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LURBINECTEDIN INJ

Clinical Criteria Summary

Exclusion Criteria

  • Immunocompromised patients including known HIV (unless HIV with normal CD-4 counts)
  • Absolute neutrophil count (ANC) < 1500 cells/mm3 and platelet count <100,000/mm3
  • Unmanageable strong or moderate CYP3A Inhibitor drug interaction identified (including grapefruit and Seville oranges)
  • Concomitant strong CYP3A inducers
  • Moderate-severe hepatic impairment (T bili > 1.5 times the upper limit of normal and any AST)
  • Pregnancy (i.e. known pregnancy or positive pregnancy test)
  • Lactating

Inclusion Criteria

  • Care is provided by a VA/VA purchased care oncology provider
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2
  • Goals of care and role of Palliative Care consult have been discussed and documented
  • Baseline CBC then prior to each administration; baseline LFT’s then periodically as indicated

Additional Inclusion Criteria

  • Evidence of disease progression on or after platinum-based chemotherapy for metastatic small cell lung cancer (SCLC)
  • Prophylaxis with antiemetic regimen for moderately emetogenic agent
  • Use of granulocyte colony stimulating factor (GCSF) is recommended for ANC < 500 cells/mm3 as secondary prophylaxis

Reproductive Safety & Counseling Requirements

  • Female patients of child-bearing potential: counseling provided on risks vs benefits of treatment and use of effective contraception during therapy and for 6 months after the last dose
  • Male partners: counseling provided on risks vs benefits of treatment and use of effective contraception during therapy and for 4 months after the last dose

Source Documents