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IDELALISIB TAB,ORAL

Clinical Criteria Summary

Exclusion Criteria

  • Unable to swallow oral capsules whole and intact
  • History of non-adherence with oral medication, follow-up appointments or laboratory visits
  • Unmanageable drug interaction identified
  • History of serious allergic reactions including anaphylaxis and toxic epidermal necrolysis
  • Gastrointestinal condition that may interfere with absorption
  • Chronic or unresolved infection
  • Severe renal impairment defined as CrCl < 15 ml/min (drug has not been studied in this setting)
  • AST (SGOT) or ALT (SGPT) > 2.5x ULN, bilirubin > 1.5x ULN, or with moderate-severe hepatic impairment (Child-Pugh B or C)
  • Absolute Neutrophil Count (ANC) < 1000 cells/µL, and/or platelet count < 50,000 cells/µL unless bone marrow involvement
  • Pregnancy (known pregnancy or positive pregnancy test)
  • Breastfeeding

Inclusion Criteria

  • Care provided by VA or VA Community Care hematology/oncology provider
  • Goals of care and role of Palliative Care consult have been discussed and documented
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 – 2

Indication

  • Relapsed Chronic Lymphocytic Leukemia (CLL) with rituximab (if rituximab alone is appropriate due to comorbidities)

Reproductive Health & Contraception Requirements

  • Pregnancy should be excluded prior to receiving idelalisib and the patient provided contraceptive counseling on potential risk vs. benefit of taking idelalisib if patient were to become pregnant
  • Effective contraception should be used during treatment and for 1 month after the last dose
  • Partners should use effective contraception for 3 months after last dose

Source Documents