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  • HAS TSC

    ALSO HAS A MOM WHO WAS RIGHT ABOUT THE PIANO LESSONS

    BEYOND YOUR TUBEROUS SCLEROSIS COMPLEX WITH SUBEPENDYMAL GIANT CELL ASTROCYTOMA (SEGA), THERES YOU.

    Theres more at AFINITOR.com/SEGAINDICATIONAFINITOR (everolimus) Tablets and AFINITOR DISPERZ (everolimus tablets for oral suspension) are prescription medicines used to treat adults and children with a genetic condition called tuberous sclerosis complex (TSC) who have a brain tumor called subependymal giant cell astrocytoma (SEGA) when the tumor cannot be removed completely by surgery. IMPORTANT SAFETY INFORMATIONPatients should not take AFINITOR or AFINITOR DISPERZ if they are allergic to AFINITOR or AFINITOR DISPERZ or to any of its ingredients. Patients should tell their health care provider before taking AFINITOR or AFINITOR DISPERZ if they are allergic to sirolimus (Rapamune) or temsirolimus (Torisel).Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    Not an actual patient.

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.Theres more at AFINITOR.com/SEGANot an actual patient.

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Find out how AFINITOR or AFINITOR DISPERZ may help shrink subependymal giant cell astrocytoma (SEGA) tumors in TSC.

    IMPORTANT SAFETY INFORMATION AFINITOR (everolimus) Tablets or AFINITOR DISPERZ (everolimus tablets for oral suspension) can cause serious side effects that can even lead to death. If patients experience these side effects, they may need to stop taking AFINITOR or AFINITOR DISPERZ for a while or use a lower dose. Patients should follow their health care providers instructions. Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    SUBEPENDYMAL GIANT CELL ASTROCYTOMA (SEGA)

    AFINITOR

    SIDE EFFECTS OF AFINITOR

    HOW TO TAKE AFINITOR

    PATIENT SUPPORT

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    IMPORTANT SAFETY INFORMATION Serious side effects include:Lung or Breathing Problems: In some patients, lung or breathing problems may be severe and can even lead to death. Patients should tell their health care provider right away if they have any of these symptoms: new or worsening cough, shortness of breath, chest pain, difficulty breathing, or wheezing.

    STAYING INFORMED

    You or your loved one may have tuberous sclerosis complex (TSC). But you also have the ability to be proactive about reaching your treatment goals. By staying focused and working with your care team, you can learn about your condition, understand your treatment, and ensure the best care possible.

    AFINITOR (everolimus) Tablets or AFINITOR DISPERZ (everolimus tablets for oral suspension) is approved to treat TSC-related brain tumors in patients who arent eligible for surgery. This brochure can help you learn more about AFINITOR, so that you can know what to expect during treatment.

    Embrace your role in finding the right care.

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Theres more at AFINITOR.com/SEGANot an actual patient.

  • Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    Subependymal giant cell astrocytoma (SEGA) is a brain tumor that can develop in people with tuberous sclerosis complex (TSC), which is a genetic disease. This means that the genes inside the cells of a person with TSC do not function properly. In a series of complex actions, the genes send signals to growth factors, which stay switched on, causing benign (noncancerous) tumors to grow.

    SEGAs usually develop during childhood or adolescence, but they can also occur in adults. Sometimes, SEGAs are not diagnosed until the tumor has caused other symptoms.

    SEGA AND TSC

    UNDERSTANDING TSC

    P

    TSC1

    TSC2

    mTOR

    TSC1 and TSC2 make PROTEINS to control mTOR and control CELL growth.

    P, protein; mTOR, mammalian target of rapamycin.

    Without TSC

    TSC1

    TSC2

    mTOR

    Defective TSC1 and TSC2 do not make PROTEINS, resulting in uncontrolled CELL growth. When cells grow out of control, tumors can develop, including in the brain.

    With TSC

    mTOR

    TSC1

    TSC2

    AFINITOR

    AFINITOR (everolimus) controls mTOR and reduces tumor cell growth.

    With TSC (with AFINITOR)

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Theres more at AFINITOR.com/SEGA

    IMPORTANT SAFETY INFORMATION Serious side effects include:Infections: AFINITOR (everolimus) Tablets or AFINITOR DISPERZ (everolimus tablets for oral suspension) may make patients more likely to develop an infection, such as pneumonia, or a bacterial, fungal, or viral infection. Viral infections may include reactivation of hepatitis B in people who have had hepatitis B in the past. In some people these infections may be severe and can even lead to death. Patients may need to be treated as soon as possible. Patients should tell their health care provider right away if they have a temperature of 100.5F or above, chills, or do not feel well. Symptoms of hepatitis B or infection may include the following: fever, chills, skin rash, joint pain and inflammation, tiredness, loss of appetite, nausea, pale stools or dark urine, yellowing of the skin, or pain in the upper right side of the stomach.

    80PERCENT

    Approximately 80% of people with TSC have brain complications and up to 15% develop SEGA

    Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    SEGA AND TSC (CONTINUED)

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    AFINITOR (everolimus) Tablets or AFINITOR DISPERZ (everolimus tablets for oral suspension) are once-daily prescription medicines used to treat adults and children with a genetic condition called tuberous sclerosis complex (TSC) who have a brain tumor called subependymal giant cell astrocytoma (SEGA), when the tumor cannot be removed completely by surgery.

    *For appropriate patients.

    IMPORTANT SAFETY INFORMATION Serious side effects include:Angioedema: Patients who take an angiotensin-converting enzyme (ACE) inhibitor medicine during treatment with AFINITOR or AFINITOR DISPERZ are at a possible increased risk for a type of allergic reaction called angioedema. Talk with your health care provider before taking AFINITOR or AFINITOR DISPERZ if you are not sure if you take an ACE inhibitor medicine. Get medical help right away if you have trouble breathing or develop swelling of your tongue, mouth, or throat during treatment with AFINITOR or AFINITOR DISPERZ.

    AFINITOR: A NONSURGICAL TREATMENT FOR SEGA ASSOCIATED WITH TSC*

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • IMPORTANT SAFETY INFORMATION Serious side effects include:Kidney Failure: Patients taking AFINITOR (everolimus) Tablets or AFINITOR DISPERZ (everolimus tablets for oral suspension) may develop kidney failure. In some people this may be severe and can even lead to death. Patients should have tests to check their kidney function before and during their treatment with AFINITOR or AFINITOR DISPERZ. Delayed Wound Healing: AFINITOR or AFINITOR DISPERZ can cause incisions to heal slowly or not heal well. Call your health care provider right away if your incision is red, warm, or painful; if you have blood, fluid, or pus in your incision; if your incision opens up; or if your incision swells.

    Theres more at AFINITOR.com/SEGA

    Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    Not an actual patient.

    https://www.pharma.us.novartis.com/sites/www.pharma.us.novartis.com/files/afinitor.pdf

  • Please see Important Safety Information throughout.Click here for full Prescribing Information for AFINITOR or AFINITOR DISPERZ, including Patient Information.

    In a long-term study, AFINITOR (everolimus) reduced the size of SEGA tumors, starting at 6 months and continuing through 5 years. The size of SEGA tumors was measured every 6 months in people taking AFINITOR.

    As early as 6 months, 9 out of 28 people (32%) had their tumor shrink to half its size.*

    89PERCENT

    At 5 years, 89% of people had no progression of their SEGA

    * An additional 9 patients had a >50% reduction in their largest SEGA tumor between 1 to 4 years after initiating AFINITOR, including 3 patients who had regrowth of a tumor after surgery but before receiving AFINITOR.

    Progression is defined as a 25% increase in size of the largest tumor compared to its starting size.

    IMPORTANT SAFETY INFORMATIONBefore taking AFINITOR (everolimus) Tablets or AFINITOR DISPERZ (everolimus tablets for oral