INLYTA® (axitinib) Tablets For Advanced Renal Cell Carcinoma

INLYTA is a prescription medicine used to treat advanced kidney cancer (advanced renal cell carcinoma or RCC) when one prior drug treatment for this disease has not worked or has stopped working.

IMPORTANT SAFETY INFORMATION

Before you take INLYTA, tell your doctor if you:

-	Have high blood pressure
-	Have thyroid problems
-	Have liver problems
-	Have a history of blood clots in your veins or arteries, including stroke, heart attack, or change in vision

-	Have any bleeding problems
-	Have an unhealed wound
-	Plan to have surgery. You should stop taking INLYTA at least 24 hours before planned surgery
-	Have any other medical conditions

Tell your doctor and pharmacist about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. INLYTA and certain other medicines can affect each other causing serious side effects. Talk with your doctor before you start taking any new medicine.

Especially tell your doctor if you take dexamethasone, St. John’s Wort (hypericum perforatum), or medicine for asthma, bacterial infections, depression, tuberculosis, fungal infections, HIV/AIDS, or seizures.

Do not drink grapefruit juice or eat grapefruit.

Pregnancy and breastfeeding. Women should not take INLYTA if they are pregnant, plan to become pregnant, are breastfeeding, or plan to breastfeed. Taking INLYTA during pregnancy may cause the death of an unborn baby or birth defects. Both men and women taking INLYTA should use effective birth control during treatment with INLYTA. Talk to your doctor about birth control methods, or if you are pregnant or plan to become pregnant.

INLYTA may cause serious side effects, including:

High blood pressure (hypertension). In a clinical study, hypertension occurred as early as 4 days into treatment. On average, this increase was seen within the first month of treatment. Your doctor should check your blood pressure regularly during treatment with INLYTA. If you develop blood pressure problems, your doctor may prescribe medicine to treat your high blood pressure, lower your dose, or stop your treatment with INLYTA.

Thyroid gland problems. Your doctor should do blood tests to check your thyroid gland function before and during your treatment with INLYTA. Tell your doctor if you have any of the following symptoms during your treatment with INLYTA:

-	Tiredness that worsens or that does not go away
-	Feeling hot or cold
-	Your voice deepens

-	Weight gain or weight loss
-	Hair loss
-	Muscle cramps and aches

Problem with blood clots in your veins or arteries. Because this can be serious and sometimes lead to death, get emergency help and call your doctor if you get any of the following symptoms:

-	Chest pain or pressure
-	Pain in your arms, back, neck or jaw
-	Shortness of breath
-	Numbness or weakness on one side of your body

-	Trouble talking
-	Headache
-	Vision changes

Bleeding. INLYTA can cause bleeding which can be serious, and sometimes lead to death. Call your doctor or get medical help if you develop any bleeding, including:
- Unexpected bleeding or bleeding that lasts a long time, such as:

-	Unusual bleeding from the gums
-	Menstrual bleeding or vaginal bleeding that is heavier than normal
-	Bleeding that is severe or you cannot control
-	Pink or brown urine
-	Red or black stools (looks like tar)

-	Bruises that happen without a known cause or get larger
-	Cough up blood or blood clots
-	Vomit blood or your vomit looks like “coffee grounds”
-	Unexpected pain, swelling, or joint pain
-	Headaches, feeling dizzy or weak

Tear in your stomach or intestinal wall (perforation). Because this can be serious and sometimes lead to death, get medical help right away if you get the following symptoms:

-	Severe stomach (abdominal) pain or stomach pain that does not go away
-	Vomit blood
-	Red or black stools

Reversible Posterior Leukoencephalopathy Syndrome (RPLS). A condition called reversible posterior leukoencephalopathy syndrome (RPLS) can happen while taking INLYTA. Call your doctor right away if you get:

-	Headache
-	Seizures
-	Weakness

-	Confusion
-	High blood pressure

-	Blindness or change in vision
-	Problems thinking

Increased protein in your urine. Your doctor should check your urine for protein before and during your treatment with INLYTA. If you develop protein in your urine, your doctor may decrease your dose of INLYTA or stop your treatment.

Change in liver function. Your doctor should do blood tests before and during your treatment with INLYTA to check your liver function.

The most common side effects of INLYTA include:

-	Diarrhea
-	High blood pressure
-	Tiredness or feeling weak
-	Decreased appetite

-	Nausea
-	Hoarseness
-	Decreased weight
-	Vomiting

-	Constipation
-	Rash, redness, itching or peeling of your skin on your hands or feet

Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of INLYTA. For more information, ask your doctor or pharmacist.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit http://www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full Prescribing Information and Patient Information, including a complete discussion of the risks of INLYTA.