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Transcript
VOLUME XIV ISSUE 8
ICLUSIG® - Third Line Therapy for Chronic Myeloid Leukemia
and Acute Lymphocytic Leukemia
Myeloid cells help produce red blood cells, platelets, and most types of white blood cells. Chronic Myeloid
Leukemia occurs when an abnormal production of myeloid cells causes them to enter the blood stream and
invade other organs such as the spleen. An increased myeloid cell count will result in a decreased normal
blood cell count.
Acute Lymphoblastic Leukemia refers to increased production of lymphoblasts, these cells are responsible
for the formation of white blood cells. Excess lymphoblasts invade other organs via the blood stream and
simultaneously repress normal blood cell count.
At present, chronic cases currently make up 15% of all leukemias while acute cases, the most common form
of childhood leukemia, account for 20%.
Iclusig® works by blocking signals responsible for excessive cell division within bone marrow. Studies have
shown a 62% response rate to Iclusig® in chronic patients and a 65% response rate in those with acute cases
versus placebo. These trials revealed that patients were twice as likely to respond to Iclusig® compared to
other drugs within the same class. The common side effects of Iclusig® include: rash, dry skin, abdominal
pain, thrombocytopenia, neutropenia, and anemia.
The maximum dose of Iclusig® is 45mg once daily. The cost of Iclusig® is $142.8 per 15 mg tablet, and
$331.6 per 45 mg tablet resulting in an average annual cost of therapy of $145,259.05.
Drug Name
Drug Ingredients
Annual Cost
Coverage Details
®
Iclusig
Ponatinib
$145,259.05
Excluded for Open Drug Formularies.
*Special Authorization
*ClaimSecure groups that subscribe to the Managed Formulary, Specialty Drug, and Stop Loss programs
______________________________________________________________________________________________
If you require additional information, contact the ClaimSecure Inc. Clinical Services Department
Toll Free 1-888-479-7587 x 3014 or 905-949-3014
ClaimSecure Inc. reserves the right to amend in part, or in its entirety, its special authorization clinical guidelines.
References:
ICLUSIG® Product Monograph. ARIAD Canada
Pharmaceutical Inc. Dec 2015. Available at:
http://iclusigcdp.ca/pdf/0_0a-ICLUSIG-ProductMonograph.pdf
* Based on the Financial Impact Analysis per 100 000 lives covered
© 2015 ClaimSecure Inc.