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MIRATI IS NOW A
BRISTOL MYERS SQUIBB COMPANY

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INDICATION

KRAZATI in combination with cetuximab is indicated for the treatment of adult
patients with KRAS G12C-mutated locally advanced or metastatic colorectal cancer
(CRC), as determined by an FDA-approved test, who have received prior treatment
with fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy.

This indication is approved under accelerated approval based on objective
response rate (ORR) and duration of response (DOR). Continued approval for this
indication may be contingent upon verification and description of a clinical
benefit in a confirmatory trial.

KRAS G12C in CRC
About KRAS G12CTesting for KRAS G12C
Clinical Data
Study DesignEfficacySafety
Dosing
Resources & Support
ResourcesMirati & Me
Important Safety InformationPrescribing InformationReferencesVisit Patient Site
Switch Indications
CRCNSCLC
NOW APPROVED FOR ADVANCED CRC


BUILT FOR THE
CHALLENGE OF KRAS G12C

NOW APPROVED FOR ADVANCED CRC
What brings you here today?
More about KRAS G12CPrescribing KRAZATIUpdated KRAZATI OS data
I want to learn about KRAS G12CI'm currently prescribing KRAZATII'm looking for
KRAZATI OS data


KRAZATI OFFERS A CHANCE FOR RESPONSE IN PREVIOUSLY TREATED ADVANCED CRC1

See clinical trial efficacy


CATEGORY 2A NCCN RECOMMENDED

Advanced CRC

Adagrasib (KRAZATI) is NCCN Category 2A recommended in the NCCN Clinical
Practice Guidelines in Oncology (NCCN Guidelines®): colon and rectal cancers.2,3


CATEGORY 2A NCCN RECOMMENDED

Advanced CRC

Adagrasib (KRAZATI) is an NCCN Category 2A recommendation in the NCCN Clinical
Practice Guidelines in Oncology (NCCN Guidelines®): colon and rectal cancers.2,3

See clinical trial efficacy


DIVE DEEPER INTO KRAZATI

The challenge
of KRAS G12C
About KRAS G12C
Intentionally designed to meet the challenge of KRAS G12C
KRAZATI properties
600-mg
twice-daily
oral dosing
Get dosing details

CRC=colorectal cancer; NCCN=National Comprehensive Cancer Network; OS=overall
survival.


IMPORTANT SAFETY INFORMATION

WARNINGS AND PRECAUTIONS

Gastrointestinal Adverse Reactions

 * KRAZATI can cause severe gastrointestinal adverse reactions
 * Monitor and manage patients using supportive care, including antidiarrheals,
   antiemetics, or fluid replacement, as indicated. Withhold, reduce the dose,
   or permanently discontinue KRAZATI based on severity

QTc Interval Prolongation

 * KRAZATI can cause QTc interval prolongation, which can increase the risk for
   ventricular tachyarrhythmias (eg, torsades de pointes) or sudden death
 * Avoid concomitant use of KRAZATI with other products with a known potential
   to prolong the QTc interval. Avoid use of KRAZATI in patients with congenital
   long QT syndrome and in patients with concurrent QTc prolongation
 * Monitor ECGs and electrolytes, particularly potassium and magnesium, prior to
   starting KRAZATI, during concomitant use, and as clinically indicated in
   patients with congestive heart failure, bradyarrhythmias, electrolyte
   abnormalities, and in patients who are unable to avoid concomitant
   medications that are known to prolong the QT interval. Correct electrolyte
   abnormalities. Withhold, reduce the dose, or permanently discontinue KRAZATI,
   depending on severity

Hepatotoxicity

 * KRAZATI can cause hepatotoxicity, which may lead to drug-induced liver injury
   and hepatitis
 * Monitor liver laboratory tests (AST, ALT, alkaline phosphatase, and total
   bilirubin) prior to the start of KRAZATI, and monthly for 3 months or as
   clinically indicated, with more frequent testing in patients who develop
   transaminase elevations. Reduce the dose, withhold, or permanently
   discontinue KRAZATI based on severity

Interstitial Lung Disease/Pneumonitis

 * KRAZATI can cause interstitial lung disease (ILD)/pneumonitis, which can be
   fatal
 * Monitor patients for new or worsening respiratory symptoms indicative of
   ILD/pneumonitis (eg, dyspnea, cough, fever) during treatment with KRAZATI.
   Withhold KRAZATI in patients with suspected ILD/pneumonitis and permanently
   discontinue KRAZATI if no other potential causes of ILD/pneumonitis are
   identified

ADVERSE REACTIONS

 * Serious adverse reactions occurred in 30% of 94 patients who received
   adagrasib in combination with cetuximab. The most common adverse reactions in
   CRC patients (≥20%) were rash, nausea, diarrhea, vomiting, fatigue,
   musculoskeletal pain, hepatotoxicity, headache, dry skin, abdominal pain,
   decreased appetite, edema, anemia, dizziness, cough, constipation, and
   peripheral neuropathy

DRUG INTERACTIONS

 * Strong CYP3A4 Inducers: Avoid concomitant use.
 * Strong CYP3A4 Inhibitors: Avoid concomitant use until adagrasib
   concentrations have reached steady state (after ~8 days).
 * Sensitive CYP3A4 Substrates: Avoid concomitant use with sensitive CYP3A4
   substrates.
 * Sensitive CYP2C9 or CYP2D6 Substrates or P-gp Substrates: Avoid concomitant
   use with sensitive CYP2C9 or CYP2D6 substrates or P-gp substrates where
   minimal concentration changes may lead to serious adverse reactions.
 * Drugs That Prolong QT Interval: Avoid concomitant use with KRAZATI.

Please see Drug Interactions Section of the Full Prescribing Information for
additional information.

USE IN SPECIFIC POPULATIONS

Females and Males of Reproductive Potential

 * Infertility: Based on findings from animal studies, KRAZATI may impair
   fertility in females and males of reproductive potential

Lactation

 * Advise not to breastfeed

Please see Full Prescribing Information.


INDICATION

KRAZATI in combination with cetuximab is indicated for the treatment of adult
patients with KRAS G12C-mutated locally advanced or metastatic colorectal cancer
(CRC), as determined by an FDA-approved test, who have received prior treatment
with fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy.

This indication is approved under accelerated approval based on objective
response rate (ORR) and duration of response (DOR). Continued approval for this
indication may be contingent upon verification and description of a clinical
benefit in a confirmatory trial.

© 2024 Mirati Therapeutics, Inc.,
a Bristol Myers Squibb company.

KRAZATI® and the related logo are registered
trademarks of Mirati Therapeutics, Inc.

US-KRA-24-00048 v1 6/24

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 * PRIVACY POLICY
 * Your Privacy Choices

This website is intended for U.S. residents 18 years of age or older.


IMPORTANT SAFETY INFORMATION

WARNINGS AND PRECAUTIONS

Gastrointestinal Adverse Reactions

 * KRAZATI can cause severe gastrointestinal adverse reactions
 * Monitor and manage patients using supportive care, including antidiarrheals,
   antiemetics, or fluid replacement, as indicated. Withhold, reduce the dose,
   or permanently discontinue KRAZATI based on severity

QTc Interval Prolongation

 * KRAZATI can cause QTc interval prolongation, which can increase the risk for
   ventricular tachyarrhythmias (eg, torsades de pointes) or sudden death
 * Avoid concomitant use of KRAZATI with other products with a known potential
   to prolong the QTc interval. Avoid use of KRAZATI in patients with congenital
   long QT syndrome and in patients with concurrent QTc prolongation
 * Monitor ECGs and electrolytes, particularly potassium and magnesium, prior to
   starting KRAZATI, during concomitant use, and as clinically indicated in
   patients with congestive heart failure, bradyarrhythmias, electrolyte
   abnormalities, and in patients who are unable to avoid concomitant
   medications that are known to prolong the QT interval. Correct electrolyte
   abnormalities. Withhold, reduce the dose, or permanently discontinue KRAZATI,
   depending on severity

Hepatotoxicity

 * KRAZATI can cause hepatotoxicity, which may lead to drug-induced liver injury
   and hepatitis
 * Monitor liver laboratory tests (AST, ALT, alkaline phosphatase, and total
   bilirubin) prior to the start of KRAZATI, and monthly for 3 months or as
   clinically indicated, with more frequent testing in patients who develop
   transaminase elevations. Reduce the dose, withhold, or permanently
   discontinue KRAZATI based on severity

Interstitial Lung Disease/Pneumonitis

 * KRAZATI can cause interstitial lung disease (ILD)/pneumonitis, which can be
   fatal
 * Monitor patients for new or worsening respiratory symptoms indicative of
   ILD/pneumonitis (eg, dyspnea, cough, fever) during treatment with KRAZATI.
   Withhold KRAZATI in patients with suspected ILD/pneumonitis and permanently
   discontinue KRAZATI if no other potential causes of ILD/pneumonitis are
   identified

ADVERSE REACTIONS

 * Serious adverse reactions occurred in 30% of 94 patients who received
   adagrasib in combination with cetuximab. The most common adverse reactions in
   CRC patients (≥20%) were rash, nausea, diarrhea, vomiting, fatigue,
   musculoskeletal pain, hepatotoxicity, headache, dry skin, abdominal pain,
   decreased appetite, edema, anemia, dizziness, cough, constipation, and
   peripheral neuropathy

DRUG INTERACTIONS

 * Strong CYP3A4 Inducers: Avoid concomitant use.
 * Strong CYP3A4 Inhibitors: Avoid concomitant use until adagrasib
   concentrations have reached steady state.
 * Sensitive CYP3A4 Substrates: Avoid concomitant use with sensitive CYP3A4
   substrates.
 * Sensitive CYP2C9 or CYP2D6 Substrates or P-gp Substrates: Avoid concomitant
   use with sensitive CYP2C9 or CYP2D6 substrates or P-gp substrates where
   minimal concentration changes may lead to serious adverse reactions.
 * Drugs That Prolong QT Interval: Avoid concomitant use with KRAZATI.

Please see Drug Interactions Section of the Full Prescribing Information for
additional information.

USE IN SPECIFIC POPULATIONS

Females and Males of Reproductive Potential

 * Infertility: Based on findings from animal studies, KRAZATI may impair
   fertility in females and males of reproductive potential

Lactation

 * Advise not to breastfeed

Please see Full Prescribing Information.


INDICATION

KRAZATI in combination with cetuximab is indicated for the treatment of adult
patients with KRAS G12C-mutated locally advanced or metastatic colorectal cancer
(CRC), as determined by an FDA-approved test, who have received prior treatment
with fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy.

This indication is approved under accelerated approval based on objective
response rate (ORR) and duration of response (DOR). Continued approval for this
indication may be contingent upon verification and description of a clinical
benefit in a confirmatory trial.







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