JEMPERLI- dostarlimab injection 
GlaxoSmithKline LLC

----------

MEDICATION GUIDE

JEMPERLI (jem-PER-lee)

(dostarlimab-gxly)

injection

What is the most important information I should know about JEMPERLI?

JEMPERLI is a medicine that may treat certain cancers by working with your immune system. JEMPERLI 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 anytime during treatment or even after your treatment has ended.

Call or see your healthcare provider right away if you develop any new or worsening signs or symptoms, including:

Lung problems.

cough
shortness of breath
chest pain

Intestinal problems.

diarrhea or more bowel movements than usual
stools that are black, tarry, sticky, or have blood or mucus
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)
bleeding or bruising more easily than usual

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.

change in the amount or color of your urine
blood in your urine
swelling in your ankles
loss of appetite

Skin problems.

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

Problems can also happen in other organs and tissues. These are not all of the signs and symptoms of immune system problems that can happen with JEMPERLI. Call or see your healthcare provider right away for any new or worse signs or symptoms.

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
feel like passing out
fever
back or neck pain

Rejection of a transplanted organ. Your healthcare provider should tell you what signs and symptoms you should report and 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 JEMPERLI. Your healthcare provider will monitor you for these complications.

Getting medical treatment right away may help keep these problems from becoming more serious.

Your healthcare provider will check you for these problems during treatment with JEMPERLI. Your healthcare provider may treat you with corticosteroid or hormone replacement medicines. Your healthcare provider may also need to delay or completely stop treatment with JEMPERLI, if you have severe side effects.

What is JEMPERLI?

JEMPERLI is a prescription medicine used to treat adults with:

a kind of uterine cancer called endometrial cancer (EC)
o
JEMPERLI may be used in combination with the chemotherapy medicines carboplatin and paclitaxel, and then after that JEMPERLI may be used alone:
when a laboratory test shows that your tumor is mismatch repair deficient (dMMR) or microsatellite instability-high (MSI-H), and
your cancer has spread outside your uterus (advanced) or,
your cancer has returned.
o
JEMPERLI may be used alone:
when a laboratory test shows that your tumor is mismatch repair deficient (dMMR), and
your cancer has returned, or it has spread (advanced EC), and
you have received chemotherapy that contains platinum and it did not work or is no longer working, and
your cancer cannot be treated by surgery or radiation.
a kind of cancer that is shown by laboratory test to be mismatch repair deficient (dMMR) solid tumor. JEMPERLI may be used to treat:
o
cancer that has returned or has spread (advanced cancer) and,
o
has progressed during treatment or after treatment, and you have no satisfactory treatment options.

It is not known if JEMPERLI is safe and effective in children.

Before receiving JEMPERLI, tell your healthcare provider about all of your medical conditions, including if you:

have immune system problems, such as Crohn’s disease, ulcerative colitis, or lupus.
have received an organ transplant.
have received or plan to receive a stem cell transplant that uses donor stem cells (allogeneic).
have received radiation treatment to your chest area.
have a condition that affects your nervous system, such as myasthenia gravis or Guillain-Barré syndrome.
are pregnant or plan to become pregnant. JEMPERLI can harm your unborn baby.
 
Females who are able to become pregnant:
o
Your healthcare provider will do a pregnancy test before you start treatment with JEMPERLI.
o
You should use an effective method of birth control during your treatment and for 4 months after your last dose of JEMPERLI. Talk to your healthcare provider about birth control methods that you can use during this time.
o
Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with JEMPERLI.
are breastfeeding or plan to breastfeed. It is not known if JEMPERLI passes into your breast milk. Do not breastfeed during treatment and for 4 months after your last dose of JEMPERLI.

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

How will I receive JEMPERLI?

Your healthcare provider will give you JEMPERLI into your vein through an intravenous (IV) line over 30 minutes.
When JEMPERLI is used in combination with carboplatin and paclitaxel, JEMPERLI is usually given every 3 weeks for the first 6 doses. Beginning 3 weeks later, it is usually given alone every 6 weeks.
When JEMPERLI is used alone to treat dMMR recurrent or advanced EC and dMMR recurrent or advanced solid tumors, it is usually given every 3 weeks for the first 4 doses. Beginning 3 weeks later, it is usually given every 6 weeks.
Your healthcare provider will decide how many treatments you need.
Your healthcare provider will do blood tests to check you for side effects.
If you miss any appointments, call your healthcare provider as soon as possible to reschedule your appointment.

What are the possible side effects of JEMPERLI?

JEMPERLI can cause serious side effects.

See “What is the most important information I should know about JEMPERLI?”

The most common side effects of JEMPERLI when given with carboplatin and paclitaxel in people with dMMR/MSI-H endometrial cancer include:

rash
diarrhea
decreased thyroid function
high blood pressure

The most common side effects of JEMPERLI in people with dMMR solid tumors (including endometrial cancer) when used alone include:

tiredness and weakness
low red blood cell count (anemia)
diarrhea
nausea
constipation
vomiting

These are not all of the possible side effects of JEMPERLI. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about the safe and effective use of JEMPERLI.

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. If you would like more information about JEMPERLI, talk with your healthcare provider. You can ask your healthcare provider for information about JEMPERLI that is written for healthcare professionals.

What are the ingredients in JEMPERLI?

Active ingredient: dostarlimab-gxly

Inactive ingredients: citric acid monohydrate, L-arginine hydrochloride, polysorbate 80, sodium chloride, trisodium citrate dihydrate, and Water for Injection.

For more information, call 1-888-825-5249 or go to www.gsk.com.

Trademarks are owned by or licensed to the GSK group of companies.

Manufactured by:

GlaxoSmithKline LLC, Philadelphia, PA 19104, U.S. License No. 1727

Distributed by:

GlaxoSmithKline, Durham, NC 27701

©2023 GSK group of companies or its licensor.

JMP:4MG

This Medication Guide has been approved by the U.S. Food and Drug Administration.                Revised: July 2023

Revised: 3/2024
GlaxoSmithKline LLC