Robert K. Shin, MD; Stephen L. Hauser, MD; Patricia K. Coyle, MD; Regina R. Berkovich, MD, PhD; Andy; Brittany Zenovia
Replay
:5
Cancel
Copy Link
Like
Hear MS experts and patients share their real-world perspectives on the impact of adding KESIMPTA to the treatment armamentarium in RMS following its regulatory approval
View Transcript +
[Voice Over Narrator]
Over 150 years ago, a French neurologist named the debilitating disease he'd been observing and treating, "sclérose en plaque disseminée"
[Voice Over Narrator]
Today, this illness is called multiple sclerosis, or MS, a disease often distinguished by clearly defined relapses that profoundly affect patients' lives and that is further complicated by ongoing MS activity patients may not be aware of
[Voice Over Narrator]
While relapsing MS, or RMS, has not changed over time, our understanding and approach to managing the disease has
[Voice Over Narrator]
Over 20 therapeutic options, with varying mechanisms of action and clinical endpoints studied, exist. But even with such progress, we continue to ask new questions, such as… What steps can we take to bring a new product to market in RMS with a unique set of attributes?
[Voice Over Narrator]
And that's where our journey begins
[Voice Over Narrator]
KESIMPTA is indicated for the treatment of relapsing forms of multiple sclerosis, or MS, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. KESIMPTA is contraindicated in patients with active hepatitis B virus (HBV) infection, or history of hypersensitivity to ofatumumab, or life-threatening injection-related reaction to KESIMPTA. Hypersensitivity reactions have included anaphylaxis and angioedema. Warnings and precautions include Infections, Injection-Related Reactions and Hypersensitivity Reactions, Reduction in Immunoglobulins, and Fetal Risk. Most common adverse reactions (incidence greater than 10%) are upper respiratory tract infection, injection-related reactions, headache, and local injection-site reactions. Please see additional Important Safety Information by watching this entire video and by referring to the adjacent panel and accompanying full Prescribing Information, including Medication Guide. And continue watching at the end of this video to hear full Important Safety Information for KESIMPTA
[Voice Over Narrator]
Throughout the development of ofatumumab, Novartis was centered on addressing the unique needs of patients in achieving our goal of providing a clinically proven and flexible treatment option for patients with RMS. Guided by a patient-first approach, our early research in Phase 2 and modeling studies supported the identification of the most suitable dose, frequency, and administration method for ofatumumab in RMS
[Voice Over Narrator]
Moreover, the APLIOS study, which assessed the efficacy of ofatumumab when administered using a pre-filled syringe vs an auto-injector pen, was intended to enhance the patient's experience by enabling the ease and convenience of at-home or on-the-go self-administration using the Sensoready Pen auto-injector. This advancement enabled patients to manage their RMS at home via self-administration, which may better fit into their lifestyles6
[Voice Over Narrator]
Based on the Phase 3 clinical study data, KESIMPTA received US approval as the first and only 20 mg, at-home, subcutaneously self-administered therapy for the treatment of RMS in August 2020
[Voice Over Narrator]
The ease of administration of KESIMPTA is appreciated by both patients and HCPs and is supported by real-world patient satisfaction data
[Brittany]
I am a busy bee, and I like to go, go, go. So having more control of my injection days allows me to stay up-to-date with what I gotta do, where I gotta go, who I gotta meet, and all in between
[Zenovia]
KESIMPTA is very helpful because I have to take it just once a month. You pick your injection date, it's the same every month, it doesn't take, for me, a lot of time to take the injection
[Caylee]
KESIMPTA fits my schedule, so how I fill my time is up to me. Now more of my time is coaching time
[Dr Shin]
This medication represents a shift in the treatment paradigm, offering ease of use with quick and straightforward administration, just once a month. It's exciting to show patients just how simple it is to use the KESIMPTA pen. I've seen my patients' eyes light up when they realize how easy to use the KESIMPTA pen is
[Voice Over Narrator]
In the 2 pivotal trials, systemic and local injection reactions were reported in 21% and 11% of patients treated with KESIMPTA, compared to 15% and 6% of patients treated with teriflunomide who received matching placebo injections, respectively. KESIMPTA can result in systemic injection-related reactions and hypersensitivity reactions, which may be serious or life-threatening. Overall, KESIMPTA has a demonstrated tolerability profile with 99.8% of injection-related reactions reported as mild to moderate in severity, and incidence being highest with the first injection but decreasing with subsequent injections. KESIMPTA does not require premedication before injection, and no first dose observation is needed. Overall, most patients have expressed high satisfaction with KESIMPTA
[Dr Coyle]
In my clinical experience, patients feel that by and large, the KESIMPTA injection is very well-tolerated without the need for any premedication. This is invaluable for so many of my patients and is a central reason why they choose this treatment. It sets the stage for KESIMPTA to be more flexibly administered outside the confines of a doctors' office in a way that fits my patients' lifestyles
[Dr Berkovich]
What I hear from my patients is that treatment with KESIMPTA is a positive experience and continues to be a positive experience because of its demonstrated safety profile
[Voice Over Narrator]
Due to the once-monthly self-administration for the use at home or on the go, KESIMPTA offers patients the flexibility to treat their RMS in a way that fits within a variety of lifestyles
[Dr Berkovich]
Patients will still have to go to the doctor for labs, MRIs, and potential follow-up appointments. But, as far as the administration goes, there now exists the flexibility to safely administer KESIMPTA at home or on the go using the Sensoready Pen, which is a great option for a wide variety of patients with relapsing MS
[Dr Coyle]
Among the anti-CD20s, I think the at-home self-administration of KESIMPTA, not having to leave your home to receive treatment, and the quick injection once a month makes this therapy quite appealing. My patients like the fact that they can administer KESIMPTA on their own terms, and I think that's a major reason why they choose it
[Zenovia]
I wanted to get back to an injectable. The injection was just once a month, I could do it at home. I wanted to control as much as I could so it checked a lot of boxes for me
[Andy]
For me, KESIMPTA was easy to use, I only had to take it once a month, I could take it at home by myself, and so it could fit into my lifestyle
[Voice Over Narrator]
Because of these combined attributes, some health care professionals may feel comfortable using KESIMPTA at different stages in their patients' treatment journeys, including in their treatment-naïve patients
[Dr Berkovich]
KESIMPTA may be a great choice for many patients because of its proven safety and efficacy profile as shown in the ASCLEPIOS studies. And when you look at the broad population of patients with RMS studied in these trials, you'll see that treatment-naive patients or those previously treated with commonly used first-line therapies such as interferon and dimethyl fumarate—comprised 80% of participants
[Dr Shin]
My treatment preference, and one I frequently discuss with my patients and peers, is to start a high efficacy therapy like KESIMPTA earlier in a patient's treatment course
[Dr Hauser]
I once had a patient who struggled to adhere well to her MS treatment. Through Novartis's use compassionate program, I was able to secure KESIMPTA for her, even before the clinical trial results were known. She is still on KESIMPTA and it works for her
[Dr Coyle]
And that's our goal. To minimize the risk of progression in patients with relapsing MS in a manner that fits into their lifestyles. This is so that they can hopefully continue to actively participate in their lives, their careers, etc, on a daily basis
[Voice Over Narrator]
Through it all, Novartis is, and will continue to be, committed to improving the standard of care for patients with MS. KESIMPTA allows patients the flexibility to manage their disease in a manner that fits into their daily lives. Based on the patient and HCP feedback we've heard, Novartis' intended goal of developing a promising RMS treatment with patients at the forefront have been realized, supported by the identification of the right dose, right frequency, and right route of administration. As of April 2024, more than [39,000] patients in the US and more than [108,000] patients worldwide, have been prescribed KESIMPTA to treat their RMS. Novartis is proud of our commitment to helping patients with RMS, which fueled our Journey to KESIMPTA. And we look forward to what the future may hold for our patients as this journey continues. Please continue watching this video to hear the full Important Safety Information for KESIMPTA
[Voice Over Narrator]
Thanks for your attention, and please continue watching to hear the full Important Safety Information.
Important Safety Information
Contraindications: KESIMPTA is contraindicated in patients with active hepatitis B virus infection, or a history of hypersensitivity to ofatumumab, or life-threatening injection-related reaction to KESIMPTA. Hypersensitivity reactions have included anaphylaxis and angioedema
Infections: Serious, including life-threatening or fatal, infections have been observed during and following completion of treatment with anti-CD20 B-cell depleting therapies. Delay KESIMPTA administration in patients with an active infection until the infection is resolved. Vaccination with live-attenuated or live vaccines is not recommended during treatment with KESIMPTA and after discontinuation, until B-cell repletion
Injection-Related Reactions and Hypersensitivity Reactions: Management for injection-related reactions depends on the type and severity of the reaction
Reduction in Immunoglobulins: Monitor the level of immunoglobulins at the beginning, during, and after discontinuation of treatment with KESIMPTA until B-cell repletion. Consider discontinuing KESIMPTA if a patient develops a serious opportunistic infection or recurrent infections if immunoglobulin levels indicate immune compromise
Fetal Risk: May cause fetal harm based on animal data. Advise females of reproductive potential of the potential risk to a fetus and to use an effective method of contraception during treatment and for at least 6 months after the last dose
Please see additional Important Safety Information and full Prescribing Information, including Medication Guide, by watching this entire video and by referring to the adjacent panel of this video
KESIMPTA Important Safety Information | Click here for full Prescribing Information, including Medication Guide.
KESIMPTA Important Safety Information | Click here for full Prescribing Information, including Medication Guide. ▾
IMPORTANT SAFETY INFORMATION
Contraindications: KESIMPTA is contraindicated in patients with active hepatitis B virus (HBV) infection, or history of hypersensitivity to ofatumumab, or life-threatening injection-related reaction to KESIMPTA. Hypersensitivity reactions have included anaphylaxis and angioedema.
WARNINGS AND PRECAUTIONS
Infections: Serious, including life-threatening or fatal, bacterial, fungal, and new or reactivated viral infections have been observed during and following completion of treatment with anti-CD20 B-cell depleting therapies.
INDICATION
KESIMPTA is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.
Indication
KESIMPTA is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.
Important Safety Information
Contraindications: KESIMPTA is contraindicated in patients with active hepatitis B virus (HBV) infection, or history of hypersensitivity to ofatumumab, or life-threatening injection-related reaction to KESIMPTA. Hypersensitivity reactions have included anaphylaxis and angioedema.
Warnings and Precautions
Infections: Serious, including life-threatening or fatal, bacterial, fungal, and new or reactivated viral infections have been observed during and following completion of treatment with anti-CD20 B-cell depleting therapies. The overall rate of infections and serious infections in KESIMPTA-treated patients was similar to teriflunomide-treated patients (51.6% vs 52.7%, and 2.5% vs 1.8%, respectively). The most common infections reported by KESIMPTA-treated patients in relapsing MS (RMS) trials included upper respiratory tract infection (39%) and urinary tract infection (10%). Delay KESIMPTA administration in patients with an active infection until resolved.
Consider the potential increased immunosuppressive effects when initiating KESIMPTA after an immunosuppressive therapy or initiating an immunosuppressive therapy after KESIMPTA.
Hepatitis B Virus: Reactivation: No reports of HBV reactivation in patients with MS treated with KESIMPTA. However, HBV reactivation, in some cases resulting in fulminant hepatitis, hepatic failure, and death, has occurred in patients treated with ofatumumab at higher intravenous doses for chronic lymphocytic leukemia (CLL) than the recommended dose in MS and in patients treated with other anti-CD20 antibodies.
Infection: KESIMPTA is contraindicated in patients with active hepatitis B disease. Fatal infections caused by HBV in patients who have not been previously infected have occurred in patients treated with ofatumumab at higher intravenous doses for CLL than the recommended dose in MS. Perform HBV screening in all patients before initiation of KESIMPTA. Patients who are negative for HBsAg and positive for HB core antibody [HBcAb+] or are carriers of HBV [HBsAg+], should consult liver disease experts before starting and during KESIMPTA treatment.
Progressive Multifocal Leukoencephalopathy: No cases of progressive multifocal leukoencephalopathy (PML) have been reported for KESIMPTA in RMS clinical studies; however, PML resulting in death has occurred in patients being treated with ofatumumab at higher intravenous doses for CLL than the recommended dose in MS. In addition, JC virus infection resulting in PML has also been observed in patients treated with other anti-CD20 antibodies and other MS therapies. If PML is suspected, withhold KESIMPTA and perform an appropriate diagnostic evaluation. If PML is confirmed, KESIMPTA should be discontinued.
Vaccinations: Administer all immunizations according to immunization guidelines: for live or live-attenuated vaccines at least 4 weeks and, whenever possible at least 2 weeks prior to starting KESIMPTA for inactivated vaccines. The safety of immunization with live or live-attenuated vaccines following KESIMPTA therapy has not been studied. Vaccination with live or live-attenuated vaccines is not recommended during treatment and after discontinuation until B-cell repletion.
Vaccination of Infants Born to Mothers Treated with KESIMPTA During Pregnancy. For infants whose mother was treated with KESIMPTA during pregnancy, assess B-cell counts prior to administration of live or live-attenuated vaccines. If the B-cell count has not recovered in the infant, do not administer the vaccine as having depleted B-cells may pose an increased risk in these infants.
Injection-Related Reactions and Hypersensitivity Reactions: KESIMPTA can result in systemic injection-related reactions and hypersensitivity reactions, which may be serious or life-threatening. Injection-related reactions with systemic symptoms occurred most commonly within 24 hours of the first injection, but were also observed with later injections. There were no life-threatening injection reactions in RMS clinical studies.
In the post-marketing setting, additional systemic injection-related reactions and hypersensitivity reactions have been reported, including anaphylaxis, angioedema, pruritus, rash, urticaria, erythema, bronchospasm, throat irritation, oropharyngeal pain, dyspnea, pharyngeal or laryngeal edema, flushing, hypotension, dizziness, nausea, and tachycardia. Most cases were not serious and occurred with the first injection. Symptoms of systemic injection-related reactions may be clinically indistinguishable from acute hypersensitivity reactions.
The first injection of KESIMPTA should be performed under the guidance of an appropriately trained health care professional. If systemic injection-related reactions occur, initiate appropriate therapy. Patients who experience symptoms of systemic injection-related reactions or hypersensitivity reactions with KESIMPTA should be instructed to seek immediate medical attention. If local injection-related reactions occur, symptomatic treatment is recommended.
Reduction in Immunoglobulins: As expected with any B-cell depleting therapy, decreased immunoglobulin levels were observed. Monitor the levels of quantitative serum immunoglobulins during treatment, especially in patients with opportunistic or recurrent infections and after discontinuation of therapy until B-cell repletion. Consider discontinuing KESIMPTA therapy if a patient with low immunoglobulins develops a serious opportunistic infection or recurrent infections, or if prolonged hypogammaglobulinemia requires treatment with intravenous immunoglobulins.
Liver Injury: Clinically significant liver injury, without findings of viral hepatitis, has been reported in the post-marketing setting. Signs of liver injury have occurred weeks to months after administration. Patients treated with KESIMPTA found to have an alanine aminotransferase or aspartate aminotransferase greater than 3 times the upper limit of normal (ULN) with serum total bilirubin greater than 2 times the ULN are potentially at risk for severe drug-induced liver injury.
Obtain liver function tests prior to initiating treatment. Monitor for signs and symptoms of hepatic injury during treatment, including new or worsening fatigue, anorexia, nausea, vomiting, right upper abdominal discomfort, dark urine, or jaundice. If symptoms of liver injury are reported, measure serum aminotransferases, alkaline phosphatase, and bilirubin levels. Discontinue KESIMPTA if liver injury is present and an alternative etiology is not identified.
Fetal Risk: Based on animal data, KESIMPTA can cause fetal harm due to B-cell lymphopenia and reduce antibody response in offspring exposed to KESIMPTA in utero. Transient peripheral B-cell depletion and lymphocytopenia have been reported in infants born to mothers exposed to other anti-CD20 B-cell depleting antibodies during pregnancy. Advise females of reproductive potential to use effective contraception while receiving KESIMPTA and for at least 6 months after the last dose.
Most common adverse reactions: Most common adverse reactions (>10%) are upper respiratory tract infection, headache, injection-related reactions, and local injection-site reactions.
Please see full Prescribing Information, including Medication Guide.
KESIMPTA, the KESIMPTA logo, and SENSOREADY are registered trademarks of Novartis AG.
Use of this website is governed by the Terms of Use and Privacy Policy.
Copyright © 2025 Novartis Pharmaceuticals Corporation. All rights reserved.
11/25
FA-11558140