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COPANLISIB INJ,LYPHL

Clinical Criteria Summary

Exclusion Criteria

  • Care not provided by a VA/VA Community Care hematology/oncology provider
  • CrCl <15 mL/minute
  • Severe hepatic impairment (Child-Pugh class C or total bilirubin 3 to 10x ULN)
  • Patients receiving concomitant therapy with strong CYP3A inducers
  • Uncontrolled hypertension with blood pressure ≥ 150/90 mmHg despite optimal medical management
  • History or concurrent condition of interstitial lung disease
  • Ongoing or active systemic infection, including hepatitis B or C or known HIV
  • Pregnancy
  • Breastfeeding

Inclusion Criteria

  • Diagnosis of follicular lymphoma
  • Relapsed or refractory disease after ≥ 2 prior lines of therapy (patients must have received rituximab and alkylating agents unless contraindicated)
  • ECOG performance status 0, 1, or 2
  • Patients with diabetes mellitus are willing and able to have close monitoring due to risk of hyperglycemia

Reproductive Health & Contraception Requirements

  • Women of childbearing potential: Pregnancy must be excluded prior to receiving copanlisib; provide contraceptive counseling on potential risks vs. benefits if pregnancy occurs during therapy; advise use of highly effective contraception during treatment and for at least one month after the last dose.
  • Men with partners of childbearing potential: Advise use of highly effective contraception during treatment and for at least one month after the last dose.

Source Documents