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RELUGOLIX TAB

Clinical Criteria Summary

Exclusion Criteria

  • Unmanageable drug interaction identified
  • End stage renal disease (with or without hemodialysis)
  • Child-Pugh class C
  • QTc > 470 msec, Q-wave infarction or congenital long QT syndrome
  • Uncontrolled or symptomatic ventricular arrhythmias in the prior 6 months
  • Congestive heart failure (NYHA Class 3 or 4) in the prior 6 months
  • A thromboembolic event in the prior 6 months
  • Gastrointestinal condition that may interfere with relugolix absorption or inability to swallow tablets whole
  • Known history of non-adherence with oral medication, follow-up appointments or laboratory visits

Inclusion Criteria

  • Care provided by a VA or VA Community Care provider of urology or hematology/oncology services
  • Goals of care and role of Palliative Care consult have been discussed and documented
  • Hormone-sensitive, advanced adenocarcinoma of the prostate
  • Additional Inclusion Criteria (One must be fulfilled)
  • Inability to maintain castrate levels of serum testosterone on LHRH agonist therapy (taking into consideration the initial time required to reach castrate level)
  • Known hypersensitivity to LHRH agonist analogs or their components
  • Rapid decrease in testosterone levels needed due to organ-threatening disease
  • Cardiovascular benefit alone (i.e. reduction in Major Cardiovascular Events) is not an appropriate indication for use

Reproductive Safety Considerations

  • Advise male patients with female partners of childbearing potential to use effective contraception during and for 2 weeks following the last dose of relugolix

Source Documents