Patient Financial Support for ASPARLAS®
ServierONE connects your patients to the right support programs and services that help them access ASPARLAS.
We offer:
- Support with insurance coverage and reimbursement
- Financial assistance to help eligible patients pay for ASPARLAS
- Access to a one-on-one Patient Experience Manager
Click logo for Important Safety Information.
Eligible Patients Could Receive Access to Medication with the ASPARLAS Patient Assistance Program
Patient Assistance Program (PAP)
The ASPARLAS® Patient Assistance Program (PAP) is dedicated to assisting uninsured and underinsured patients by offering medication to those who meet our eligibility criteria. This program is designed to ensure that financial constraints do not hinder access to a prescribed Servier treatment. The benefits of PAP are valid for a year.
- U.S./Puerto Rico resident
- Commercial or state/government insurance
- Uninsured or underinsured
- Household gross annual income does not exceed 500% of the US Federal Poverty Level to qualify financially
- If you have questions about qualifying, call us at 1-800-813-5905 for further assistance
Healthcare Providers will need to call 1-800-813-5905 to receive the Patient Enrollment Form and work with their patient to complete.
Call 1-800-813-5905 to Begin EnrollmentFax completed forms to ServierONE Patient Support Program at 1-844-882-9845.
How to enroll your patient in the Patient Assistance Program (PAP)
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If you have questions or need assistance, contact ServierONE Patient Support Program.
Please call
1-800-813-5905, Monday through Friday, 8 AM to 8 PM ET.
Or email us at
USPatientServices@servier.com.
Key Features
Overview: The program is dedicated to assisting uninsured and underinsured patients by offering medication to those who meet our eligibility criteria.
Income Eligibility: The ServierONE Patient Assistance Program is available to patients who meet specific income criteria, ensuring that those in financial need can benefit from the program.
Application Support: Our dedicated program representatives are available to support patients with the application process, including guidance on required = 'true' documentation and eligibility requirements.
Renewable Benefits: Qualified patients may receive ongoing support through the Servier Patient Assistance Program, ensuring continued access to treatment as needed.
ASPARLAS® INDICATIONS AND IMPORTANT SAFETY INFORMATION
INDICATIONS AND USAGE
ASPARLAS® (calaspargase pegol-mknl) is indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) in pediatric and young adult patients aged 1 month to 21 years.
CONTRAINDICATIONS
- History of serious hypersensitivity reactions to pegylated L-asparaginase
- History of serious thrombosis during L-asparaginase therapy
- History of serious pancreatitis during previous L-asparaginase treatment
- History of serious hemorrhagic events during previous L-asparaginase therapy
- Severe hepatic impairment
WARNINGS and PRECAUTIONS
Hypersensitivity: Grade 3 and 4 hypersensitivity reactions, including anaphylaxis, have been reported in clinical trials with ASPARLAS with an incidence of 7% to 21%. Because of the risk of serious allergic reactions, administer ASPARLAS in a clinical setting with resuscitation equipment and other agents necessary to treat anaphylaxis. Premedicate patients 30-60 minutes prior to administration of ASPARLAS. Observe patients for 1 hour after administration. Discontinue ASPARLAS in patients with serious hypersensitivity reactions.
Pancreatitis: Cases of pancreatitis have been reported in clinical trials with ASPARLAS with an incidence of 12% to 16%. Inform patients of the signs and symptoms of pancreatitis, which, if left untreated, could be fatal. Assess serum amylase and/or lipase levels to identify early signs of pancreatic inflammation. Discontinue ASPARLAS in case of suspicion of pancreatitis. If pancreatitis is confirmed, do not resume ASPARLAS.
Thrombosis: Serious thrombotic events, including sagittal sinus thrombosis, have been reported in clinical trials with ASPARLAS with an incidence of 9% to 12%. Discontinue ASPARLAS in patients experiencing serious thrombotic events.
Hemorrhage: Hemorrhage associated with increased prothrombin time (PT), increased partial thromboplastin time (PTT), and hypofibrinogenemia has been reported. Evaluate patients with signs and symptoms of hemorrhage with coagulation parameters, including PT, PTT, and fibrinogen. Consider appropriate replacement therapy in patients with severe or symptomatic coagulopathy.
Hepatotoxicity: Hepatotoxicity, including severe, life-threatening, and potentially fatal cases of hepatic veno-occlusive disease (VOD), has been observed in patients treated with ASPARLAS in combination with standard chemotherapy, including during the induction phase of multiphase chemotherapy. Do not administer ASPARLAS to patients with severe hepatic impairment. Evaluate bilirubin and transaminases prior to each dose of ASPARLAS and at least weekly, during cycles of treatment that include ASPARLAS, through 6 weeks after the last dose of ASPARLAS. Monitor frequently for signs and symptoms of hepatic VOD, which may include rapid weight gain, fluid retention with ascites, hepatomegaly (which may be painful), and rapid increase of bilirubin. For patients who develop abnormal liver tests after ASPARLAS, more frequent monitoring for liver test abnormalities and clinical signs and symptoms of VOD is recommended. In the event of serious liver toxicity, including VOD, discontinue treatment with ASPARLAS and provide supportive care.
ADVERSE REACTIONS
The most common grade 3 and above adverse reactions
(incidence ≥10%) for patients receiving ASPARLAS with
multiagent chemotherapy observed in the DFCI clinical trial
are elevated transaminase (52%), increased bilirubin (20%),
pancreatitis (18%) and abnormal clotting studies (14%).
There was 1 fatal adverse reaction (multi-organ failure in
the setting of chronic pancreatitis associated with a
pancreatic pseudocyst). Not all grade 1 and 2 adverse
reactions were collected prospectively.
Please see the accompanying Full Prescribing Information .
ASPARLAS is a registered trademark of Servier IP UK Ltd., a wholly owned, indirect subsidiary of Les Laboratoires Servier. Servier and the Servier logo are trademarks of Les Laboratoires Servier.
INDICATIONS AND USAGE
ASPARLAS® (calaspargase pegol-mknl) is indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) in pediatric and young adult patients aged 1 month to 21 years.
CONTRAINDICATIONS
- History of serious hypersensitivity reactions to pegylated L-asparaginase
- History of serious thrombosis during L-asparaginase therapy
- History of serious pancreatitis during previous L-asparaginase treatment
- History of serious hemorrhagic events during previous L-asparaginase therapy
- Severe hepatic impairment
WARNINGS and PRECAUTIONS
Hypersensitivity: Grade 3 and 4 hypersensitivity reactions, including anaphylaxis, have been reported in clinical trials with ASPARLAS with an incidence of 7% to 21%. Because of the risk of serious allergic reactions, administer ASPARLAS in a clinical setting with resuscitation equipment and other agents necessary to treat anaphylaxis. Premedicate patients 30-60 minutes prior to administration of ASPARLAS. Observe patients for 1 hour after administration. Discontinue ASPARLAS in patients with serious hypersensitivity reactions.
Pancreatitis: Cases of pancreatitis have been reported in clinical trials with ASPARLAS with an incidence of 12% to 16%. Inform patients of the signs and symptoms of pancreatitis, which, if left untreated, could be fatal. Assess serum amylase and/or lipase levels to identify early signs of pancreatic inflammation. Discontinue ASPARLAS in case of suspicion of pancreatitis. If pancreatitis is confirmed, do not resume ASPARLAS.
Thrombosis: Serious thrombotic events, including sagittal sinus thrombosis, have been reported in clinical trials with ASPARLAS with an incidence of 9% to 12%. Discontinue ASPARLAS in patients experiencing serious thrombotic events.
Hemorrhage: Hemorrhage associated with increased prothrombin time (PT), increased partial thromboplastin time (PTT), and hypofibrinogenemia has been reported. Evaluate patients with signs and symptoms of hemorrhage with coagulation parameters, including PT, PTT, and fibrinogen. Consider appropriate replacement therapy in patients with severe or symptomatic coagulopathy.
Hepatotoxicity: Hepatotoxicity, including severe, life-threatening, and potentially fatal cases of hepatic veno-occlusive disease (VOD), has been observed in patients treated with ASPARLAS in combination with standard chemotherapy, including during the induction phase of multiphase chemotherapy. Do not administer ASPARLAS to patients with severe hepatic impairment. Evaluate bilirubin and transaminases prior to each dose of ASPARLAS and at least weekly, during cycles of treatment that include ASPARLAS, through 6 weeks after the last dose of ASPARLAS. Monitor frequently for signs and symptoms of hepatic VOD, which may include rapid weight gain, fluid retention with ascites, hepatomegaly (which may be painful), and rapid increase of bilirubin. For patients who develop abnormal liver tests after ASPARLAS, more frequent monitoring for liver test abnormalities and clinical signs and symptoms of VOD is recommended. In the event of serious liver toxicity, including VOD, discontinue treatment with ASPARLAS and provide supportive care.
ADVERSE REACTIONS
The most common grade 3 and above adverse reactions
(incidence ≥10%) for patients receiving ASPARLAS with
multiagent chemotherapy observed in the DFCI clinical
trial are elevated transaminase (52%), increased
bilirubin (20%), pancreatitis (18%) and abnormal
clotting studies (14%). There was 1 fatal adverse
reaction (multi-organ failure in the setting of
chronic pancreatitis associated with a pancreatic
pseudocyst). Not all grade 1 and 2 adverse reactions
were collected prospectively.
Please see the accompanying Full Prescribing Information .
ASPARLAS is a registered trademark of Servier IP UK Ltd., a wholly owned, indirect subsidiary of Les Laboratoires Servier. Servier and the Servier logo are trademarks of Les Laboratoires Servier.
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