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Frequently Asked Questions

JADENU® (deferasirox) tablets

Important Safety Information:

What is the most important safety information to know about JADENU?

JADENU contains deferasirox, the same active ingredient in EXJADE® (deferasirox) tablets for oral suspension. Deferasirox may cause serious kidney problems, liver problems, and bleeding in the stomach or intestines. In some cases, these problems were fatal. Kidney problems occurred particularly in patients with multiple medical conditions and those who were very ill because of their disease. Bleeding in the stomach or intestines occurred more often in elderly patients. Liver problems were more likely to happen in patients older than 55 years.

Your doctor should check your kidneys with a blood test called serum creatinine and/or creatinine clearance:

  • Before taking JADENU
  • Monthly during treatment

If you already have a history of kidney problems or are at risk for kidney problems, your doctor should check your kidneys:

  • Every week for the first month
  • Monthly during treatment

Your doctor should check your liver with blood tests called serum transaminases and bilirubin:

  • Before taking JADENU
  • Every other week for the first month after starting JADENU
  • Monthly during treatment

You should not take JADENU if you have:

  • Certain kinds of kidney problems
  • Pre-existing severe liver problems
  • High-risk MDS
  • Advanced cancer
  • Low blood counts (low platelets)
  • An allergy to JADENU or any ingredient of JADENU

Additional Important Safety Information

Kidneys

  • If you have a pre-existing kidney condition, are elderly, have multiple medical conditions, or are taking medicine that affects your kidneys, you are at increased risk of complications. Your doctor will give you a blood test (called serum creatinine and/or creatinine clearance) every week for the first month you are taking JADENU or if your dose has changed, and then every month after that. Your doctor may adjust your dose based on the results of these tests
  • Your doctor may also collect urine samples monthly
  • Some patients developed severe kidney problems while taking deferasirox, in some cases fatal, and in some cases requiring dialysis. Most of the fatalities occurred in patients who were very ill because of their disease

Liver

  • If you have a pre-existing severe liver problem, you should not use JADENU
  • If you have mild or moderate liver problems, your doctor will give you blood tests called serum transaminases and bilirubin before starting treatment, every 2 weeks during the first month of treatment, and then monthly. Your doctor may adjust your dose based on the results of these tests
  • Some patients developed severe liver problems, in some cases fatal, while taking deferasirox. Many of these patients were older than 55 years of age and/or had multiple medical conditions already affecting their liver

Bleeding in the Stomach or Intestines

  • Some patients developed stomach irritation or bleeds while taking deferasirox. In some cases, stomach bleeds were fatal, usually in patients who were elderly and had pre-existing blood cancers and/or low blood counts (low platelets)
  • Talk to your doctor if you are taking other drugs that can also irritate your stomach or cause a stomach bleed (eg, pain relievers/anti-inflammatory drugs, corticosteroids, oral bisphosphonates, blood thinners)

Blood Disorders

  • Some patients developed severe blood disorders, in some cases fatal, while on deferasirox therapy. Having a pre-existing blood disorder may increase the risk
  • Your doctor will give you a blood test to check your blood counts

Increased Risks When Used in Elderly Patients

  • Since deferasirox has been on the market, there have been reports of serious reactions, sometimes leading to death. These serious reactions and deaths have happened most often when deferasirox was taken by elderly patients

Allergic Reactions

  • Serious allergic reactions (which include swelling of the throat) have been reported in patients taking deferasirox, usually within the first month of treatment
  • If you develop swelling of the throat, a severe rash, hearing problems, or vision disturbances, stop taking JADENU and contact your doctor immediately

Serious Skin Reactions

  • Severe skin disorders that result in a very serious rash, called Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and erythema multiforme, have been reported during treatment with deferasirox. Other skin reactions including DRESS (drug reaction with eosinophilia and systemic symptoms) can also occur. If you develop a severe rash, stop taking JADENU and contact your doctor immediately
  • Mild to moderate skin rashes may occur during treatment with deferasirox. Let your doctor know if the rash doesn’t go away on its own or gets worse. Your doctor may need to change your dose of JADENU

Hearing and Vision Changes

  • Changes to hearing and vision have been reported in patients taking deferasirox. If you notice changes in your hearing or eyesight, contact your doctor immediately
  • You may also receive a hearing or vision test prior to receiving JADENU and yearly thereafter. Your doctor may change your dose based on the results of these tests

Common Side Effects

  • The most commonly reported side effects related to deferasirox in clinical trials were mainly nausea, vomiting, diarrhea, stomach pain, increases in kidney laboratory values, and skin rash
  • Let your doctor know if you are experiencing any side effects. Your doctor may need to change your dose
  • If you experience diarrhea or vomiting, you must continue to drink fluids
  • You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088

Taking Other Medicines With JADENU

  • If you are taking other medicines, such as birth control pills, diabetes drugs, seizure drugs, cholesterol-lowering drugs, or medicine for serious illnesses, talk to your doctor. JADENU may affect how these drugs work

Talk to your doctor to determine if prescription JADENU therapy is right for you.

Please see full Prescribing Information, including Boxed WARNING, for JADENU (deferasirox).

Approved Use:

Treatment of Chronic Iron Overload Due to Blood Transfusions (Transfusional Iron Overload)

JADENU® (deferasirox) tablets is indicated for the treatment of chronically elevated levels of iron in the blood caused by repeated blood transfusions (transfusional hemosiderosis) in patients 2 years of age and older.

  • In these patients, deferasirox lowered the levels of iron in the blood (measured by serum ferritin levels) and liver (measured by liver iron concentration)
  • There are ongoing studies to find out how JADENU works over a longer period of time

Treatment of Chronic Iron Overload in Non-Transfusion-Dependent Thalassemia Syndromes

JADENU® (deferasirox) tablets is indicated to treat patients ages 10 years and older who have chronic iron overload resulting from a genetic blood disorder called non-transfusion-dependent thalassemia.

  • JADENU should be used when these patients have elevated levels of iron in the liver (measured by liver iron concentrations of at least 5 milligrams of iron per gram of liver dry tissue weight) and in the blood (measured by serum ferritin levels greater than 300 mcg/L)
  • There are ongoing studies to find out how JADENU works over a longer period of time

Limitations on the Use of JADENU

  • It is not known if JADENU is safe or effective when taken with another therapy that lowers iron levels in the blood
  • There are patients with a serious blood disorder known as myelodysplastic syndromes (MDS) that may take JADENU to treat chronically elevated levels of iron in the blood caused by repeated blood transfusions. The iron-lowering effects and safety of JADENU have not been studied in clinical trials specifically designed for just these patients with MDS
Important Safety Information:

What is the most important safety information to know about JADENU?

JADENU contains deferasirox, the same active ingredient in EXJADE® (deferasirox) tablets for oral suspension. Deferasirox may cause s

... See More
Approved Use:

Treatment of Chronic Iron Overload Due to Blood Transfusions (Transfusional Iron Overload)

JADENU® (deferasirox) tablets is indicated for the treatment of chronically elevated levels of iron in the blood caused by repeated blood transfusions (transfusional hemosiderosis) in patients 2

... See More
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If you are currently taking EXJADE for chronic iron overload, talk with your doctor about whether JADENU is a good alternative for you. Made from the same active ingredient as EXJADE, JADENU is also weight based, but the tablet strength is slightly different. If you and your doctor decide that JADENU is right for you, your iron removal therapy will not be disrupted when you transition to JADENU. Talk to your doctor or nurse today.

No. If you switch to JADENU, that does not mean that your old treatment wasn’t working. If you have concerns or questions about why you are switching, or if you have questions about your new regimen, talk openly with your doctor and ask as many questions as you need to ask.

You will be able to tell if JADENU is working by having your serum ferritin levels tested once a month or as directed by your doctor. Be sure to stay on top of treatment and get your iron levels tested once a month or as directed by your doctor. Treatment adjustments or interruptions may be needed if you experience any adverse events. Talk with your doctor about any side effects you experience.

Studies further evaluating the side effects of JADENU are ongoing. However, some common side effects associated with deferasirox, the active ingredient in JADENU, include nausea, vomiting, diarrhea, stomach pain, changes in kidney function, and skin rash.

Dose adjustment can occur for a number of reasons, including weight loss or gain, change in iron levels, or side effects. Ask your doctor or nurse if you have questions about a dose adjustment of any kind.

As results vary from patient to patient, only your doctor can decide how long you should be on treatment. JADENU is a long-term treatment regimen that can help lower your iron levels. As the dose is weight based, it is important to let your doctor know if you gain or lose weight so your medication can be adjusted. Be sure to also track your serum ferritin levels so you and your doctor can be aware of how JADENU is working. Inform your doctor if you experience any side effects.

Novartis is committed to helping patients receive the medicines they need. For more information about the different kinds of support programs available, visit the Additional Resources section of this site.

INDICATIONS

Treatment of Chronic Iron Overload Due to Blood Transfusions (Transfusional Iron Overload)

JADENU® (deferasirox) tablets is indicated for the treatment of chronically elevated levels of iron in the blood caused by repeated blood transfusions (transfusional hemosiderosis) in patients 2 years of age and older.

  • In these patients, deferasirox lowered the levels of iron in the blood (measured by serum ferritin levels) and liver (measured by liver iron concentration)
  • There are ongoing studies to find out how JADENU works over a longer period of time

Treatment of Chronic Iron Overload in Non-Transfusion-Dependent Thalassemia Syndromes

JADENU® (deferasirox) tablets is indicated to treat patients ages 10 years and older who have chronic iron overload resulting from a genetic blood disorder called non-transfusion-dependent thalassemia.

  • JADENU should be used when these patients have elevated levels of iron in the liver (measured by liver iron concentrations of at least 5 milligrams of iron per gram of liver dry tissue weight) and in the blood (measured by serum ferritin levels greater than 300 mcg/L)
  • There are ongoing studies to find out how JADENU works over a longer period of time

Limitations on the Use of JADENU

  • It is not known if JADENU is safe or effective when taken with another therapy that lowers iron levels in the blood
  • There are patients with a serious blood disorder known as myelodysplastic syndromes (MDS) that may take JADENU to treat chronically elevated levels of iron in the blood caused by repeated blood transfusions. The iron-lowering effects and safety of JADENU have not been studied in clinical trials specifically designed for just these patients with MDS

IMPORTANT SAFETY INFORMATION for JADENU® (deferasirox) Tablets

What is the most important safety information to know about JADENU?

JADENU contains deferasirox, the same active ingredient in EXJADE® (deferasirox) tablets for oral suspension. Deferasirox may cause serious kidney problems, liver problems, and bleeding in the stomach or intestines. In some cases, these problems were fatal. Kidney problems occurred particularly in patients with multiple medical conditions and those who were very ill because of their disease. Bleeding in the stomach or intestines occurred more often in elderly patients. Liver problems were more likely to happen in patients older than 55 years.

Your doctor should check your kidneys with a blood test called serum creatinine and/or creatinine clearance:

  • Before taking JADENU
  • Monthly during treatment

If you already have a history of kidney problems or are at risk for kidney problems, your doctor should check your kidneys:

  • Every week for the first month
  • Monthly during treatment

Your doctor should check your liver with blood tests called serum transaminases and bilirubin:

  • Before taking JADENU
  • Every other week for the first month after starting JADENU
  • Monthly during treatment

You should not take JADENU if you have:

  • Certain kinds of kidney problems
  • Pre-existing severe liver problems
  • High-risk MDS
  • Advanced cancer
  • Low blood counts (low platelets)
  • An allergy to JADENU or any ingredient of JADENU

Additional Important Safety Information

Kidneys

  • If you have a pre-existing kidney condition, are elderly, have multiple medical conditions, or are taking medicine that affects your kidneys, you are at increased risk of complications. Your doctor will give you a blood test (called serum creatinine and/or creatinine clearance) every week for the first month you are taking JADENU or if your dose has changed, and then every month after that. Your doctor may adjust your dose based on the results of these tests
  • Your doctor may also collect urine samples monthly
  • Some patients developed severe kidney problems while taking deferasirox, in some cases fatal, and in some cases requiring dialysis. Most of the fatalities occurred in patients who were very ill because of their disease

Liver

  • If you have a pre-existing severe liver problem, you should not use JADENU
  • If you have mild or moderate liver problems, your doctor will give you blood tests called serum transaminases and bilirubin before starting treatment, every 2 weeks during the first month of treatment, and then monthly. Your doctor may adjust your dose based on the results of these tests
  • Some patients developed severe liver problems, in some cases fatal, while taking deferasirox. Many of these patients were older than 55 years of age and/or had multiple medical conditions already affecting their liver

Bleeding in the Stomach or Intestines

  • Some patients developed stomach irritation or bleeds while taking deferasirox. In some cases, stomach bleeds were fatal, usually in patients who were elderly and had pre-existing blood cancers and/or low blood counts (low platelets)
  • Talk to your doctor if you are taking other drugs that can also irritate your stomach or cause a stomach bleed (eg, pain relievers/anti-inflammatory drugs, corticosteroids, oral bisphosphonates, blood thinners)

Blood Disorders

  • Some patients developed severe blood disorders, in some cases fatal, while on deferasirox therapy. Having a pre-existing blood disorder may increase the risk
  • Your doctor will give you a blood test to check your blood counts

Increased Risks When Used in Elderly Patients

  • Since deferasirox has been on the market, there have been reports of serious reactions, sometimes leading to death. These serious reactions and deaths have happened most often when deferasirox was taken by elderly patients

Allergic Reactions

  • Serious allergic reactions (which include swelling of the throat) have been reported in patients taking deferasirox, usually within the first month of treatment
  • If you develop swelling of the throat, a severe rash, hearing problems, or vision disturbances, stop taking JADENU and contact your doctor immediately

Serious Skin Reactions

  • Severe skin disorders that result in a very serious rash, called Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and erythema multiforme, have been reported during treatment with deferasirox. Other skin reactions including DRESS (drug reaction with eosinophilia and systemic symptoms) can also occur. If you develop a severe rash, stop taking JADENU and contact your doctor immediately
  • Mild to moderate skin rashes may occur during treatment with deferasirox. Let your doctor know if the rash doesn’t go away on its own or gets worse. Your doctor may need to change your dose of JADENU

Hearing and Vision Changes

  • Changes to hearing and vision have been reported in patients taking deferasirox. If you notice changes in your hearing or eyesight, contact your doctor immediately
  • You may also receive a hearing or vision test prior to receiving JADENU and yearly thereafter. Your doctor may change your dose based on the results of these tests

Common Side Effects

  • The most commonly reported side effects related to deferasirox in clinical trials were mainly nausea, vomiting, diarrhea, stomach pain, increases in kidney laboratory values, and skin rash
  • Let your doctor know if you are experiencing any side effects. Your doctor may need to change your dose
  • If you experience diarrhea or vomiting, you must continue to drink fluids
  • You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088

Taking Other Medicines With JADENU

  • If you are taking other medicines, such as birth control pills, diabetes drugs, seizure drugs, cholesterol-lowering drugs, or medicine for serious illnesses, talk to your doctor. JADENU may affect how these drugs work

Talk to your doctor to determine if prescription JADENU therapy is right for you.

Please see full Prescribing Information, including Boxed WARNING, for JADENU (deferasirox).