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Alunbrig

DrugAlunbrigTM (brigatinib) [Takeda Oncology]

January 2018

Therapeutic area - Oral Oncology

Approval criteria

  • Patient must be at least 18 years of age AND
  • Patient must have a diagnosis of anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) AND
  • Patient must have disease progression or are intolerant to crizotinib AND
  • Prescriber must attest that patient will receive reproductive health counseling during treatment with Alunbrig and for at least 4 months following the final dose AND
  • Patient must not have any one of the following:
    • Moderate to severe hepatic impairment
    • Severe renal impairment

Renewal criteria

  • Documentation must be supplied at time of request showing patient has no disease progression AND
  • Patient must not have any one of the following:
    • Moderate to severe hepatic impairment
    • Severe renal impairment AND
  • Absence of any unacceptable toxicities from the drug, including:
    • Grade 3 or 4 pneumonitis or recurrent Grade 1 or 2 pneumonitis
    • Grade 4 or recurrent Grade 3 hypertension
    • Life-threatening bradycardia if no contributing concomitant medication is identified
    • Grade 4 visual disturbances

Quantity limits

68 tablets per 34 days

Background

Alunbrig is FDA-approved under accelerated approval based on tumor response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.

Questions?

MHCP Provider Call Center 651-431-2700 or 800-366-5411

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