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FOSTAMATINIB TAB

Clinical Criteria Summary

Exclusion Criteria

  • Care not provided by a VA or VA purchased care hematology provider
  • History of non-adherence with oral medication, follow-up appointments, or laboratory visits
  • Unable to comply with dosing instructions
  • Chronic therapy with a strong CYP3A4 inducer that cannot be interrupted
  • Has not received prior therapy to increase platelet counts
  • Thrombocytopenia secondary to bone marrow suppressive anti-cancer therapy, antibiotics, or other medication
  • Thrombocytopenia secondary to chronic liver disease
  • Pregnancy and/or breastfeeding

Inclusion Criteria

  • Documented diagnosis of chronic ITP per American Society of Hematology (ASH) guidelines: diagnosis based upon history, PE, CBC and exam of peripheral smear
  • Platelet count < 30,000 mm3
  • Inadequate response or contraindication to at least 2 prior treatment categories: splenectomy; rituximab; thrombopoietin agonists (eltrombopag or romiplostim); danazol or immune suppressants (azathioprine, cyclosporine or mycophenolate mofetil)
  • For women of childbearing potential: Pregnancy excluded prior to receiving fostamatinib; provided contraceptive counseling on potential risks vs. benefits if patient were to become pregnant; awareness that fostamatinib may affect female fertility

Dosage and Administration

  • 100 mg taken orally twice daily with or without food
  • After 4 weeks, if platelet count has not increased to at least 50 x 109/L, increase dose to 150 mg twice daily
  • Dosing regimen should be interrupted, reduced, or discontinued to manage adverse effect profile (HTN, hepatotoxicity, diarrhea, neutropenia)
  • Concomitant use with a strong CYP3A4 inhibitor increases exposure; monitor for toxicity as doses may need adjustment

Monitoring Requirements

  • Baseline labs prior to initiation: CBC with differential (ANC, platelets), LFTs (AST, ALT, bilirubin), baseline stable BP
  • During treatment: CBC with differential monthly, LFTs monthly, BP every 2 weeks until stabilized dose then monthly thereafter, severity and duration of diarrhea, fever and signs/symptoms of infection, unusual bleeding and/or bruising

Adverse Effects and Management

  • Hypertension (all grades 28%; > grade 3: 2%): Monitor; management may require addition and/or adjustment of antihypertensive therapies
  • Hepatotoxicity: Monitor; manage by fostamatinib dose adjustment or discontinuation
  • Diarrhea: Monitor; manage with supportive measures and dose adjustment
  • Neutropenia: Monitor for infection; manage with supportive measures and dose adjustment

Discontinuation Recommendations

  • Non-compliance with therapy, laboratory, or follow-up requests
  • Discontinue after 12 weeks of therapy if platelets have not increased to a level sufficient to avoid clinically important bleeding

Source Documents