ISM

For U.S. residents only ages 18+

ISM

AdvSM

PDGFRA GIST

Helpful Resources for Your Treatment Journey

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Patient guides

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AYVAKIT brochure

Download the patient brochure for more information on ISM and treatment with AYVAKIT.

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Doctor Discussion Guide

Use this interactive tool to help prepare you for your next conversation with your doctor about your treatment goals.

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Caring for a loved one with ISM?

Acting as a caregiver can be an important role for the family members and friends of a patient with ISM. Whether they live in the same home or around the world, caregivers can provide physical, practical and emotional support to the patient. Being a caregiver can be challenging and it is important to take care of yourself as well as your loved one.

Caregivers have many opportunities to support patients with ISM, both on a daily and as-needed basis, including:

  • Providing emotional support and encouragement
  • Talking with the patient’s doctor and healthcare team and coordinating appointments
  • Providing transportation to and from appointments
  • Handling insurance and billing issues
  • Helping manage the patient’s medication schedule
  • Encouraging the patient to seek medical advice about symptoms and medication side effects
  • Assisting with household chores and meals

Establishing a detailed plan and identifying others who can help out can be a meaningful way to support both caregivers and the patient. It may also be beneficial to proactively work with the healthcare team to plan for what will be needed at home during treatment.

Additional resources for patients living with ISM and caregivers

Get support and information from independent patient organizations.

Global Genes foundation logo

Global Genes is committed to providing information, resources and connections to all communities affected by rare disease.

The Mast Cell Disease Society logo

TMS is dedicated to providing support to patients, families and medical professionals in our community and to leading the advancement of knowledge and research in mast cell diseases through education, advocacy and collaboration.

These resources are included as a reference for patients with ISM and do not imply endorsement of the company or its products by the groups listed. Blueprint Medicines is not affiliated with and does not endorse any particular advocacy group. We make no guarantees about the accuracy of the information provided on these websites or the quality of support provided. Descriptions for each company were provided by the organizations themselves.

ISM FAQs

Systemic mastocytosis (SM) is a rare disorder in which excess mast cells build up in the body. Mast cells are a type of white blood cell that helps the immune system function normally and helps protect from disease. Mast cells are found in connective tissues throughout the body. In SM, a surplus of mast cells collects in the skin, bone marrow, digestive tract, or other body organs. When triggered, these excess mast cells release histamines and other chemicals that can cause symptoms similar to those that occur in an allergic reaction, as well as inflammation that may be severe enough to result in organ damage.

ISM is a rare disease that affects the production and accumulation of mast cells, a type of white blood cell. Normally, your body makes mast cells as part of your immune response, but a buildup of mast cells in different parts of the body can lead to symptoms similar to severe allergic reactions.

SM is a rare blood disorder characterized by a build up of mast cells in the bone marrow and other organs. As an indolent, non-advanced form of SM, ISM usually has less build up of mast cells compared to advanced forms of SM.

However, people with ISM may have serious symptoms that could affect various organs, including potentially life-threatening anaphylaxis.

For most people, ISM is caused by a change (or mutation) in a gene known as the KIT D816V gene mutation. This gene mutation plays a role in the development of mast cells.

No, you do not need to have the KIT D816V gene mutation to be prescribed AYVAKIT.

ISM is diagnosed by a doctor who may measure signs of excess mast cells by:

  • Performing a tryptase test. A doctor will draw blood from your arm to measure the amount of tryptase (an enzyme that is released by mast cells) in your blood.
  • Taking biopsies. Biopsies are tissue samples taken for closer examination. Organ and/or bone marrow biopsies are used to measure the number of mast cells within tissue and to detect abnormalities.
  • Testing for KIT D816V gene mutation. There are different types of KIT tests available that vary in sensitivity. High-sensitivity tests may be required to detect the mutation.

Each patient with ISM may experience different symptoms in different ways. Various symptoms are associated with ISM, including:

  • Brain fog
  • Dizziness
  • Headache
  • Fatigue
  • Flushing
  • Bone pain
  • Itching
  • Spots on the skin
  • Abdominal pain
  • Diarrhea
  • Nausea

Systemic mastocytosis involves the uncontrolled growth of mast cells that build up in the bone marrow and other organs. It is considered a form of cancer. However, ISM is an indolent, non-advanced form of SM and usually has less mast cell buildup compared to advanced forms of SM.

Across all types, systemic mastocytosis is estimated to occur in about 1 out of every 10,000 people—with ISM representing ~85% of those cases.

AYVAKIT FAQs

Once you’ve been prescribed AYVAKIT, your doctor sends your prescription to an eligible pharmacy or to YourBlueprint®. The pharmacy will verify your insurance coverage and work directly with your healthcare provider to obtain prior authorization if needed. Then, when coverage is approved, your pharmacy will contact you to communicate your out-of-pocket costs and arrange for delivery or pickup of your medication.

Over 99% of all commercial insurance plans and 99% of Medicare plans offer coverage for AYVAKIT.*

*Data on coverage and co-pay assistance is as of December 2023. Cost-sharing data is for those patients with commercial insurance.

Yes. YourBlueprint® offers financial assistance options to help qualifying patients get on and stay on treatment.

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Want more information about AYVAKIT?

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INDICATION

WHAT IS AYVAKIT® (avapritinib)?

AYVAKIT® (avapritinib) is a prescription medicine used to treat adults with indolent systemic mastocytosis (ISM). AYVAKIT is not recommended in people with low platelet counts (less than 50 X 109/L).

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

IMPORTANT SAFETY INFORMATION

AYVAKIT® (avapritinib) may cause serious side effects, including:

Bleeding in your brain. Serious bleeding in the brain may happen during treatment with AYVAKIT and may lead to death. Stop taking AYVAKIT and tell your healthcare provider right away if you develop any symptoms such as severe headache, nausea, vomiting, vision changes, drowsiness, dizziness, confusion, or severe weakness on one or more side of your body. Bleeding in the brain has not been seen in people treated with AYVAKIT for ISM.

Cognitive effects. Cognitive side effects can happen during treatment with AYVAKIT and can be severe. Tell your healthcare provider if you develop any new or worsening cognitive symptoms including forgetfulness, confusion, getting lost, trouble thinking, drowsiness, trouble staying awake (somnolence), word finding problems, seeing objects or hearing things that are not there (hallucinations), or a change in mood or behavior.

Skin sensitivity to sunlight (photosensitivity). Your skin may be sensitive to the sun or other forms of light (photosensitivity) during treatment with AYVAKIT. Avoid or limit exposure to direct sunlight, sunlamps, and other sources of ultraviolet radiation during treatment and for 1 week after stopping treatment with AYVAKIT. Use sunscreen or wear clothes that cover your skin if you need to be out in the sun.

Before taking AYVAKIT, tell your healthcare provider about all of your medical conditions, including if you:

  • have a history of bulging or weakening of a blood vessel wall (aneurysm) or bleeding in your brain
  • have a history of stroke within the last year
  • have low platelet counts
  • have or have had liver problems
  • are pregnant or plan to become pregnant. AYVAKIT can cause harm to your unborn baby
  • Females who are able to become pregnant: Your healthcare provider should do a pregnancy test before you start AYVAKIT. You should use effective birth control (contraception) during treatment with AYVAKIT and for 6 weeks after the final dose of AYVAKIT. Talk to your healthcare provider about birth control methods that may be right for you. Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with AYVAKIT.
  • Males with female partners who are able to become pregnant should use effective birth control (contraception) during treatment and for 6 weeks after the final dose of AYVAKIT.
  • are breastfeeding or plan to breastfeed. It is not known if AYVAKIT passes into your breast milk. Do not breastfeed during treatment with AYVAKIT and for at least 2 weeks after the final dose of AYVAKIT. Talk to your healthcare provider about the best way to feed your baby during this time

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. AYVAKIT may affect the way other medicines work, and certain other medicines may affect how AYVAKIT works. Especially tell your healthcare provider if you take medicines that prevent blood clots.

Do not drive or operate hazardous machinery if you have confusion or trouble thinking during treatment with AYVAKIT.

The most common side effects of AYVAKIT in people with ISM include: swelling around your eyes, dizziness, swelling of your arms and legs, and flushing.

Your healthcare provider may change your dose, temporarily stop, or permanently stop treatment with AYVAKIT if you develop certain side effects. AYVAKIT may cause fertility problems in females and males. Talk to your healthcare provider if this is a concern for you.

These are not all of the possible side effects of AYVAKIT. Call your doctor for medical advice about side effects. You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see the full Prescribing Information and Patient Information for AYVAKIT.

IMPORTANT SAFETY INFORMATION

AYVAKIT® (avapritinib) may cause serious side effects, including:

Bleeding in your brain. Serious bleeding in the brain may happen during treatment with AYVAKIT and may lead to death. Stop taking AYVAKIT and tell your healthcare provider right away if you develop any symptoms such as severe headache, nausea, vomiting, vision changes, drowsiness, dizziness, confusion, or severe weakness on one or more side of your body. Bleeding in the brain has not been seen in people treated with AYVAKIT for ISM.

INDICATION

WHAT IS AYVAKIT® (avapritinib)?

AYVAKIT® (avapritinib) is a prescription medicine used to treat adults with indolent systemic mastocytosis (ISM). AYVAKIT is not recommended in people with low platelet counts (less than 50 X 109/L).

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

INDICATION & IMPORTANT SAFETY INFORMATION

AYVAKIT® (avapritinib) may cause serious side effects, including:

Bleeding in your brain. Serious bleeding in the brain may happen during treatment with AYVAKIT and may lead to death. Stop taking

INDICATION

WHAT IS AYVAKIT® (avapritinib)?

AYVAKIT® (avapritinib) is a prescription medicine used to treat adults with indolent systemic mastocytosis (ISM). AYVAKIT is not recommended in people with low platelet counts (less than 50 X 109/L).

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

IMPORTANT SAFETY INFORMATION

AYVAKIT® (avapritinib) may cause serious side effects, including:

Bleeding in your brain. Serious bleeding in the brain may happen during treatment with AYVAKIT and may lead to death. Stop taking AYVAKIT and tell your healthcare provider right away if you develop any symptoms such as severe headache, nausea, vomiting, vision changes, drowsiness, dizziness, confusion, or severe weakness on one or more side of your body. Bleeding in the brain has not been seen in people treated with AYVAKIT for ISM.

Cognitive effects. Cognitive side effects can happen during treatment with AYVAKIT and can be severe. Tell your healthcare provider if you develop any new or worsening cognitive symptoms including forgetfulness, confusion, getting lost, trouble thinking, drowsiness, trouble staying awake (somnolence), word finding problems, seeing objects or hearing things that are not there (hallucinations), or a change in mood or behavior.

Skin sensitivity to sunlight (photosensitivity). Your skin may be sensitive to the sun or other forms of light (photosensitivity) during treatment with AYVAKIT. Avoid or limit exposure to direct sunlight, sunlamps, and other sources of ultraviolet radiation during treatment and for 1 week after stopping treatment with AYVAKIT. Use sunscreen or wear clothes that cover your skin if you need to be out in the sun.

Before taking AYVAKIT, tell your healthcare provider about all of your medical conditions, including if you:

  • have a history of bulging or weakening of a blood vessel wall (aneurysm) or bleeding in your brain
  • have a history of stroke within the last year
  • have low platelet counts
  • have or have had liver problems
  • are pregnant or plan to become pregnant. AYVAKIT can cause harm to your unborn baby
  • Females who are able to become pregnant: Your healthcare provider should do a pregnancy test before you start AYVAKIT. You should use effective birth control (contraception) during treatment with AYVAKIT and for 6 weeks after the final dose of AYVAKIT. Talk to your healthcare provider about birth control methods that may be right for you. Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with AYVAKIT.
  • Males with female partners who are able to become pregnant should use effective birth control (contraception) during treatment and for 6 weeks after the final dose of AYVAKIT.
  • are breastfeeding or plan to breastfeed. It is not known if AYVAKIT passes into your breast milk. Do not breastfeed during treatment with AYVAKIT and for at least 2 weeks after the final dose of AYVAKIT. Talk to your healthcare provider about the best way to feed your baby during this time

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. AYVAKIT may affect the way other medicines work, and certain other medicines may affect how AYVAKIT works. Especially tell your healthcare provider if you take medicines that prevent blood clots.

Do not drive or operate hazardous machinery if you have confusion or trouble thinking during treatment with AYVAKIT.

The most common side effects of AYVAKIT in people with ISM include: swelling around your eyes, dizziness, swelling of your arms and legs, and flushing.

Your healthcare provider may change your dose, temporarily stop, or permanently stop treatment with AYVAKIT if you develop certain side effects. AYVAKIT may cause fertility problems in females and males. Talk to your healthcare provider if this is a concern for you.

These are not all of the possible side effects of AYVAKIT. Call your doctor for medical advice about side effects. You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see the full Prescribing Information and Patient Information for AYVAKIT.