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SORAFENIB TAB

Clinical Criteria Summary

Exclusion Criteria

  • Care not provided by a VA or VA purchased care (e.g., Community Care Network, Fee Basis) oncology provider
  • Liver dysfunction categorized as Child-Pugh class C
  • Renal dysfunction requiring hemodialysis
  • Pregnancy
  • Breastfeeding

Indication/Inclusion Requirements

  • Unresectable or metastatic hepatocellular carcinoma (HCC)
  • Other indication(s) – requires supporting evidence

HCC-Specific Clinical Parameters

  • ECOG performance status 0, 1 or 2
  • Liver dysfunction categorized as Child-Pugh class A or B
  • Adequate hematologic function – defined as hemoglobin > 8.5 g/dL, platelet count > 60 x 109 /L
  • Concomitant use of strong CYP3A4 inducers has been avoided OR if unavoidable, sorafenib dose adjustment considered
  • For female patients of child-bearing potential: provided counseling on effective contraception and potential risks vs. benefits of treatment
  • For male patients with female partners of child-bearing potential: provided counseling on effective contraception and potential risks vs. benefits of treatment

Source Documents