Master Trial List April 2021 ***New & Reopened Trials Highlighted in Green!***
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Antineoplastic Agents
bmchp.org | 888-566-0008 wellsense.org | 877-957-1300 Pharmacy Policy Antineoplastic Agents Policy Number: 9.700 Version Number: 2.0 Version Effective Date: 9/1/2021 Product Applicability All Plan+ Products Well Sense Health Plan Boston Medical Center HealthNet Plan New Hampshire Medicaid MassHealth- MCO MassHealth- ACO Qualified Health Plans/ConnectorCare/Employer Choice Direct Senior Care Options Note: Disclaimer and audit information is located at the end of this document. Prior Authorization Policy Products Affected: Daurismo™ (glasdegib tablet) Rubraca™ (rucaparib tablets) Erleada™ (apalutamide tablet) Sarclisa® (Isatuximab–IRFC injection) Farydak® (panobinostat capsule) Tazverik™ (tazemetostat tablet) Folotyn® (pralatrexate injection) Talzenna® (talazoparib capsule) Gleostine™ (lomustine capsule) Tibsovo® (ivosidenib tablet) Idhifa® (enasidenib mesylate tablet) Ukoniq (umbralisib tosylate tablet) Lonsurf® (tipiracil hcl and trifluridine tablet) Valchlor™ (mechlorethamine gel) Lynparza™ (olaparib capsule, and tablets) Zejula™ (niraparib capsules) Ninlaro® (ixazomib capsule) Zelboraf® (vemurafenib tablet) Odomzo® (sonidegib capsules) Zytiga® (abiraterone acetate tablet) Pomalyst® (pomalidomide capsule) + Plan refers to Boston Medical Center Health Plan, Inc. and its affiliates and subsidiaries offering health coverage plans to enrolled members. The Plan operates in Massachusetts under the trade name Boston Medical Center HealthNet Plan and in other states under the trade name Well Sense Health Plan. Antineoplastic Agents 1 of 4 The Plan may authorize coverage of the above products for members meeting the following criteria: Covered FDA approved indication Use Use supported by: o American Hospital Formulary Service Drug Information o DRUGDEX Information System o United States Pharmacopeia- Drug Information o National Comprehensive Cancer Network (categories 1,2a, and 2b) Medically accepted indications will also be considered for approval. -
PI3K Inhibitors in Cancer: Clinical Implications and Adverse Effects
International Journal of Molecular Sciences Review PI3K Inhibitors in Cancer: Clinical Implications and Adverse Effects Rosalin Mishra , Hima Patel, Samar Alanazi , Mary Kate Kilroy and Joan T. Garrett * Department of Pharmaceutical Sciences, College of Pharmacy, University of Cincinnati, Cincinnati, OH 45267-0514, USA; [email protected] (R.M.); [email protected] (H.P.); [email protected] (S.A.); [email protected] (M.K.K.) * Correspondence: [email protected]; Tel.: +1-513-558-0741; Fax: +1-513-558-4372 Abstract: The phospatidylinositol-3 kinase (PI3K) pathway is a crucial intracellular signaling pathway which is mutated or amplified in a wide variety of cancers including breast, gastric, ovarian, colorectal, prostate, glioblastoma and endometrial cancers. PI3K signaling plays an important role in cancer cell survival, angiogenesis and metastasis, making it a promising therapeutic target. There are several ongoing and completed clinical trials involving PI3K inhibitors (pan, isoform-specific and dual PI3K/mTOR) with the goal to find efficient PI3K inhibitors that could overcome resistance to current therapies. This review focuses on the current landscape of various PI3K inhibitors either as monotherapy or in combination therapies and the treatment outcomes involved in various phases of clinical trials in different cancer types. There is a discussion of the drug-related toxicities, challenges associated with these PI3K inhibitors and the adverse events leading to treatment failure. In addition, novel PI3K drugs that have potential to be translated in the clinic are highlighted. Keywords: cancer; PIK3CA; resistance; PI3K inhibitors Citation: Mishra, R.; Patel, H.; Alanazi, S.; Kilroy, M.K.; Garrett, J.T. -
Optumrx Brand Pipeline Forecast
RxOutlook® 1st Quarter 2019 OptumRx brand pipeline forecast Route of Regulatory Estimated Specialty Orphan Drug name Generic name Company Drug class Therapeutic use administration status release date drug drug 2019 Possible launch date Ophthalmological DS-300 DS-300 Eton undisclosed SC Filed NDA 2019 unknown N disease anti-sclerostin Evenity romosozumab Amgen Osteoporosis SC Filed NDA 2/2019 Y N monoclonal antibody tetrahydrofolate iclaprim iclaprim Motif Bio Bacterial infections IV Filed NDA 2/13/2019 Y Y dehydrogenase inhibitor tazarotene/ IDP-118 Valeant retinoid/ corticosteroid Psoriasis TOP Filed NDA 2/15/2019 N N halobetasol adenosine deaminase Mavenclad cladribine Merck/ Teva resistant Multiple sclerosis PO Filed NDA 2/15/2019 Y N deoxyadenosine analog Lotemax Gel loteprednol Valeant corticosteroid Ocular inflammation OP Filed NDA 2/25/2019 N N Nex Gen etabonate turoctocog alfa glyco-PEGylated factor NN-7088 Novo Nordisk Hemophilia IV/SC Filed BLA 2/27/2019 Y N pegol VIII derivative selective sphingosine-1 BAF-312 siponimod Novartis phosphate receptor Multiple sclerosis PO Filed NDA 3/1/2019 Y N agonist midazolam midazolam UCB benzodiazepine Seizures Intranasal Filed NDA 3/1/2019 N Y (USL-261) XeriSol glucagon Xeris glucagon analog Diabetes mellitus SC Filed NDA 3/1/2019 N N Glucagon optum.com/optumrx 1 RxOutlook® 1st Quarter 2019 Route of Regulatory Estimated Specialty Orphan Drug name Generic name Company Drug class Therapeutic use administration status release date drug drug dopamine receptor JZP-507 sodium oxybate Jazz Narcolepsy -
Proteomics and Drug Repurposing in CLL Towards Precision Medicine
cancers Review Proteomics and Drug Repurposing in CLL towards Precision Medicine Dimitra Mavridou 1,2,3, Konstantina Psatha 1,2,3,4,* and Michalis Aivaliotis 1,2,3,4,* 1 Laboratory of Biochemistry, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece; [email protected] 2 Functional Proteomics and Systems Biology (FunPATh)—Center for Interdisciplinary Research and Innovation (CIRI-AUTH), GR-57001 Thessaloniki, Greece 3 Basic and Translational Research Unit, Special Unit for Biomedical Research and Education, School of Medicine, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece 4 Institute of Molecular Biology and Biotechnology, Foundation of Research and Technology, GR-70013 Heraklion, Greece * Correspondence: [email protected] (K.P.); [email protected] (M.A.) Simple Summary: Despite continued efforts, the current status of knowledge in CLL molecular pathobiology, diagnosis, prognosis and treatment remains elusive and imprecise. Proteomics ap- proaches combined with advanced bioinformatics and drug repurposing promise to shed light on the complex proteome heterogeneity of CLL patients and mitigate, improve, or even eliminate the knowledge stagnation. In relation to this concept, this review presents a brief overview of all the available proteomics and drug repurposing studies in CLL and suggests the way such studies can be exploited to find effective therapeutic options combined with drug repurposing strategies to adopt and accost a more “precision medicine” spectrum. Citation: Mavridou, D.; Psatha, K.; Abstract: CLL is a hematological malignancy considered as the most frequent lymphoproliferative Aivaliotis, M. Proteomics and Drug disease in the western world. It is characterized by high molecular heterogeneity and despite the Repurposing in CLL towards available therapeutic options, there are many patient subgroups showing the insufficient effectiveness Precision Medicine. -
PRIOR AUTHORIZATION CRITERIA for APPROVAL Initial Evaluation Target Agent(S) Will Be Approved When ONE of the Following Is Met: 1
Self-Administered Oncology Agents Through Preferred Prior Authorization Program Summary FDA APPROVED INDICATIONS3-104 Please reference individual agent product labeling. CLINICAL RATIONALE For the purposes of the Self -Administered Oncology Agents criteria, indications deemed appropriate are those approved in FDA labeling and/or supported by NCCN Drugs & Biologics compendia with a category 1 or 2A recommendation, AHFS, or DrugDex with level of evidence of 1 or 2A. SAFETY3-104 Agent(s) Contraindication(s) Afinitor/Afinitor Disperz Hypersensitivity to everolimus, to other rapamycin (everolimus) derivatives None Alecensa (alectinib) Alunbrig (brigatinib) None Ayvakit (avapritinib) None Balversa (erdafitinib) None Hypersensitivity to bosutinib Bosulif (bosutinib) Braftovi (encorafenib) None Brukinsa (zanubrutinib) None Cabometyx None (cabozantinib) Calquence None (acalabrutinib) Caprelsa Congenital long QT syndrome (vandetanib) Cometriq None (cabozantinib) Copiktra (duvelisib) None Cotellic (cobimetinib) None Daurismo (glasdegib) None None Erivedge (vismodegib) Erleada (apalutamide) Pregnancy None Farydak (panobinostat) Fotivda (tivozanib) None Gavreto (pralsetinib) None None Gilotrif (afatinib) Gleevec None (imatinib) Hycamtin Severe hypersensitivity to topotecan (topotecan) None Ibrance (palbociclib) KS_PS_SA_Oncology_PA_ProgSum_AR1020_r0821v2 Page 1 of 19 © Copyright Prime Therapeutics LLC. 08/2021 All Rights Reserved Effective: 10/01/2021 Agent(s) Contraindication(s) None Iclusig (ponatinib) Idhifa (enasidenib) None Imbruvica (ibrutinib) -
The Ongoing Search for Biomarkers of CDK4/6 Inhibitor Responsiveness in Breast Cancer Scott F
MOLECULAR CANCER THERAPEUTICS | REVIEW The Ongoing Search for Biomarkers of CDK4/6 Inhibitor Responsiveness in Breast Cancer Scott F. Schoninger1 and Stacy W. Blain2 ABSTRACT ◥ CDK4 inhibitors (CDK4/6i), such as palbociclib, ribociclib, benefit from these agents, often switching to chemotherapy and abemaciclib, are approved in combination with hormonal within 6 months. Some patients initially benefit from treatment, therapy as a front-line treatment for metastatic HRþ,HER2- but later develop secondary resistance. This highlights the need breast cancer. Their targets, CDK4 and CDK6, are cell-cycle for complementary or companion diagnostics to pinpoint – regulatory proteins governing the G1 S phase transition across patients who would respond. In addition, because CDK4 is a many tissue types. A key challenge remains to uncover biomar- bona fide target in other tumor types where CDK4/6i therapy is kers to identify those patients that may benefit from this class of currently in clinical trials, the lack of target identification may drugs. Although CDK4/6i addition to estrogen modulation ther- obscure benefit to a subset of patients there as well. This review apy essentially doubles the median progression-free survival, summarizes the current status of CDK4/6i biomarker test devel- overall survival is not significantly increased. However, in reality opment, both in clinical trials and at the bench, with particular only a subset of treated patients respond. Many patients exhibit attention paid to those which have a strong biological basis as primary resistance to CDK4/6 inhibition and do not derive any well as supportive clinical data. Introduction well (7). Although these results are promising, the clinical use of CDK4/6 inhibitors is confounded by the high individual variability in Breast cancer is the most common women's cancer worldwide, clinical response. -
UKONIQ™ (Umbralisib) Tablets, for Oral Use • Severe Cutaneous Reactions: Withhold Treatment, Reduce Dose, Or Initial U.S
HIGHLIGHTS OF PRESCRIBING INFORMATION • Neutropenia: Monitor blood counts during treatment (5.2). These highlights do not include all the information needed to use • Diarrhea or Non-infectious colitis: Monitor for the development of diarrhea UKONIQ safely and effectively. See full prescribing information for or colitis and provide supportive care as appropriate (5.3). UKONIQ. • Hepatotoxicity: Monitor hepatic function (5.4). UKONIQ™ (umbralisib) tablets, for oral use • Severe cutaneous reactions: Withhold treatment, reduce dose, or Initial U.S. Approval: 2021 discontinue treatment depending on severity and persistence of severe cutaneous reaction (5.5). ___________________________INDICATIONS AND USAGE________________________________ • Allergic reactions due to inactive ingredient FD&C Yellow No. 5: UKONIQ is a kinase inhibitor indicated for the treatment of adult patients UKONIQ contains FD&C Yellow No. 5 (tartrazine) which may cause with: allergic-type reactions (5.6). • Relapsed or refractory marginal zone lymphoma (MZL) who have • Embryo-fetal toxicity: Can cause fetal harm. Advise patients of potential received at least one prior anti-CD20-based regimen (1.1). risk to a fetus and to use effective contraception (5.7, 8.1, 8.3). • Relapsed or refractory follicular lymphoma (FL) who have received at ____________________________ _____________________________________ least three prior lines of systemic therapy (1.2). ADVERSE REACTIONS The most common (≥15%) adverse reactions, including laboratory These indications are approved under accelerated approval based on overall abnormalities, were increased creatinine, diarrhea-colitis, fatigue, nausea, response rate. Continued approval for these indications may be contingent neutropenia, transaminase elevation, musculoskeletal pain, anemia, upon verification and description of clinical benefit in a confirmatory trial. thrombocytopenia, upper respiratory tract infection, vomiting, abdominal ________________________DOSAGE AND ADMINISTRATION_________________________ pain, decreased appetite, and rash (6.1). -
RB1 Dual Role in Proliferation and Apoptosis: Cell Fate Control and Implications for Cancer Therapy
www.impactjournals.com/oncotarget/ Oncotarget, Vol. 6, No. 20 RB1 dual role in proliferation and apoptosis: Cell fate control and implications for cancer therapy Paola Indovina1,2, Francesca Pentimalli3, Nadia Casini2, Immacolata Vocca3, Antonio Giordano1,2 1Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, PA, USA 2 Department of Medicine, Surgery and Neuroscience, University of Siena and Istituto Toscano Tumori (ITT), Siena, Italy 3Oncology Research Center of Mercogliano (CROM), Istituto Nazionale Tumori “Fodazione G. Pascale” – IRCCS, Naples, Italy Correspondence to: Antonio Giordano, e-mail: [email protected] Keywords: RB family, apoptosis, E2F, cancer therapy, CDK inhibitors Received: May 14, 2015 Accepted: June 06, 2015 Published: June 18, 2015 ABSTRACT Inactivation of the retinoblastoma (RB1) tumor suppressor is one of the most frequent and early recognized molecular hallmarks of cancer. RB1, although mainly studied for its role in the regulation of cell cycle, emerged as a key regulator of many biological processes. Among these, RB1 has been implicated in the regulation of apoptosis, the alteration of which underlies both cancer development and resistance to therapy. RB1 role in apoptosis, however, is still controversial because, depending on the context, the apoptotic cues, and its own status, RB1 can act either by inhibiting or promoting apoptosis. Moreover, the mechanisms whereby RB1 controls both proliferation and apoptosis in a coordinated manner are only now beginning to be unraveled. Here, by reviewing the main studies assessing the effect of RB1 status and modulation on these processes, we provide an overview of the possible underlying molecular mechanisms whereby RB1, and its family members, dictate cell fate in various contexts. -
Palbociclib for Male Patients with Metastatic Breast Cancer
Author Manuscript Published OnlineFirst on October 24, 2019; DOI: 10.1158/1078-0432.CCR-19-2580 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. CCR-19-2580 Title: FDA Approval Summary: Palbociclib for Male Patients with Metastatic Breast Cancer Authors: Suparna Wedam1*, Lola Fashoyin-Aje1*, Erik Bloomquist1, Shenghui Tang1, Rajeshwari Sridhara1, Kirsten B. Goldberg2, Marc R. Theoret1, Laleh Amiri-Kordestani1, Richard Pazdur1,2, Julia A. Beaver1 Authors’ Affiliation: 1Center for Drug Evaluation and Research, U.S. Food and Drug Administration; 2Oncology Center of Excellence, U.S. Food and Drug Administration Running Title: FDA Approval of Palbociclib for Male Breast Cancer Corresponding Author: Suparna Wedam, Office of Hematology and Oncology Products, CDER, U.S. Food and Drug Administration, WO22 Room 2112, 10903 New Hampshire Avenue, Silver Spring, MD 20993. Phone: 301-796-1776 Fax: 301-796-9909. Email: [email protected] *: SW and LF-A contributed equally to this publication. Note: This is a U.S. Government work. There are no restrictions on its use. Disclosure of Potential Conflicts of Interest: The authors report no financial interests or relationships with the commercial sponsors of any products discussed in this report. Word count: Abstract, 187. Text: 2836. Tables: 1. Figures: 1. References: 17 1 Downloaded from clincancerres.aacrjournals.org on September 27, 2021. © 2019 American Association for Cancer Research. Author Manuscript Published OnlineFirst on October 24, 2019; DOI: 10.1158/1078-0432.CCR-19-2580 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Abstract On April 4, 2019, the Food and Drug Administration (FDA) approved a supplemental new drug application for palbociclib (IBRANCE®), to expand the approved indications in women with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer (MBC) in combination with an aromatase inhibitor or fulvestrant, to include men. -
A Phase II Single Arm Study of Palbociclib in Patients with Metastatic HER2-Positive Breast Cancer with Brain Metastasis
IRB #: STU00202582-CR0003 Approved by NU IRB for use on or after 1/28/2019 through 1/27/2020. A Phase II Single Arm Study of Palbociclib in Patients with Metastatic HER2-positive Breast Cancer with Brain Metastasis Principal Investigator: Massimo Cristofanilli, MD Professor of Medicine Associate Director of Translational Research and Precision Medicine Department of Medicine-Hematology and Oncology Robert H Lurie Comprehensive Cancer Center Feinberg School of Medicine 710 N Fairbanks Court, Olson Building, Suite 8-250A Chicago, IL 60611 Tel: 312-503-5488 Email: [email protected] NU Sub-Investigator(s): Northwestern University Robert H. Lurie Comprehensive Cancer Center Priya Kumthekar, MD Jonathan Strauss Luis Blanco Sofia Garcia Northwestern Lake Forest Hospital Valerie Nelson, MD Affiliate Site PIs: Jenny Chang, MD Houston Methodist Hospital/Houston Methodist Cancer Center 6445 Main Street, P24-326 Houston, Texas 77030 Tel: 713-441-9948 [email protected] Biostatistician: Alfred Rademaker [email protected] Study Intervention(s): Palbociclib (Ibrance) IND Number: Exempt IND Holder: N/A Funding Source: Pfizer Version Date: August 15, 2017 (Amendment 5) Coordinating Center: Clinical Research Office Robert H. Lurie Comprehensive Cancer Center Northwestern University 676 N. St. Clair, Suite 1200 Chicago, IL 60611 http://cancer.northwestern.edu/CRO/index.cfm 1 Version :08.15.2017 IRB #: STU00202582-CR0003 Approved by NU IRB for use on or after 1/28/2019 through 1/27/2020. Table of Contents STUDY SCHEMA ........................................................................................................................... -
Palbociclib Capsules PALBACE®
For the use only of Registered Medical Practitioner (Oncologist) or a Hospital or a Laboratory. Palbociclib Capsules PALBACE® 1. GENERIC NAME Palbociclib 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each hard capsule contains 75 mg, 100 mg and 125 mg of Palbociclib. List of excipients: Microcrystalline cellulose, lactose monohydrate, sodium starch glycolate, colloidal silicon dioxide, magnesium stearate, and hard gelatin capsule shells. The light orange, light orange/caramel and caramel opaque capsule shells contain gelatin, red iron oxide, yellow iron oxide, and titanium dioxide; and the printing ink contains shellac, titanium dioxide, ammonium hydroxide, propylene glycol and simethicone. All strengths/presentations of this product may not be marketed. 3. DOSAGE FORM AND STRENGTH Hard gelatin capsules available in 75 mg, 100 mg and 125 mg strengths. 4. CLINICAL PARTICULARS 4.1 Therapeutic Indications For Women: Palbociclib is indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer: - in combination with an aromatase inhibitor; - in combination with fulvestrant in women who have received prior endocrine therapy (see section 5.2). In pre- or perimenopausal women, the endocrine therapy should be combined with a luteinizing hormone releasing hormone (LHRH) agonist. ®Trademark Proprietor: Pfizer Inc., USA Licensed User: Pfizer Products India Private Limited, India PALBACE Capsule Page 1 of 26 LPDPAB042021 PfLEET Number: 2021-0069100; 2021-0069426 For Men: Palbociclib is indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer in combination with: an aromatase inhibitor as initial endocrine-based therapy. -
Formulary Adherence Checklist for NICE Technology Appraisals About Medicines
Formulary Adherence Checklist for NICE Technology Appraisals About Medicines This spreadsheet is updated monthly and details Pan Mersey APC adherence to current NICE Technology Appraisals. All guidelines refer to adults unless indicated. Technology appraisal (TA) Date of TA Availability of medicine for NHS patients with this Adherence of APC formulary to NICE Titles are hyperlinks to full guidance Release medical condition, as indicated by NICE Yes N/A Date of APC Implement Time to Notes (e.g. rationale, Pan Mersey Notes (mark 'x' if (mark 'x' if website by (30/90 implement method of making applicable) applicable) upload days of TA ) (days) available) 2017-18 Ribociclib with an aromatase inhibitor for 20/12/17 Ribociclib, with an aromatase inhibitor, is recommended NHSE commissioned RED Link added to Pan Mersey formulary previously untreated, hormone receptor- within its marketing authorisation, as an option for treating drug 28/12/17. positive, HER2-negative, locally advanced hormone receptor-positive, human epidermal growth factor or metastatic breast cancer [TA496] receptor 2‑negative, locally advanced or metastatic breast x cancer as initial endocrine-based therapy in adults. Ribociclib is recommended only if the company provides it with the discount agreed in the patient access scheme. Palbociclib with an aromatase inhibitor for 20/12/17 Palbociclib, with an aromatase inhibitor, is recommended NHSE commissioned RED Link added to Pan Mersey formulary previously untreated, hormone receptor- within its marketing authorisation, as an option for treating drug 28/12/17. positive, HER2-negative, locally advanced hormone receptor-positive, human epidermal growth factor or metastatic breast cancer [TA495] receptor 2-negative, locally advanced or metastatic breast x cancer as initial endocrine-based therapy in adults.