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PEMIGATINIB TAB

Clinical Criteria Summary

Exclusion Criteria

  • Care not provided by a VA or VA Community Care provider of hematology/oncology services
  • Unmanageable CYP3A inhibitor/inducer drug interaction identified
  • Clinically significant corneal or retinal disorder identified by ophthalmologic exam
  • Serum phosphate level greater than ULN
  • Untreated, clinically unstable brain and/or CNS metastases
  • Pregnancy (i.e. known pregnancy or positive pregnancy test)
  • Breastfeeding

Inclusion Criteria

  • Diagnosis of advanced/metastatic or surgically unresectable cholangiocarcinoma
  • Documented disease progression after at least one prior systemic therapy
  • Confirmed tumor expression of FGFR2 fusion or select rearrangement by FDA-approved next generation sequencing
  • Baseline ophthalmology exam, including optical coherence tomography (OCT), performed
  • Goals of care and role of Palliative Care consult have been discussed and documented
  • ECOG Performance Status 0-2

Source Documents