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ELAGOLIX TAB

Clinical Criteria Summary

Exclusion Criteria

  • Pregnancy
  • Known osteoporosis
  • Severe hepatic impairment (Child-Pugh C)
  • Concomitant use of organic anion transporting polypeptide (OATP)1B1 (e.g., gemfibrozil, cyclosporine)
  • Known hypersensitivity
  • Concomitant use of hormonal contraceptives

Inclusion Criteria

  • Prescribed by or in consultation with a VA/VA Community Care Gynecology or Women’s Health Provider
  • Diagnosis of endometriosis (clinical or surgical) in a premenopausal patient
  • Contraindication, intolerance, or inadequate response to one alternative treatment (e.g., NSAID, estrogen-containing or progestin-only hormonal contraceptive)
  • Assessed for history of suicidal ideation, depression, and mood disorders prior to starting treatment
  • Assessed for risk of bone density loss
  • Planned duration of treatment not to exceed a maximum of 6 months for high dose (200 mg twice daily) or 24 months for low dose (150 mg once daily) elagolix due to risk for bone loss

Additional Inclusion Criteria

  • For patients who can become pregnant: Exclude pregnancy prior to receiving elagolix or start within 7 days of menses onset
  • For patients who can become pregnant: Counseling provided on potential risks vs benefits of treatment and the use of effective nonhormonal contraception during treatment and for 28 days after stopping treatment

Safety Monitoring & Risk Assessment

  • Monitor for mood changes and depressive symptoms after starting treatment due to association with mood disorders, depression, and suicidal ideation
  • Consider bone mineral density (BMD) assessment in patients with history of low trauma fracture or risk factors for low bone density

Source Documents