Immunotherapy May Be Right For You

Head and neck squamous cell cancer

IS KEYTRUDA RIGHT FOR YOU?

Immunotherapy may be right for you.
It’s TRU. KEYTRUDA.

Understanding head and neck squamous cell cancer (HNSCC)

“Head and neck cancer” is a term used to describe cancers in and around the head and neck, such as in the throat, lips, gums, tongue, or nose. The specific type of head and neck cancer you have depends on what kinds of cells are affected and where the cancer actually started.

Always talk to your doctor about your treatment options. If you have HNSCC, your doctor may consider:

KEYTRUDA® (pembrolizumab) Alone as Your First Treatment If Your Head and Neck Squamous Cell Cancer (HNSCC) Has Spread or Returned and Cannot Be Removed by Surgery, and Your Tumor Tests Positive for PD-L1

KEYTRUDA alone as your first treatment if your HNSCC has spread or returned and cannot be removed by surgery, and your tumor tests positive for PD-L1

KEYTRUDA® (pembrolizumab) With Chemotherapy as Your First Treatment If Your Head and Neck Squamous Cell Cancer (HNSCC) Has Spread or Returned and Cannot Be Removed by Surgery

KEYTRUDA with chemotherapy as your first treatment if your HNSCC has spread or returned and cannot be removed by surgery

KEYTRUDA® (pembrolizumab) Alone If Your Head and Neck Squamous Cell Cancer (HNSCC) Has Spread or Returned, and You Have Received Chemotherapy That Contains Platinum and It Did Not Work or Is No Longer Working

KEYTRUDA alone if your HNSCC has spread or returned, and you have received chemotherapy that contains platinum and it did not work or is no longer working

KEYTRUDA® (pembrolizumab) Is Not Chemotherapy or Radiation Therapy—It Is an Immunotherapy and It Works With Your Immune System to Help Fight Cancer

KEYTRUDA is not chemotherapy or radiation therapy—it is an immunotherapy and it works with your immune system to help fight cancer

KEYTRUDA can cause your immune system to attack normal organs and tissues in any area of your body and can affect the way they work. These problems can sometimes become severe or life-threatening and can lead to death. These problems may happen any time during treatment or even after your treatment has ended.

KEYTRUDA is a treatment approved by the FDA for certain patients with HNSCC that has spread or returned and cannot be removed by surgery:

It may be used alone for patients whose cancer tests positive for PD-L1 or used with the chemotherapy platinum and fluorouracil, as your first treatment

OR

when you have received chemotherapy that contains platinum and it did not work or is no longer working.

Talk to Your Doctor About PD-L1 Biomarker Testing

Talk to your doctor about PD-L1 biomarker testing

Everyone’s head and neck cancer is different. To help develop a treatment plan that’s right for you, your doctor may order biomarker tests. These tests can measure your tumor for different biomarkers, including a biomarker called PD-L1. Talk to your doctor to see if a PD-L1 biomarker test is right for you.

Find out if KEYTRUDA is right for you

To determine your treatment options, your doctor may consider your medical history in addition to the traits of your individual cancer.

KEYTRUDA may be right for you even if you’ve had other types of cancer treatments, such as:

Head and Neck Cancer Treatment Options: Surgery

Surgery

Involves having an operation to remove your cancer.

Head and Neck Cancer Treatment Options: Radiation Therapy

Radiation therapy

Uses high-energy rays (like x-rays) to kill cancer cells.

Head and Neck Cancer Treatment Options: Chemotherapy

Chemotherapy

Uses a drug to treat the cancer. It can be given in many ways, such as an IV line into the vein or as a pill that you swallow.

Head and Neck Cancer Treatment Options: Targeted Therapy

Targeted therapy

Uses medicines that target and disrupt certain parts of the cancer cell and the signals that are needed for cancer to grow and spread.

Patient Support Program for KEYTRUDA® (pembrolizumab

Patient support anytime, anywhere you need it

This program is designed to offer educational resources to help with the practical and emotional challenges of cancer. Patients prescribed KEYTRUDA for an approved indication can receive phone support, e-mails, and online activities.

FDA-Approved Indications

KEYTRUDA is a prescription medicine used to treat a kind of cancer called head and neck squamous cell cancer (HNSCC).

KEYTRUDA may be used with the chemotherapy medicines fluorouracil and a platinum as your first treatment when your head and neck cancer has spread or returned and cannot be removed by surgery.

KEYTRUDA may be used alone as your first treatment when your head and neck cancer has spread or returned and cannot be removed by surgery, and your tumor tests positive for “PD-L1.”

KEYTRUDA may be used alone when your head and neck cancer has spread or returned, and you have received chemotherapy that contains platinum and it did not work or is no longer working.

PD-L1 = programmed death ligand 1.

Important Safety Information

KEYTRUDA is a medicine that may treat certain cancers by working with your immune system. KEYTRUDA can cause your immune system to attack normal organs and tissues in any area of your body and can affect the way they work. These problems can sometimes become severe or life-threatening and can lead to death. You can have more than one of these problems at the same time. These problems may happen any time during treatment or even after your treatment has ended.

Call or see your health care provider right away if you develop any signs or symptoms of the following problems or if they get worse. These are not all of the signs and symptoms of immune system problems that can happen with KEYTRUDA:

Lung problems: cough, shortness of breath, or chest pain.

Intestinal problems: diarrhea (loose stools) or more frequent bowel movements than usual; stools that are black, tarry, sticky, or have blood or mucus; or severe stomach-area (abdomen) pain or tenderness.

Liver problems: yellowing of your skin or the whites of your eyes; severe nausea or vomiting; pain on the right side of your stomach area (abdomen); dark urine (tea colored); or bleeding or bruising more easily than normal.

Hormone gland problems: headaches that will not go away or unusual headaches; eye sensitivity to light; eye problems; rapid heartbeat; increased sweating; extreme tiredness; weight gain or weight loss; feeling more hungry or thirsty than usual; urinating more often than usual; hair loss; feeling cold; constipation; your voice gets deeper; dizziness or fainting; changes in mood or behavior, such as decreased sex drive, irritability, or forgetfulness.

Kidney problems: decrease in the amount of your urine; blood in your urine; swelling of your ankles; loss of appetite.

Skin problems: rash; itching; skin blistering or peeling; painful sores or ulcers in your mouth or in your nose, throat, or genital area; fever or flu-like symptoms; swollen lymph nodes.

Problems can also happen in other organs and tissues. Signs and symptoms of these problems may include: chest pain; irregular heartbeat; shortness of breath; swelling of ankles; confusion; sleepiness; memory problems; changes in mood or behavior; stiff neck; balance problems; tingling or numbness of the arms or legs; double vision; blurry vision; sensitivity to light; eye pain; changes in eyesight; persistent or severe muscle pain or weakness; muscle cramps; low red blood cells; bruising.

Infusion reactions that can sometimes be severe or life-threatening. Signs and symptoms of infusion reactions may include chills or shaking, itching or rash, flushing, shortness of breath or wheezing, dizziness, feeling like passing out, fever, and back pain.

Rejection of a transplanted organ. Your health care provider should tell you what signs and symptoms you should report and they will monitor you, depending on the type of organ transplant that you have had.

Complications, including graft-versus-host disease (GVHD), in people who have received a bone marrow (stem cell) transplant that uses donor stem cells (allogeneic). These complications can be serious and can lead to death. These complications may happen if you underwent transplantation either before or after being treated with KEYTRUDA. Your health care provider will monitor you for these complications.

Getting medical treatment right away may help keep these problems from becoming more serious. Your health care provider will check you for these problems during treatment with KEYTRUDA. They may treat you with corticosteroid or hormone replacement medicines. They may also need to delay or completely stop treatment with KEYTRUDA if you have severe side effects.

Before you receive KEYTRUDA, tell your health care provider if you have immune system problems such as Crohn’s disease, ulcerative colitis, or lupus; have had an organ transplant or have had or plan to have a bone marrow (stem cell) transplant that uses donor stem cells (allogeneic); have had radiation treatment in your chest area; have a condition that affects your nervous system, such as myasthenia gravis or Guillain-Barré syndrome.

If you are pregnant or plan to become pregnant, tell your health care provider. KEYTRUDA can harm your unborn baby. If you are able to become pregnant, you will be given a pregnancy test before you start treatment. Use effective birth control during treatment and for at least 4 months after your final dose of KEYTRUDA. Tell them right away if you think you may be pregnant or you become pregnant during treatment with KEYTRUDA.

Tell your health care provider if you are breastfeeding or plan to breastfeed. It is not known if KEYTRUDA passes into your breast milk. Do not breastfeed during treatment with KEYTRUDA and for 4 months after your final dose of KEYTRUDA.

Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Common side effects of KEYTRUDA when used alone include feeling tired; pain, including pain in muscles, bones or joints, and stomach-area (abdominal) pain; decreased appetite; itching; diarrhea; nausea; rash; fever; cough; shortness of breath; and constipation.

In children, when KEYTRUDA is used alone, fever, vomiting, upper respiratory tract infection, headache, and low levels of white blood cells and red blood cells (anemia) are more common than in adults.

Common side effects of KEYTRUDA when given with certain chemotherapy medicines include feeling tired or weak; nausea; constipation; diarrhea; decreased appetite; rash; vomiting; cough; trouble breathing; fever; hair loss; inflammation of the nerves that may cause pain, weakness, and paralysis in the arms and legs; swelling of the lining of the mouth, nose, eyes, throat, intestines, or vagina; mouth sores; headache; weight loss; stomach-area (abdominal) pain; joint and muscle pain; and trouble sleeping.

Common side effects of KEYTRUDA when given with axitinib include diarrhea; feeling tired or weak; high blood pressure; liver problems; low levels of thyroid hormone; decreased appetite; blisters or rash on the palms of your hands and soles of your feet; nausea; mouth sores or swelling of the lining of the mouth, nose, eyes, throat, intestines, or vagina; hoarseness; rash; cough; and constipation.

These are not all the possible side effects of KEYTRUDA. Talk to your health care provider for medical advice about side effects.

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.

Please read the accompanying Medication Guide for KEYTRUDA and discuss it with your doctor. The physician Prescribing Information also is available.