Page 9 - CUA Adv Prostate Ca Drug Access List-MAR-2022
P. 9

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)


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