PEMAZYRE (pemigatinib)

SELF ADMINISTRATION - Oral

Indication for Prior Authorization:
  • The treatment of adults with previously treated, unresectable locally advanced or metastatic cholangiocarcinoma with a fibroblast growth factor receptor 2 (FGFR2) fusion or other rearrangement as detected by an FDA-approved test 
Patients must meet the following criteria for the indication(s) above:
  • Patient is 18 years of age or older, AND
  • Prescribed by or in collaboration with a hepatologist, gastroenterologist or oncologist, AND
  • Chart note documentation provided confirms diagnosis of cholangiocarcinoma, AND
  • Disease is one of the following:
    • Unresectable locally advanced, OR
    • Metastatic, AND
  • Disease has presence of a fibroblast growth factor receptor 2 (FGFR2) fusion or other rearrangement, AND
  • Patient has been previously treated
Dosing:
  • 13.5 mg orally once daily for 14 consecutive days followed by 7 days off therapy, in 21-day cylces.  Continue until disease progression or unacceptable toxicity occurs.
  • Dose adjusted for adverse reactions
    • First dose reduction: 9 mg once daily for first 14 days of each 21-day cycle
    • Second dose reduction: 4.5 mg once daily for first 14 days of each 21-day cycle
    • Permanently discontinue if unable to tolerate 4.5 mg once daily
  • Avoid concomitant use of strong and moderate CYP3A inhibitors with Pemazyre™.  Reduce dose of Pemazyre™ if concomitant use with a strong or moderate CYP3A inhibitor cannot be avoided.
Approval:
  • 1 year

Last review date: August 18, 2020

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