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AZACITIDINE TAB

Clinical Criteria Summary

Exclusion Criteria

  • Using oral azacitidine as a substitute for parenteral azacitidine (oral and IV formulations are not interchangeable)
  • Using oral azacitidine to treat myelodysplastic syndrome (MDS)
  • Secondary acute myeloid leukemia (AML) with prior treatment using a hypomethylating agent (i.e., for MDS)
  • History of hypersensitivity to azacitidine or mannitol
  • Inability to swallow whole tablets
  • Baseline absolute neutrophil count < 0.5x10^9/L and platelets < 20x10^9/L
  • Renal insufficiency (serum creatinine > 2.5 x upper level of normal [ULN])
  • Hepatic insufficiency (total bilirubin > 1.5 x ULN, AST and ALT > 2.5 x ULN)
  • Pregnancy (known pregnancy or positive pregnancy test)
  • Breastfeeding

Inclusion Criteria

  • Care provided by a VA/VA Community Care hematology provider
  • Goals of care and role of palliative care consult have been discussed and documented
  • Eastern Cooperative Oncology Group Performance Status 0 to 3

Additional Inclusion Criteria

  • Age > 55 with newly diagnosed de novo or secondary AML
  • Achievement of complete remission (CR) or complete remission with incomplete blood count recovery (CRi) following intensive induction chemotherapy
  • Not a candidate or unable to complete intensive curative therapy (consolidation therapy, candidate for allogeneic hematopoietic stem cell transplant)

Source Documents