Press Release: Novartis data highlight efficacy -2-


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This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements can generally be identified by words such as "potential," "can," "will," "plan," "may," "could," "would," "expect," "anticipate," "seek," "look forward," "believe," "committed," "investigational," "pipeline," "launch," or similar terms, or by express or implied discussions regarding potential marketing approvals, new indications or labeling for the investigational or approved products described in this press release, or regarding potential future revenues from such products. You should not place undue reliance on these statements. Such forward-looking statements are based on our current beliefs and expectations regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that the investigational or approved products described in this press release will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. In particular, our expectations regarding such products could be affected by, among other things, the uncertainties inherent in research and development, including clinical trial results and additional analysis of existing clinical data; regulatory actions or delays or government regulation generally; global trends toward health care cost containment, including government, payor and general public pricing and reimbursement pressures and requirements for increased pricing transparency; our ability to obtain or maintain proprietary intellectual property protection; the particular prescribing preferences of physicians and patients; general political, economic and business conditions, including the effects of and efforts to mitigate pandemic diseases such as COVID-19; safety, quality, data integrity or manufacturing issues; potential or actual data security and data privacy breaches, or disruptions of our information technology systems, and other risks and factors referred to in Novartis AG's current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in this press release as of this date and does not undertake any obligation to update any forward-looking statements contained in this press release as a result of new information, future events or otherwise.

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About Novartis

Novartis is reimagining medicine to improve and extend people's lives. As a leading global medicines company, we use innovative science and digital technologies to create transformative treatments in areas of great medical need. In our quest to find new medicines, we consistently rank among the world's top companies investing in research and development. Novartis products reach nearly 800 million people globally and we are finding innovative ways to expand access to our latest treatments. About 108,000 people of more than 140 nationalities work at Novartis around the world. Find out more at https://www.novartis.com.

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References

1. Ciruelos EM et al. Alpelisib + fulvestrant in patients with hormone

receptor-positive (HR+), human epidermal growth factor receptor

2-negative (HER2-), PIK3CA-mutated advanced breast cancer (ABC)

previously treated with cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) +

aromatase inhibitor (AI): 18-month follow-up of BYLieve Cohort A.

Presented at the San Antonio Breast Cancer Symposium, December 8, 2021.

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Abstract #P1-18-03.

2. Rugo HS et al. Alpelisib + fulvestrant in patients with PIK3CA-mutated,

HR+, HER2- advanced breast cancer (ABC) who received chemotherapy or

endocrine therapy (ET) as immediate prior treatment: BYLieve Cohort C

primary results and exploratory biomarker analyses. Presented at the San

Antonio Breast Cancer Symposium, December 10, 2021. Abstract #PD13-05.

3. Chia S et al. Effect of duration of prior cyclin-dependent kinase 4/6

inhibitor (CDK4/6i) therapy (<=6 mo or >6 mo) on alpelisib benefit in

patients with hormone receptor-positive (HR+), human epidermal growth

factor receptor 2-negative (HER2-), PIK3CA-mutated advanced breast cancer

(ABC) from BYLieve. Presented at the San Antonio Breast Cancer Symposium,

December 8, 2021. Abstract # P1-18-08.

4. Juric D et al. Alpelisib + endocrine therapy (ET) in patients with

hormone receptor-positive (HR+), human epidermal growth factor receptor

2-negative (HER2-), PIK3CA-mutated advanced breast cancer (ABC)

previously treated with cyclin-dependent kinase 4/6 inhibitor (CDK4/6i):

Biomarker analyses from the Phase II BYLieve study. Presented at the San

Antonio Breast Cancer Symposium, December 8, 2021. Abstract #P5-13-03.

5. Turner N et al. Impact of ESR1 mutations on endocrine therapy (ET) plus

alpelisib benefit in patients with hormone receptor-positive (HR+), human

epidermal growth factor receptor 2-negative (HER2-), PIK3CA-mutated,

advanced breast cancer (ABC) who progressed on or after prior

cyclin-dependent kinase inhibitor (CDK4/6i) therapy in the BYLieve trial.

Presented at the San Antonio Breast Cancer Symposium, December 10, 2021.

Abstract #PD15-01.

6. Burstein HJ, Somerfield MR, Barton DL, et al: Endocrine treatment and

targeted therapy for HR-positive, HER2-negative metastatic breast Cancer:

ASCO Guideline update. J Clin Oncol. July 29, 2021.

7. Piqray (alpelisib) Prescribing Information. East Hanover, New Jersey,

USA: Novartis Pharmaceuticals Corporation; July 2021.

8. The Cancer Genome Atlas Network. Comprehensive molecular portraits of

human breast tumours. Nature. 2012;490(7418):61-70.

9. Mosele F, Stefanovska B, Lusque A, et al. Outcome and molecular landscape

of patients with PIK3CA-mutated metastatic breast cancer. Ann Oncol.

2020;31(3):377-386.

10. Fribbens, C., et al. Tracking Evolution of Aromatase Inhibitor Resistance

with Circulating Tumour DNA Analysis in Metastatic Breast Cancer. Ann

Oncol. 2018;29(1):145-153. https://doi.org/10.1093/annonc/mdx483.

11. Dustin D, et al. ESR1 Mutations in Breast Cancer. Cancer.

2019;125(21):3714-3728, https://doi.org/10.1002/cncr.32345.

12. Novartis Data on File. Novartis Pharmaceuticals Corp: 2021.

13. Novartis Pharmaceuticals. Study to Assess the Efficacy and Safety of

Alpelisib Plus Fulvestrant in Participants With HR-postitive (HR+),

HER2-negative, Advanced Breast Cancer After Treatment With a CDK4/6

Inhibitor and an Aromatase Inhibitor: EPIK-B5 (October 27, 2021- November

27, 2026). Identifier: NCT05038735.

https://www.clinicaltrials.gov/ct2/show/NCT05038735.

14. Novartis Pharmaceuticals. Study Assessing the Efficacy and Safety of

Alpelisib + Nab-paclitaxel in Subjects With Advanced TNBC Who Carry

Either a PIK3CA Mutation or Have PTEN Loss: EPIK-B3 (June 8, 2020-January

9, 2026). Identifier: NCT04251533.

https://www.clinicaltrials.gov/ct2/show/NCT04251533.

15. Novartis Pharmaceuticals. EPIK-B2: A Two Part, Phase III, Multicenter,

Randomized (1:1), Double-blind, Placebo-controlled Study to Assess the

Efficacy and Safety of Alpelisib (BYL719) in Combination With Trastuzumab

and Pertuzumab as Maintenance Therapy in Patients With HER2-positive

Advanced Breast Cancer With a PIK3CA Mutation. Identifier: NCT04208178.

https://www.clinicaltrials.gov/ct2/show/ NCT04208178.

16. Novartis Pharmaceuticals. Alpelisib Plus Olaparib in

Platinum-resistant/Refractory, High-grade Serous Ovarian Cancer, With no

Germline BRCA Mutation Detected: EPIK-O (July 2, 2021-January 31, 2025).

Identifier: NCT04729387.

https://www.clinicaltrials.gov/ct2/show/NCT04729387.

# # #

Novartis Media Relations

E-mail: media.relations@novartis.com

Anja von Treskow Ashley Buford

Novartis External Communications Novartis Oncology Communications

+41 79 392 8697 (mobile) +1 201 953 4364

anja.von_treskow@novartis.com mailto:anja.von_treskow@novartis.com ashley.buford@novartis.com

Julie Masow

Novartis US External Communications

+1 862 579 8456

Julie.masow@novartis.com

Novartis Investor Relations

Central investor relations line: +41 61 324 7944

E-mail: investor.relations@novartis.com

Central North America

Samir Shah +41 61 324 7944 Sloan Simpson +1 862 345 4440

Thomas Hungerbuehler +41 61 324 8425 Alina Levchuk +1 862 778 3372

Isabella Zinck +41 61 324 7188 Parag Mahanti +1 973 876 4912

(END) Dow Jones Newswires

December 10, 2021 08:00 ET (13:00 GMT)

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