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OLAPARIB TAB

Clinical Criteria Summary

Document 200

Exclusion Criteria

  • Creatinine clearance less than or equal to 30 mL/min
  • Concomitant strong or moderate CYP3A inducers
  • Concomitant strong or moderate CYP3A inhibitors (if unavoidable, reduce olaparib dose per labeling)
  • Untreated or uncontrolled brain metastases
  • Pregnancy (known pregnancy or positive pregnancy test)
  • Breastfeeding

General Inclusion Criteria

  • Care 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 discussed and documented
  • Male patients with partners of reproductive potential or who are pregnant must use effective contraception during treatment and for 3 months following the last dose

Additional Inclusion Criteria (Metastatic Castration-Resistant Prostate Cancer)

  • Radiographic disease progression following treatment with enzalutamide or abiraterone/prednisone (prior docetaxel allowed)
  • Mutation in Homologous Recombination Repair (HRR) gene confirmed by FDA-approved companion diagnostic
  • Ongoing castration with prior surgical castration or concomitant LHRH analogue

Other Indications

  • Provide evidence to support use

Additional Considerations

  • For HRR gene mutations other than BRCA2, consider a clinical trial if available and patient is eligible

Document 649

Patient Population & Indication

  • • Adult patients with metastatic castration-resistant prostate cancer (mCRPC)
  • • Deleterious or suspected deleterious germline or somatic homologous recombination repair (HRR) gene-mutated

Prior Therapy Requirements

  • • Disease must have progressed following prior treatment with enzalutamide or abiraterone

Diagnostic & Testing Requirements

  • • Selection for therapy must be based on an FDA-approved companion diagnostic for olaparib

Additional VA-Specific Considerations

  • • Patients with non-BRCA2 HRR mutations may consider a clinical trial if available and the patient is eligible

Source Documents