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Expert Interview

Slingshot members are talking to an expert! The topic is:

Discussing the use and potential of Rezurock for the treatment of Chronic Graft vs. Host disease (cGVHD)

Ticker(s): SNY

Who's the expert?

Institution: City of Hope

  • Associate Professor, Division of Leukemia, Department of Hematology and Hematopoietic Cell Transplantation
  • Currently manages 50 patients with cGVHD and familiar with literature to date for Rezurock(Belumosudil)
  • Published 40 research papers and clinical interests include management of patients with Acute Leukemia, Hematopoietic Cell Transplant and HCT related complications including acute and chronic Graft Versus Host Disease.

Interview Questions
Q1.

Please describe your clinical practice. Roughly how many patients with Chronic Graft vs. Host do you currently manage?

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Q2.

What are your thoughts on the use of Rezurock and how does it compare to other treatment options?

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Q3.

On a scale from 1-10 (10 being extremely excited), how would you rate your level of excitement for Rezurock?

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Q4.

Opportunity for Rezurock in earlier lines. 
2nd line:
Will you try it out there as an alternative to 2nd line options? 
Do you prefer to see trial data on that first? 
Based on MOA could this be developed as prophylaxis in the much larger post-transplant setting?
What kind of new trials would you like to see or participate in with this agent?

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Q5.

Have you prescribed Rezurock? 

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Q6.

How has clinical experience stacked up against the clinical trial data?  
Similar efficacy and safety?  
Are your patients responding?

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Q7.

How would you compare Rezurock with the competing systemic agents such as Jakafi and Imbrutinib, in terms of their relative benefits and risks?

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Q8.

When you prescribe Rezurock, where are you placing it in the treatment paradigm?  Strictly according to label? Or pushing earlier?  Do you consider Jakafi/Ibrutinib "2nd line" or are those being used after 2 *other systemic treatments already failed and therefore they are 3rd line? 
Is Rezurock an alternative to jakafi/ibrutinib in the setting where you usually use them?
If so, what will be the deciding factors on which patients to give which treatment?

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Q9.

What other approaches in development are you excited about?  Either for improvement of the transplant process to prevent downstream GVHD later on, or in the setting of treating acute/chronic GVHD

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Q10.

How has the process gone with payors and getting patients access to Rezurock?

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