Generic Brand HICL GCN Exception/Other

OLUTASIDENIB

REZLIDHIA

48490

 

 

Guidelines for Use

Our guideline named OLUTASIDENIB (Rezlidhia) requires the following rule(s) be met for approval:

  1. You have relapsed or refractory acute myeloid leukemia (AML: a type of blood cancer that has returned or did not respond to treatment)
  2. You are 18 years of age or older
  3. You have a susceptible (can be treated with the drug) isocitrate dehydrogenase-1 (IDH1: a type of enzyme) mutation as detected by a Food and Drug Administration (FDA)-approved test

Rationale

Promote appropriate utilization of OLUTASIDENIB based on FDA approved indication and dosage.

Indications for Use

Rezlidhia is an isocitrate dehydrogenase-1 (IDH1) inhibitor indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a susceptible IDH1 mutation as detected by an FDA-approved test.

Dosage and Administration

The recommended dosage of Rezlidhia is 150 mg orally twice daily, until disease progression or unacceptable toxicity.

References

Rezlidhia [Prescribing Information]. Greenville, NC: Forma Therapeutics, Inc., December 2022.


Created: 4/23/2023 1:57:33 PM
Effective: 4/10/23

Last Modified: Thursday, May 1, 2025