Your healthcare provider should do blood tests to check how well your liver is working before you begin treatment with IXEMPRA and as needed during treatment. If blood tests show that you have liver problems, do not receive injections of IXEMPRA along with capecitabine. If you have liver problems, taking these medicines together could increase your chance of serious infection and death due to a very low white blood cell count (neutropenia).

You should not have your injection of IXEMPRA if you are allergic to medicines that contain Cremophor® EL* (polyoxyethylated castor oil) or if you have a low white blood cell count or a low platelet count. Continue to full Important Safety Information below

IXEMPRA a prescription medicine, used to treat breast cancer when certain medicines have not worked or no longer work can be used alone or with capecitabine.

How IXEMPRA® (ixabepilone) Is Thought to Work

When your chemotherapy treatment changes, it may feel as if you are starting all over. You may want to know how IXEMPRA is thought to work. Researchers have studied how IXEMPRA works in the laboratory. It is not known exactly how IXEMPRA works in the body.

IXEMPRA gets inside the cancer cell
Pumps are found on the surface of cancer cells. The pumps work to remove medicine from inside the cancer cells. Sometimes these pumps remove too much of the medicine. This means not enough medicine is inside to kill the cancer cells. The cancer cells can then continue to grow and divide. In laboratory tests, some pumps had a low effect on IXEMPRA. This may mean more IXEMPRA can stay inside cancer cells.

IXEMPRA affects the structure of the cell
Inside normal cells and cancer cells are tubes that make up the structure of the cells and help the cells grow and divide. Medicines connect to the tubes and stop cancer cells from growing and dividing. Sometimes cancer cells change the way the tubes are built. This makes it hard for the medicines to connect to the tubes. When that happens, the cancer cells can continue to grow and divide. IXEMPRA can connect to different types of tubes, including ones that may have changed. IXEMPRA may cause cancer cells to stop dividing. IXEMPRA is also thought to work by helping to block the blood supply to tumors.

Important Safety Information

Treatment with IXEMPRA may cause serious side effects, including neuropathy, low white blood cell count, allergic reactions, and harm to an unborn baby. This may not be a complete list of all side effects you might experience. Learn about the serious side effects of IXEMPRA.

What Is IXEMPRA® (ixabepilone)?

IXEMPRA is a prescription medicine used to treat locally advanced or metastatic breast cancer following certain treatments. IXEMPRA can be used alone or with another cancer medicine called Xeloda® (capecitabine).

Talking With Your
Treatment Team About IXEMPRA

If you are learning about IXEMPRA, you may want to ask your healthcare provider:

  • Is IXEMPRA an option for me?
  • How is IXEMPRA thought to work?

If you have been prescribed IXEMPRA, you may want to ask your healthcare provider:

  • How is IXEMPRA thought to work?
  • What are the possible side effects of IXEMPRA?

IXEMPRA is a trademark of Bristol-Myers Squibb Company.
*Cremophor is a registered trademark of BASF AG.
Xeloda is a registered trademark of Roche Laboratories.
© 2010 Bristol-Myers Squibb, Princeton, New Jersey 08543 U.S.A. All rights reserved.

691US09WA1490110/10

Chemotherapy

A type of cancer treatment that uses certain medicines to destroy cancer cells. It can also harm healthy cells

Breast Cancer

A type of cancer treatment that uses certain medicines to destroy cancer cells. It can also harm healthy cells

Anthracycline

A type of medicine that damages the DNA in cancer cells, causing them to die

Anthracycline

A type of medicine that damages the DNA in cancer cells, causing them to die

Locally advanced

Cancer that has spread from the breast to nearby tissue or lymph nodes

Lymph nodes

Small masses of tissue that are an important part of the immune system. The lymph nodes act as filters that trap harmful things in the body

Metastatic

Cancer that has spread from the breast to other parts of the body

Preauthorization

When the insurance company decides if a treatment is medically necessary for the patient and will be paid for by the insurance company

Taxane

A type of medicine that stops cancer cells from dividing

Locally advanced

Cancer that has spread from the breast to nearby tissue or lymph nodes

Metastatic

Cancer that has spread from the breast to other parts of the body

Locally advanced

Cancer that has spread from the breast to nearby tissue or lymph nodes

Locally advanced

Cancer that has spread from the breast to nearby tissue or lymph nodes

Locally advanced

Cancer that has spread from the breast to nearby tissue or lymph nodes

Metastatic

Cancer that has spread from the breast to other parts of the body

Taxane

A type of medicine that stops cancer cells from dividing

Anthracycline

A type of medicine that damages the DNA in cancer cells, causing them to die

Lymph nodes

Small masses of tissue that are an important part of the immune system. The lymph nodes act as filters that trap harmful things in the body