Page 10 - CUA Adv Prostate Ca Drug Access List-MAR-2022
P. 10

BRITISH COLUMBIA                   Link to Patient Assistance Programs            HOME


 Funding:
 Medications for active cancer treatment are funded by BC Cancer for all BC Medical Services Plan patients (including First Nations Health Authority clients). These medications are
 supplied at no charge to registered BC cancer patients at BC Cancer Centres and Clinics.
 Patients may also have private drug plans that cover some or all of medication costs.

 Formularies:
 BC Pharmacare Formulary - https://pharmacareformularysearch.gov.bc.ca/
 BC Cancer Benefit Drug List - http://www.bccancer.bc.ca/systemic-therapy-site/Documents/Policy%20and%20Forms/Benefit%20Drug%20List.pdf

 DRUG   Strength,
 (Brand Name)   Indication   Route   DIN   Provincial Funding Eligibility Criteria   References
 Manufacturer
 A BC Cancer Compassionate Access Program request must be approved prior to treatment.    1.  BC Cancer
                                                                      1
 Restricted funding*                                                          Protocol
 2
 Eligibility (Abiraterone + Prednisone) :                                     UGUPABI
              1
 •  Patients with mCRPC who are chemotherapy-naïve OR have received prior chemotherapy  2.  [2-22]
                                                                              BC Cancer
 containing docetaxel
 o ECOG PS 0-2                                                                Benefit Drug
                                                                              List [3-22]
 o Life expectancy > 3 months
 •  Patients can receive abiraterone (UGUPENZ) OR enzalutamide (UGUPABI, but not
 sequential use of these agents
 Not
 mCRPC   Tablet   1
 specified   Exclusions :
 •  Active or symptomatic viral hepatitis or chronic liver disease
 •  History of adrenal dysfunction
 •  Clinically significant heart disease (LVEF < 50% at baseline)
 •  Previously received abiraterone, enzalutamide or apalutamide for mCSPC
 •  Previously received apalutamide, enzalutamide or darolutamide in nmCRPC
 Abiraterone
 (Zytiga)   Caution :
 1
 Janssen   •  Bilirubin > 1.5 x ULN, ALT > 2.5 x ULN
 Generic   •  Uncontrolled hypertension

                                                                      1
 A BC Cancer Compassionate Access Program request must be approved prior to treatment.    1.  BC Cancer
 Restricted funding*                                                          Protocol
 2
 Eligibility (Abiraterone + Prednisone) :                                     UGUMCSPAB
              1
                                                                              I [2-22]
 •  Patients with mCSPC who are either chemotherapy-naïve OR received prior
 chemotherapy containing docetaxel                                        2.  BC Cancer
 o No prior ADT or ADT for < 6 months for mCSPC                               Benefit Drug
                                                                              List [3-22]
 Not   •  Should have ECOG PS 0-2
 mCSPC   Tablet
 specified   •  Should have serum potassium > 3.5 mmol/L

 Note:
 •  Patients treated with abiraterone for mCSPC and develop mCRPC are eligible to receive
 enzalutamide (but not abiraterone)

 Caution :
 1
 •  Uncontrolled hypertension (systolic blood pressure > 160 mmHg or diastolic > 95 mmHg)


                                                      Page 5 | © Canadian Urological Association
                                                                                v.01-MAR-2022
   5   6   7   8   9   10   11   12   13   14   15