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TALZENNA efficacyPrimary endpoint & subgroup analysisSecondary endpoints: ORRSecondary endpoint: OSExploratory endpoints: DoR & TTRTALZENNA safetySafety and tolerabillityAdverse eventsHematologic/Nonhematologic AEsPatient-reported outcomes with TALZENNAPatient-reported outcomesGHS/QoLBreast symptoms
Talzenna MoA

The content of this website has been produced in line with the Talzenna® Summary of Product Characteristics for Great Britain and Northern Ireland. Talzenna® (talazoparib) Prescribing Information for Great Britain and Northern Ireland click here.  Adverse event reporting information can be found at the bottom of the page.

Safety Profile and TolerabilityThe overall safety profile of TALZENNA® is based on pooled data from 1088 patients, including 690 patients who received TALZENNA® monotherapy at 1 mg daily in clinical studies for solid tumours.1The most common (≥ 20%) adverse reactions in patients receiving talazoparib in these clinical studies were anaemia (55.6%), fatigue (52.5%), nausea (35.8%), neutropenia (30.3%), thrombocytopenia (25.2%) and decreased appetite (21.1%).

The most common (≥10%) Grade ≥3 adverse reactions of TALZENNA were anaemia (39.2%), neutropenia (16.5%) and thrombocytopenia (11.1%).1

Dose modifications (dose reductions or dose interruptions) due to any adverse reaction occurred in 58.7% of patients receiving TALZENNA® 1 mg monotherapy. The most common adverse reactions leading to dose modifications were anaemia (33.5%), neutropenia (11.7%) and thrombocytopenia (9.9%).1

Permanent discontinuation due to an adverse reaction occurred in 2.9% of patients receiving TALZENNA®; the most common was anaemia (0.6%).

The median duration of treatment exposure was 5.6 months (range: 0.0 to 70.2).1

Adverse reactions based on pooled dataset (N=1088)
Table adapted from TALZENNA Summary of Product Characteristics.1
*Grade 5 adverse events were reported.1
a. Information can be found in section 4.4 of the TALZENNA SPMC.
b. Includes preferred terms of thrombocytopenia and platelet count decreased.
c. Includes preferred terms of anaemia, haematocrit decreased, haemoglobin decreased and red blood cell count decreased.
d. Includes preferred terms of neutropenia and neutrophil count decreased.
e. Includes preferred terms of leukopenia and white blood cell count decreased.
f. Includes preferred terms of lymphocyte count decreased and lymphonenia.
g. Includes preferred terms of pulmonary embolism, deep vein thrombosis, embolism venous and venous thrombosis.
h. Includes preferred terms of abdominal pain, abdominal pain upper, abdominal discomfort and abdominal pain lower
i. Includes preferred terms of fatigue and asthenia
Special Warnings, Precautions and Contraindications for TALZENNA®Myelosuppression

Myelosuppression consisting of anaemia, leukopenia/ neutropenia and/or thrombocytopenia have been reported in patients treated with TALZENNA® (see section 4.8 of the TALZENNA® SmPC).1

TALZENNA® should not be started until patients have recovered from haematological toxicity caused by previous therapy (≤Grade 1).1

Precautions should be taken to routinely monitor haematology parameters and signs and symptoms associated with anaemia, leukopenia/neutropenia and/or thrombocytopenia in patients receiving TALZENNA®. If such events occur, dose modifications (reduction or interruption) are recommended (see section 4.2 of the TALZENNA® SmPC or Monitoring and managing patients section on page 28). Supportive care with or without blood and/or platelet transfusions and/or administration of colony stimulating factors may be used as appropriate.1

Myelodysplastic Syndrome/Acute Myeloid Leukaemia (MDS/AML)

MDS/AML has been reported in patients who received PARP inhibitors, including TALZENNA®. Overall, MDS/AML has been reported in <1% of patients with solid tumours treated with TALZENNA® in clinical studies (see section 4.8 of the TALZENNA® SmPC). Potential contributing factors for the development of MDS/AML include previous platinum-containing chemotherapy, other DNA-damaging agents or radiotherapy.1

Full blood count should be obtained at baseline and monitored monthly for signs of haematological toxicity during treatment. If MDS/AML is confirmed, TALZENNA® should be discontinued.1

Contraception in Women of Childbearing Potential

TALZENNA® was clastogenic in an in vitro chromosomal aberration assay in human peripheral blood lymphocytes and in an in vivo bone marrow micronucleus assay in rats but not mutagenic in Ames assay (see section 5.3 of the TALZENNA® SmPC), and may cause foetal harm when administered to a pregnant woman.1

Pregnant women should be advised of the potential risk to the foetus (see section 4.6 of the TALZENNA® SmPC). Women of childbearing potential should not become pregnant while receiving TALZENNA® and should not be pregnant at the beginning of treatment. A pregnancy test should be performed on all women of childbearing potential prior to treatment.1

A highly effective method of contraception is required for female patients during treatment with TALZENNA®, and for at least 7 months after completing therapy. Since the use of hormonal contraception is not recommended in patients with breast cancer, two non-hormonal and complementary contraception methods should be used (see section 4.6 of the TALZENNA® SmPC).1

Male patients with female partners of reproductive potential or pregnant partners should be advised to use effective contraception (even after vasectomy), during treatment with TALZENNA® and for ≥4 months after the final dose.1

Contradindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1 of the SmPC.1

Breast feeding
It is unknown whether TALZENNA®  is excreted in human breast milk. A risk to breast-fed children cannot be excluded and therefore breast feeding is not recommended during treatment with TALZENNA® and for at least 1 month after the final dose.1

Please refer to the TALZENNA® SmPC for full safety profile information and guidance on the management of treatment-related adverse events.

AML, acute myeloid leukaemia; BCRP, breast cancer resistance protein; BRCA, breast cancer susceptibility gene; mCRPC, metastatic castration-resistant prostate cancer; MDS, myelodysplastic syndrome; P-gp, P-glycoprotein

References:TALZENNA® Summary of Product Characteristics for Great Britain click here or for Northern Ireland click here.
PP-TAL-GBR-0210. July 2024

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Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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