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Coverage just got better! Scemblix is now covered in 1L by the 3 largest PBMs: CVS Caremark, Express Scripts, and OptumRx (private insurance patients). For adults with newly diagnosed Ph+ CML-CP. Tough on CML. With a different touch. As the first and only inhibitor to bind the ABL myristoyl pocket, Scemblix offers a unique approach. PBM, pharmacy benefit manager; Ph+ CML-CP, Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase. Not an actual patient.

Imagine what is possible with SCEMBLIX

SCEMBLIX was studied vs all standard-of-care* TKIs in patients with newly diagnosed Ph+ CML-CP in ASC4FIRST2,4,†

*Imatinib, nilotinib, dasatinib, and bosutinib.
 

MMR rates for SCEMBLIX and standard-of-care TKIs2,5

MMR rates at Week 48. (two primary end points) 68% Scemblix (95% CI, 67-74) (n=201) vs 49% IS-TKIs± (all) (95% CI, 42-56) (n=204). 69% Scemblix (95% CI, 59-78) (n=101) vs 40% IS-TKIs± (imatinib) (95% CI, 31-50) (n=102)
MMR rate at Week 96. (Key secondary end points) 74% Scemblix (95% CI, 68-80) (n=201) vs 52% IS-TKIs± (all) (95% CI, 45-59) (n=204). 76% Scemblix (95% CI, 67-84) (n=101) vs 47% IS-TKIs± (imatinib) (95% CI, 37-57) (n=102)

IS-TKIs included imatinib (400 mg once daily) and other TKIs of nilotinib (300 mg twice daily), dasatinib (100 mg once daily), or bosutinib (400 mg once daily).2

Safety and tolerability profile2,6,7

Permanent discontinuation due to ARs (all-grade) at Week 48. 4.5% Scemblix (n=200) vs 10.4% IS-TKIs (all)(n=201). Dosage interruptions of Scemblix due to an AR occurred in 30% of patients. Dose reductions of Scemblix due to an AR occurred in 6% of patients. The most common AR (≥20%) in patients who received Scemblix was musculoskeletal pain. Serious ARs occurred in 11% of patients who received Scemblix. Serious ARs in ≥1% included pancreatitis (1%) and musculoskeletal pain (1%).
At Week 96, permanent discontinuation due to all-grade ARs: 4% with Scemblix (n=200) vs 10% with IS-TKIs (n=201). AR-related dosage interruptions: 28%; dose reductions: 6%. Most common ARs (≥20%) with Scemblix: musculoskeletal pain and rash. Serious ARs occurred in 6% of patients; those in ≥1% included pancreatitis (1%), musculoskeletal pain (1%), and peripheral neuropathy (1%).

AR, adverse reaction; CML, chronic myeloid leukemia; ELTS, EUTOS long-term survival; EUTOS, EUropean Treatment Outcome Study; IS-TKI, Investigator-selected tyrosine kinase inhibitor; MMR, major molecular response; NCCN, National Comprehensive Cancer Network; qd, once daily; TKI, tyrosine kinase inhibitor.

ASC4FIRST is a multicenter, randomized, active-controlled, open-label study of 405 adults with newly diagnosed Ph+ CML-CP. Investigators, in consultation with patients, preselected the appropriate TKI and evaluated ELTS risk scores. Patients were then stratified by preselected TKI and ELTS score, then randomized (1:1) to receive either SCEMBLIX or an Investigator-selected TKI (imatinib, nilotinib, bosutinib, or dasatinib). 201 patients received SCEMBLIX at 80 mg qd, and 204 patients received IS-TKIs until unacceptable toxicity or treatment failure occurred. 2,4

References: 1. Data on file. MMIT coverage lives data. Novartis Pharmaceuticals Corp; 2025. 2. Scemblix. Prescribing information. Novartis Pharmaceuticals Corp. 3. Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Chronic Myeloid Leukemia V.3.2025. ©National Comprehensive Cancer Network, Inc. 2024. All rights reserved. Accessed March 18, 2025. To view the most recent and complete version of the guidelines, go to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way. 4. Data on file. CABL001J12301 clinical study report (Week 48 analysis). Novartis Pharmaceuticals Corp; 2022. 5. Data on file. CABL001J12301 clinical study report (Week 96 analysis). Novartis Pharmaceuticals Corp; 2024. 6. Data on file. CABL001J SCS/RMP. Novartis Pharmaceuticals Corp; 2024. 7. Data on file. ABL001J1 SCS Appendix 2. Novartis Pharmaceuticals Corp; 2025.