have been genetically modified to recognize and attack your lymphoma cells.

      WARNING: RISK OF SERIOUS SIDE EFFECTS

      A serious side effect is a side effect that may be life-threatening and can lead to death.

      Warning symbol

      BREYANZI may cause serious side effects including cytokine release syndrome (CRS) and neurologic toxicity.

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      Call your healthcare provider or get emergency help right away if you experience any of the following symptoms:

      • trouble breathing
      • fever (100.4°F/38°C or higher)
      • chills/shaking chills
      • confusion
      • severe nausea, vomiting, or diarrhea
      • fast or irregular heartbeat
      • dizziness or lightheadedness
      • feeling very tired or weak
      Warning symbol

      BREYANZI may increase your risk of getting certain cancers, including specific types of blood cancers.

      These are not the only serious side effects. See below for additional side effects.

      Because of the risk of serious side effects, your healthcare provider will give you a BREYANZI Patient Wallet Card that describes symptoms to look out for that require emergency medical care right away.

      Marked checkbox

      Carry this card with you at all times during and following your treatment with BREYANZI. Your healthcare provider may give you other medicines to treat your side effects.

      Marked checkbox

      It’s important to tell your healthcare providers that you have received BREYANZI and to show your Patient Wallet Card to any other healthcare provider who treats you.

      What should I discuss with my healthcare team before starting BREYANZI?

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      Talk to your healthcare provider about all of your medical conditions, including if you have or have had:

      • nervous system problems (including seizures, stroke, or memory loss)
      • lung or breathing problems
      • liver problems
      • heart problems
      • kidney problems
      • a recent or current infection
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      Talk to your healthcare team about all the medicines you are taking, including:

      • prescription medicines
      • over-the-counter medicines
      • vitamins
      • herbal supplements
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      Talk to your healthcare provider if you have recently received or are scheduled to receive a vaccine (immunization)

      Vaccination with live virus vaccines should be avoided for at least 6 weeks prior to start of chemotherapy, during BREYANZI treatment, and until your immune system recovers following treatment with BREYANZI.

      What should I discuss with my healthcare team about pregnancy, birth control, and breastfeeding?

      Conversation bubbles

      Talk to your healthcare team if:

      Pregnancy symbol

      You are pregnant or plan to become pregnant – BREYANZI may harm your unborn baby

      If you are able to become pregnant, your healthcare team should do a pregnancy test before starting treatment with BREYANZI.

      Phone call

      Call your healthcare provider right away if you become pregnant or think you are pregnant during treatment with BREYANZI.

      Breastfeeding symbol

      You are breastfeeding or plan to breastfeed

      It is not known if BREYANZI passes into your breast milk. Talk to your healthcare team about the best way to feed your baby at this time.

      How will I receive BREYANZI?

      BREYANZI is different than other cancer medicines because it is a prescription medicine made from your own white blood cells and given as an intravenous (IV) infusion. These cells are genetically modified to recognize and attack your lymphoma cells.

      Waiting for your BREYANZI dose to be prepared:

      Blood bag

      BREYANZI is made from your own white blood cells, so your blood will be collected by a process called “leukapheresis” (LOO-kuh-feh-REE-sis) or “apheresis.”

      Calendar

      Your white blood cells will be sent to a manufacturing site and be used to prepare your BREYANZI. It takes about 3-4 weeks from the time your cells are received at the manufacturing site and are available to be shipped back to your healthcare provider, but the time may vary.

      Before receiving BREYANZI:

      Chemotherapy medicine bag

      You will get 3 days of chemotherapy to prepare your body before receiving your BREYANZI treatment. Your BREYANZI treatment will usually happen 2-7 days after receiving chemotherapy.

      While receiving BREYANZI:

      Hourglass

      You will receive BREYANZI as an intravenous (IV) infusion of 2 different cell types. These infusions will be given one after the other. Each infusion may take approximately 15 minutes but time will vary.

      After receiving BREYANZI:

      Calendar

      For 1 week after receiving BREYANZI, you will be monitored daily at the facility where you received your treatment.

      For at least 4 weeks after getting BREYANZI, you should plan to stay close (within 2 hours) to the facility where you received your treatment. During this time:

      • Your healthcare provider will check to see that your treatment is working and help you with any side effects that may occur.
      • You may be hospitalized for side effects. Your healthcare provider will discharge you if your side effects are under control, and it is safe for you to leave the hospital.

      Long-term monitoring:

      Blood collection vial

      Your healthcare provider will want to do blood tests to follow your progress. It is important that you have your blood tested.

      What if I miss a blood test appointment?

      Phone call

      Call your healthcare provider as soon as possible to reschedule your appointment.

      What should I avoid after receiving BREYANZI?

      X mark

      Do not drive, operate heavy machinery, or do any other activity that could be dangerous if you are not mentally alert, for at least 8 weeks after you get BREYANZI. BREYANZI may affect your ability to be mentally alert in the following ways:

      • temporary memory and coordination problems
      • sleepiness
      • confusion
      • dizziness
      • seizures
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      Do not donate blood, organs, tissues, or cells for transplantation

      What are the possible or reasonably likely side effects of BREYANZI?

      Serious side effects

      BREYANZI can increase the risk of serious side effects. A serious side effect is a side effect that may be life threatening and can lead to death. The side effects of BREYANZI include, but are not limited to:

      Cytokine release syndrome (CRS) and neurologic toxicity. BREYANZI can increase the risk of CRS and neurologic toxicity, two very common serious side effects which can be fatal or life-threatening. CRS happens when the immune system responds to an infection or a drug more aggressively than it should. Neurologic toxicity is a serious side effect of the nervous system and may cause a condition that could change how the brain works or its structure.

      Symptoms to look out for include:

      • trouble breathing
      • fever (100.4°F/38°C or higher)
      • chills/shaking chills
      • confusion
      • severe nausea, vomiting, or diarrhea
      • fast or irregular heartbeat
      • dizziness or lightheadedness
      • feeling very tired or weak
      Phone call

      Call your healthcare provider right away if you have any symptoms of CRS or neurologic toxicity.

      Remember to bring and show your BREYANZI Patient Wallet Card.

      Infections. BREYANZI can increase the risk of life-threatening infections that may lead to death.

      Symptoms to look out for include:

      • fever (100.4°F/38°C or higher)
      • chills
      • any other signs or symptoms of an infection
      Conversation bubbles

      Talk to your healthcare team about other signs of infection to look out for.

      Phone call

      Call your healthcare provider right away if you have any symptoms of an infection.

      Low blood cell counts (cytopenia). BREYANZI can lower the amount of one, or more, types of your blood cells (red blood cells, white blood cells, or platelets). Your healthcare provider will test your blood to check for this.

      Symptoms to look out for include:

      • fever (100.4°F/38°C or higher)
      • feeling tired
      • bruising
      • bleeding
      Phone call

      Call your healthcare provider right away if you have any symptoms of low blood cell counts.

      Other cancers. BREYANZI may increase your risk of getting cancer, including certain types of blood cancers. You may hear your doctor call these secondary hematological malignancies or T cell malignancies.

      Information

      Your healthcare provider should monitor you for any signs of other cancers.

      BREYANZI may cause a false-positive HIV (human immunodeficiency virus) test result by some commercial tests.

      Most common side effects

      The most common side effects of BREYANZI include:

      • feeling tired
      • trouble breathing
      • fever (100.4°F/38°C or higher)
      • chills/shaking chills
      • confusion

       

      • trouble speaking or slurred speech
      • severe nausea, vomiting, or diarrhea
      • headache
      • dizziness or lightheadedness
      • fast or irregular heartbeat
      • swelling
      • low blood pressure
      • muscle pain

      These are not all of the possible side effects of BREYANZI.

      Conversation bubbles

      Talk to your healthcare team for more information about side effects. You are encouraged to report side effects to the FDA by visiting www.fda.gov/medwatch or calling 1-800-FDA-1088.

      Information

      For more information, please see the U.S. Full Prescribing Information, including Boxed WARNINGS, and Medication Guide for BREYANZI. Talk to your healthcare provider for more information about this medication.

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      © 2024 Juno Therapeutics, Inc., a Bristol Myers Squibb company. All Rights Reserved.

      BREYANZI and the related logo are trademarks of Juno Therapeutics, Inc., a Bristol Myers Squibb company.



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