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REGORAFENIB TAB,ORAL

Clinical Criteria Summary

Exclusion Criteria

  • Unmanageable drug-drug interaction
  • Clinically significant cardiovascular disease (uncontrolled hypertension, unstable or new-onset angina, myocardial infarction within prior 6 months, history of congestive heart failure New York Heart Association Class 3 or 4)
  • Pre-existing bleeding diathesis or coagulopathy
  • Major surgical procedure within prior 28 days, non-healing wound, ulcer or bone fracture
  • Hepatic impairment: Total bilirubin > 1.5 x Upper Limit of Normal (> 6 mg/dL if documented Gilbert’s syndrome); ALT and AST > 2 x ULN (> 5 x ULN if due to liver involvement); Alk phos > 2.5 x ULN (> 5 x ULN if due to liver involvement)
  • Amylase and lipase > 1.5 x ULN
  • GFR < 30 mL/min/1.73 m2
  • Adequate hematologic parameters: platelet count < 100,000/mm3, hemoglobin < 9 mg/dL and ANC < 1500/mm3
  • Known pregnancy
  • Lactation

General Inclusion Criteria

  • Care provided by a VA/VA Community care oncology or hematology provider
  • Goals of care and role of Palliative Care consult discussed and documented
  • Eastern Cooperative Oncology Group Performance Status 0 or 1

Indication-Specific Inclusion Criteria (One must be met)

  • Metastatic colorectal cancer with prior treatment (or not a candidate) for fluoropyrimidine-, oxaliplatin-, irinotecan-based regimens, an anti-VEGF agent and if KRAS wild type, an anti-EGFR agent
  • Locally advanced, unresectable or metastatic gastrointestinal stromal tumor (GIST) with prior therapy with imatinib and sunitinib (unless contraindicated)
  • Hepatocellular carcinoma (HCC) Child-Pugh A, previously treated with sorafenib

Pregnancy & Reproductive Requirements

  • For females who can become pregnant: Pregnancy must be excluded prior to receiving regorafenib
  • For females who can become pregnant and males with partners who can become pregnant: Counseling provided on potential risks vs. benefits of treatment and the use of effective contraception during pregnancy and for 2 months after stopping treatment

Source Documents