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U.S. Food and Drug Administration Approves POMALYST® (pomalidomide) for the Treatment of Patients with Relapsed and Refractory



  U.S. Food and Drug Administration Approves POMALYST® (pomalidomide) for the
  Treatment of Patients with Relapsed and Refractory Multiple Myeloma

Business Wire

SUMMIT, N.J. -- February 8, 2013

Celgene Corporation (NASDAQ: CELG) today announced the U.S. Food and Drug
Administration (FDA) has approved POMALYST^® brand therapy (pomalidomide) for
patients with multiple myeloma who have received at least two prior therapies
including lenalidomide and bortezomib and have demonstrated disease
progression on or within 60 days of completion of the last therapy.

POMALYST(R) brand therapy (Photo: Business Wire)

POMALYST(R) brand therapy (Photo: Business Wire)

Approval is based on response rate. Clinical benefit, such as improvement in
survival or symptoms, has not been verified.

Supporting the approval were the results of MM-002, a phase II, randomized,
open-label study evaluating pomalidomide (4 mg once daily on days 1-21 of each
28-day cycle) plus low-dose dexamethasone (40 mg per day given only on Days 1,
8, 15 and 22 of each 28-day cycle for patients 75 years or younger, or 20 mg
per day given only on Days 1, 8, 15 and 22 of each 28-day cycle for patients
greater than 75 years of age) versus pomalidomide (4 mg once daily on days
1-21 of each 28-day cycle) alone in patients with relapsed multiple myeloma
who were refractory to their last myeloma therapy and had received
lenalidomide and bortezomib.

Of the 221 patients that were evaluable for response, 29.2% (95% CI 21.0,
38.5) achieved a partial response or better in the pomalidomide plus low-dose
dexamethasone arm compared to 7.4% (95% CI 3.3, 14.1) in the
pomalidomide-alone arm. Overall Response Rate was based on responses assessed
by the Independent Review Adjudication Committee (IRAC) based on the European
Group for Blood and Marrow Transplantation (EMBT) criteria. The median
duration of response for patients in the pomalidomide plus low-dose
dexamethasone arm was 7.4 months (95% CI 5.1, 9.2) while the median has not
yet been reached for the pomalidomide alone arm.

POMALYST is an analogue of thalidomide, is contraindicated in pregnancy and is
only available through a restricted distribution program called POMALSYT
REMS^TM. Deep venous thrombosis (DVT) and pulmonary embolism (PE) occur in
patients with multiple myeloma treated with POMALYST. Please see full
Prescribing Information, including Boxed WARNINGS, CONTRAINDICATIONS, WARNINGS
AND PRECAUTIONS, and ADVERSE REACTIONS.

In the study, 219 patients were evaluable for safety. The most common grade 3
or 4 adverse reactions (≥15%) in the pomalidomide plus low-dose dexamethasone
arm versus pomalidomide alone respectively, were neutropenia (38% and 47%),
anemia (21% and 22%), thrombocytopenia (19% and 22%), and pneumonia (23% and
16%).

POMALYST will only be available in the United States through POMALYST REMS™, a
restricted distribution program.

POMALYST^® is a registered trademark of Celgene Corporation

About POMALYST^®

POMALYST^® oral therapy comprises pomalidomide, an IMiDs^® compound. POMALYST
and other IMiDs compounds continue to be evaluated in over 100 clinical
trials.

POMALYST^® (pomalidomide) is indicated for patients with multiple myeloma who
have received at least two prior therapies including lenalidomide and
bortezomib and have demonstrated disease progression on or within 60 days of
completion of the last therapy. Approval is based on response rate. Clinical
benefit, such as improvement in survival or symptoms, has not been verified.

Important Safety Information

WARNING: EMBRYO-FETAL TOXICITY and VENOUS THROMBOEMBOLISM

Embryo-Fetal Toxicity

  * POMALYST is contraindicated in pregnancy. POMALYST is a thalidomide
    analogue. Thalidomide is a known human teratogen that causes severe birth
    defects or embryo-fetal death. In females of reproductive potential,
    obtain 2 negative pregnancy tests before starting POMALYST treatment
  * Females of reproductive potential must use 2 forms of contraception or
    continuously abstain from heterosexual sex during and for 4 weeks after
    stopping POMALYST treatment

POMALYST is only available through a restricted distribution program called
POMALYST REMS^TM.

Venous Thromboembolism

  * Deep Venous Thrombosis (DVT) and Pulmonary Embolism (PE) occur in patients
    with multiple myeloma treated with POMALYST. Prophylactic anti-thrombotic
    measures were employed in the clinical trial. Consider prophylactic
    measures after assessing an individual patient’s underlying risk factors

CONTRAINDICATIONS: Pregnancy

  * POMALYST can cause fetal harm and is contraindicated in females who are
    pregnant. If this drug is used during pregnancy or if the patient becomes
    pregnant while taking this drug, the patient should be apprised of the
    potential hazard to a fetus
  * Pomalidomide is a thalidomide analogue and is teratogenic in both rats and
    rabbits when administered during the period of organogenesis.

WARNINGS AND PRECAUTIONS

Embryo-Fetal Toxicity

  * Females of Reproductive Potential: Must avoid pregnancy while taking
    POMALYST and for at least 4 weeks after completing therapy. Must commit
    either to abstain continuously from heterosexual sexual intercourse or to
    use 2 methods of reliable birth control, beginning 4 weeks prior to
    initiating treatment with POMALYST, during therapy, during dose
    interruptions and continuing for 4 weeks following discontinuation of
    POMALYST therapy. Must obtain 2 negative pregnancy tests prior to
    initiating therapy.
  * Males: Pomalidomide is present in the semen of patients receiving the
    drug. Males must always use a latex or synthetic condom during any sexual
    contact with females of reproductive potential while taking POMALYST and
    for up to 28 days after discontinuing POMALYST, even if they have
    undergone a successful vasectomy. Males must not donate sperm
  * Blood Donation: Patients must not donate blood during treatment with
    POMALYST and for 1 month following discontinuation of the drug because the
    blood might be given to a pregnant female patient whose fetus must not be
    exposed to POMALYST

POMALYST REMS Program

Because of the embryo-fetal risk,  POMALYST is available only through a
restricted distribution program under a Risk Evaluation and Mitigation
Strategy (REMS) called “POMALYST REMS.” Prescribers and pharmacists must be
certified with the program; patients must sign an agreement form and  comply 
with the requirements. Further information about the POMALYST REMS program is
available at [celgeneriskmanagement.com] or by telephone at 1-888-423-5436.

Venous Thromboembolism: Patients receiving POMALYST have developed venous
thromboembolic events reported as serious adverse reactions. In the trial, all
patients were required to receive prophylaxis or antithrombotic treatment. The
rate of DVT or PE was 3%. Consider anticoagulation prophylaxis after an
assessment of each patient’s underlying risk factors.

Hematologic Toxicity: Neutropenia of any grade was reported in 50% of patients
and was the most frequently reported Grade 3/4 adverse event, followed by
anemia and thrombocytopenia. Monitor patients for hematologic toxicities,
especially neutropenia, with complete blood counts weekly for the first 8
weeks and monthly thereafter. Treatment is continued or modified for Grade 3
or 4 hematologic toxicities based upon clinical and laboratory findings.
Dosing interruptions and/or modifications are recommended to manage
neutropenia and thrombocytopenia.

Hypersensitivity Reactions: Patients with a prior history of serious
hypersensitivity associated with thalidomide or lenalidomide were excluded
from studies and may be at higher risk of hypersensitivity.

Dizziness and Confusional State: 18% of patients experienced dizziness and 12%
of patients experienced a confusional state; 1% of patients experienced grade
3/4 dizziness, and 3% of patients experienced grade 3/4 confusional state.
Instruct patients to avoid situations where dizziness or confusion may be a
problem and not to take other medications that may cause dizziness or
confusion without adequate medical advice.

Neuropathy: 18% of patients experienced neuropathy (approximately 9%
peripheral neuropathy). There were no cases of grade 3 or higher neuropathy
adverse reactions reported.

Risk of Second Primary Malignancies: Cases of acute myelogenous leukemia have
been reported in patients receiving POMALYST as an investigational therapy
outside of multiple myeloma.

ADVERSE REACTIONS

In the clinical trial of 219 patients who received POMALYST alone (n=107) or
POMALYST + low-dose dexamethasone (low-dose dex) (n=112), all patients had at
least one treatment-emergent adverse reaction.

  * In the POMALYST alone versus POMALYST + low dose dexamethasone arms,
    respectively, most common adverse reactions (≥30%) included fatigue and
    asthenia (55%, 63%), neutropenia (52%, 47%), anemia (38%, 39%),
    constipation (36%, 35%), nausea (36%,22%), diarrhea (34%, 33%), dyspnea
    (34%, 45%), upper respiratory tract infection (32%, 25%), back pain (32%,
    30%), and pyrexia (19%, 30%)
  * 90% of patients treated with POMALYST alone and 88% of patients treated
    with POMALYST + low-dose dex had at least one treatment-emergent NCI CTC
    Grade 3 or 4 adverse reaction
  * In the POMALYST alone versus POMALYST + low dose dexamethasone arms,
    respectively, most common Grade 3/4 adverse reactions (≥15%) included
    neutropenia (47%, 38%), anemia (22%, 21%), thrombocytopenia (22%, 19%),
    and pneumonia (16%, 23%). For other Grade 3 or 4 toxicities besides
    neutropenia and thrombocytopenia, hold treatment and restart treatment at
    1 mg less than the previous dose when toxicity has resolved to less than
    or equal to Grade 2 at the physician’s discretion
  * 67% of patients treated with POMALYST and 62% of patients treated with
    POMALYST + low-dose dex had at least one treatment-emergent serious
    adverse reaction
  * In the POMALYST alone versus POMALYST + low dose dexamethasone arms,
    respectively, most common serious adverse reactions (≥5%) were pneumonia
    (14%, 19%), renal failure (8%, 6%), dyspnea (5%, 6%), sepsis (6%, 3%),
    pyrexia (3%, 5%) dehydration (5%, 3%), hypercalcemia (5%, 2%), urinary
    tract infection (0%, 5%), and febrile neutropenia (5%, 1%)

DRUG INTERACTIONS

No formal drug interaction studies have been conducted with POMALYST.
Pomalidomide is primarily metabolized by CYP1A2 and CYP3A. Pomalidomide is
also a substrate for P-glycoprotein (P-gp). Coadministration of POMALYST with
drugs that are strong inhibitors or inducers of CYP1A2, CYP3A, or P-gp should
be avoided. Cigarette smoking may reduce pomalidomide exposure due to CYP1A2
induction. Patients should be advised that smoking may reduce the efficacy of
pomalidomide.

USE IN SPECIFIC POPULATIONS

Pregnancy: If pregnancy does occur during treatment, immediately discontinue
the drug and refer patient to an obstetrician/gynecologist experienced in
reproductive toxicity for further evaluation and counseling. Report any
suspected fetal exposure to POMALYST to the FDA via the MedWatch program at
1-800-332-1088 and also to Celgene Corporation at 1-888-423-5436.

Nursing Mothers: It is not known if pomalidomide is excreted in human milk.
Pomalidomide was excreted in the milk of lactating rats. Because many drugs
are excreted in human milk and because of the potential for adverse reactions
in nursing infants from POMALYST, a decision should be made whether to
discontinue nursing or to discontinue the drug, taking into account the
importance of the drug to the mother.

Pediatric Use: Safety and effectiveness of POMALYST in patients under the age
of 18 have not been established.

Geriatric Use: No dosage adjustment is required for POMALYST based on age.
Patients greater than or equal to 65 years of age were more likely than
patients less than or equal to 65 years of age to experience pneumonia.

Renal and Hepatic Impairment: Pomalidomide is metabolized in the liver.
Pomalidomide and its metabolites are primarily excreted by the kidneys. The
influence of renal and hepatic impairment on the safety, efficacy, and
pharmacokinetics of pomalidomide has not been evaluated. Avoid POMALYST in
patients with a serum creatinine >3.0 mg/dL. Avoid POMALYST in patients with
serum bilirubin >2.0 mg/dL and AST/ALT >3.0 x ULN.

Please see full Prescribing Information, including Boxed WARNINGS,
CONTRAINDICATIONS, WARNINGS AND PRECAUTIONS, and ADVERSE REACTIONS.

POMALYST (pomalidomide) is indicated for patients with multiple myeloma who
have received at least two prior therapies including lenalidomide and
bortezomib and have demonstrated disease progression on or within 60 days of
completion of the last therapy. Approval is based on response rate. Clinical
benefit, such as improvement in survival or symptoms, has not been verified.

About Multiple Myeloma

Multiple myeloma (also known as myeloma or plasma cell myeloma) is a cancer of
the blood in which malignant plasma cells are overproduced in the bone marrow.
Plasma cells are white blood cells that help produce antibodies called
immunoglobulins that fight infection and disease. However, most patients with
multiple myeloma have cells that produce a form of immunoglobulin called
paraprotein (or M protein) that does not benefit the body. In addition, the
malignant plasma cells replace normal plasma cells and other white blood cells
important to the immune system. Multiple myeloma cells can also attach to
other tissues of the body, such as bone, and produce tumors.^1 The cause of
the disease remains unknown.^2

About Celgene

Celgene Corporation, headquartered in Summit, New Jersey, is an integrated
global biopharmaceutical company engaged primarily in the discovery,
development and commercialization of novel therapies for the treatment of
cancer and inflammatory diseases through gene and protein regulation. For more
information, please visit the company’s Web site at www.celgene.com.

Forward-Looking Statements

This press release contains forward-looking statements, which are generally
statements that are not historical facts. Forward-looking statements can be
identified by the words "expects," "anticipates," "believes," "intends,"
"estimates," "plans," "will," “outlook” and similar expressions.
Forward-looking statements are based on management’s current plans, estimates,
assumptions and projections, and speak only as of the date they are made. We
undertake no obligation to update any forward-looking statement in light of
new information or future events, except as otherwise required by law.
Forward-looking statements involve inherent risks and uncertainties, most of
which are difficult to predict and are generally beyond our control. Actual
results or outcomes may differ materially from those implied by the
forward-looking statements as a result of the impact of a number of factors,
many of which are discussed in more detail in our Annual Report on Form 10-K
and our other reports filed with the Securities and Exchange Commission.

^1
http://www.cancer.org/cancer/multiplemyeloma/detailedguide/multiple-myeloma-what-is-multiple-myeloma

^2
http://www.cancer.org/cancer/multiplemyeloma/detailedguide/multiple-myeloma-what-causes

Photos/Multimedia Gallery Available:
http://www.businesswire.com/multimedia/home/20130208005889/en/

Multimedia
Available:http://www.businesswire.com/cgi-bin/mmg.cgi?eid=50557321&lang=en

Contact:

Celgene Corporation
Investors:
908-673-9628
investors@celgene.com
or
Media:
908-673-2275
media@celgene.com
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