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Gynaecology SACT Regimens

Gynaecology Cervical

Bevacizumab 15mg/kg, CARBOplatin (AUC5) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00716a

Bevacizumab in combination with CARBOplatin and PACLitaxel for the treatment of persistent recurrent or metastatic cervical cancer, not amenable to curative surgery or radiation therapy

Bevacizumab 15mg/kg, PACLitaxel 175mg/m2 and CISplatin 50mg/m2 Therapy

Regimen

Indication

00799a

Locally advanced metastatic or recurrent or metastatic cervical cancer, not amenable to curative surgery or radiation therapy

CARBOplatin (AUC 2) Weekly with Radiotherapy (RT)

Regimen

Indication

00419b

Chemoradiation treatment in locally advanced cervical cancer when CISplatin is contraindicated or not tolerated

CARBOplatin (AUC5-7.5) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00303f

Treatment of advanced/recurrent non small cell (NSC) cancer of the cervix *

Cemiplimab Therapy

Regimen

Indication

00812a

As monotherapy for the treatment of adult patients with recurrent or metastatic cervical cancer and disease progression on or after platinum-based chemotherapy

CISplatin (40mg/m2) Weekly with Radiotherapy (RT)

Regimen

Indication

00385a

Definitive chemoradiation treatment for locally advanced (stage IIB to IVA*) cervical squamous cell carcinoma (SCC), adeno-squamous cell carcinoma and adenocarcinoma of the cervix

00385e

Post-operative adjuvant chemoradiation treatment for squamous cell carcinoma, adeno-squamous cell carcinoma and adenocarcinoma of the cervix with unexpected pathological node positivity

CISplatin (75mg/m2) + Etoposide (100mg/m2) + Radiotherapy (RT) - 21 day

Regimen

Indication

00279b

Small cell cancer of the cervix and other sites

Pembrolizumab 200mg Monotherapy

Regimen

Indication

00455j

For the maintenance treatment of adult patients with persistent, recurrent, or metastatic cervical cancer whose tumours express PD-L1 with a CPS ≥ 1 who have completed the induction chemotherapy component of the treatment

Pembrolizumab 400mg Monotherapy

Regimen

Indication

00558j

For the maintenance treatment of adult patients with persistent, recurrent, or metastatic cervical cancer whose tumours express PD-L1 with a CPS ≥ 1 who have completed the induction chemotherapy component of the treatment

Pembrolizumab, PACLitaxel 175mg/m2 , CARBOplatin AUC 5 and Bevacizumab Therapy

Regimen

Indication

00811a

Treatment of persistent, recurrent, or metastatic cervical cancer in adults whose tumours express PD-L1 with a CPS ≥ 1

Pembrolizumab, PACLitaxel 175mg/m2 and CARBOplatin AUC 5 Therapy

Regimen

Indication

00817a

Treatment of persistent, recurrent, or metastatic cervical cancer in adults whose tumours express PD-L1 with a CPS ≥ 1

Pembrolizumab in combination with chemoradiotherapy

Regimen

Indication

00943

Pembrolizumab in combination with chemoradiotherapy (external beam radiation therapy followed by brachytherapy), is indicated for the treatment of FIGO 2014 Stage III - IVA locally advanced cervical cancer in adults who have not received prior definitive therapy

Gynaecology Endometrial

CARBOplatin (AUC5-7.5) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00303e

Treatment of recurrent or advanced endometrial cancer (stage III or IV) *

CISplatin (50mg/m2 ) Chemoradiation followed by CARBOplatin (AUC 5) and PACLitaxel (175mg/m2 ) - Endometrial Cancer

Regimen

Indication

00676a

Adjuvant treatment for high risk, stage I (grade 3 with deep myometrial invasion and/or lymph-vascular invasion) stage II or III endometrial carcinoma or stage I - III endometrial carcinoma with serous or clear cell histology following surgery

Dostarlimab Therapy

Regimen

Indication

00819a

As monotherapy for the treatment of adult patients with mismatch repair deficient (dMMR)/microsatellite instability-high (MSI-H) recurrent or advanced endometrial cancer (EC) that has progressed on or following prior treatment with a platinum-containing regimen.

Dostarlimab, PACLitaxel and CARBOplatin Therapy

Regimen

Indication

00929a

The treatment of adults with mismatch repair deficient (dMMR)/ microsatellite instability-high (MSI-H) primary advanced or recurrent endometrial cancer and who are candidates for systemic therapy

Pegylated Liposomal DOXOrubicin 50mg/m2 28 days Regimen

Regimen

Indication

00205d

Treatment of recurrent or advanced endometrial cancer

Gestational Trophoblastic Neoplasia (GTN)

DACTINomycin Therapy

Regimen

Indication

00247a

Alternative treatment of low risk gestational trophoblastic disease (GTD) (risk score ≤ 6)

EMA/CO Therapy (Etoposide, Methotrexate, DACTINomycin, cycloPHOSphamide, vinCRIStine)

Regimen

Indication

00248a

Treatment of high risk gestational trophoblastic neoplasia (GTN) (FIGO score ≥7).

00248b

Treatment of patients with low risk GTN who have not responded or have relapsed from single agent chemotherapy (methotrexate or actinomycin D).

EMA/EP Therapy (Etoposide Methotrexate DACTINomycin/Etoposide CISplatin)

Regimen

Indication

00264a

Treatment of women with high-risk Gestational Trophoblastic Neoplasia (GTN) who have not responded or have relapsed from treatment with EMA/CO.

00264b

GTN and hepatic metastases. Women with GTN and hepatic metastases at presentation.

Intrathecal Methotrexate for CNS prophylaxis in GTN

Regimen

Indication

00249a

Central nervous system (CNS) prophylaxis in patients with high risk gestational trophoblastic neoplasia (GTN).

00249b

Central nervous system (CNS) prophylaxis in patients with low risk gestational trophoblastic neoplasia (GTN) with lung metastases.

Methotrexate 8 day Charing Cross Regimen

Regimen

Indication

00246a

Treatment of low risk gestational trophoblastic disease (GTD) (FIGO score ≤ 6).

PACLitaxel/Etoposide alternating with PACLitaxel/CISplatin (TE/TP) Therapy

Regimen

Indication

00266a

Treatment of women with high-risk Gestational Trophoblastic Neoplasia (GTN) who have not responded or have relapsed from treatment with EMA/CO.

Two Day Etoposide CISplatin (EP) Therapy

Regimen

Indication

00267a

Emergency treatment of women with Gestational Trophoblastic Neoplasia (GTN) who are acutely unwell from liver or CNS disease and particularly those at risk of respiratory failure.

00267b

Hepatic Metastases.
Women with GTN who are acutely unwell from liver disease.

00267c

Cerebral Metastases.
Women with GTN who are acutely unwell from cerebral metastases.

Ovarian

Bleomycin, Etoposide and CISplatin (BEP) Therapy

Regimen

Indication

00300a

Adjuvant treatment of high risk (vascular invasion carcinoma) stage 1 nonseminoma germ cell tumour.

00300b

Metastatic germ cell tumours of the testis.

00300c

Advanced stage or metastatic germ cell tumours (dysgermimoma) of the ovaries.

00300d

Extra-gonadal germ cell tumours.

Bevacizumab 10mg/kg Therapy-14 day

Regimen

Indication

00212b

In combination with paclitaxel, topotecan (given weekly), or pegylated liposomal doxorubicin is indicated for the treatment of adult patients with platinum resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents.

Bevacizumab 15mg/kg, CARBOplatin (AUC 6) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00766a

For the front-line treatment of adult patients with advanced (International Federation of Gynecology and Obstetrics (FIGO) stages III B, III C and IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer

Bevacizumab 15mg/kg Therapy-21 day

Regimen

Indication

00215a

In combination with carboplatin and paclitaxel is indicated for the front-line treatment of adult patients with advanced (International Federation of Gynecology and Obstetrics (FIGO) stages III B, III C and IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer.

00215c

In combination with, topotecan given on days 1-5 every 3 weeks*, for the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents.

Bevacizumab 10mg/kg and Pegylated liposomal DOXOrubicin 40mg/m2 Therapy

Regimen

Indication

00772a

For the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents.

Bevacizumab 7.5mg/kg, CARBOplatin (AUC5) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00620a

Bevacizumab in combination with CARBOplatin and PACLitaxel is indicated as first line post-surgical treatment in FIGO stage III after surgery with residual disease ≥ 1cm or FIGO stage IV:
Epithelial ovarian
Fallopian tube
Primary peritoneal cancer

Bevacizumab 10mg/kg and PACLitaxel 80mg/m2 (Day 1, 8, 15 and 22) Therapy

Regimen

Indication

00769a

For the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents.

Bevacizumab 10mg/kg and Topotecan 4mg/m2 Therapy

Regimen

Indication

00771a

For the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents.

Bevacizumab 15mg/kg, CARBOplatin (AUC 6) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00766a

For the front-line treatment of adult patients with advanced (International Federation of Gynecology and Obstetrics (FIGO) stages III B, III C and IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer.

CARBOplatin (AUC 4-6) Monotherapy- 21 day

Regimen

Indication

First line adjuvant therapy of

00261a

ovarian carcinoma of epithelial origin

00261b

primary peritoneal carcinoma

00261c

fallopian tube cancer

where combination therapy is not suitable.

CARBOplatin (AUC 4-6) Monotherapy- 21 day

Regimen

Indication

First line therapy of advanced Stage 3 and 4

00261d

ovarian carcinoma of epithelial origin

00261e

primary peritoneal carcinoma

00261f

fallopian tube cancer

where surgery is not feasible and where combination therapy is not suitable.

CARBOplatin (AUC 4-6) Monotherapy- 21 day

Regimen

Indication

Treatment of recurrent, platinum-sensitive,

00261g

invasive ovarian carcinoma of epithelial origin

00261h

primary peritoneal carcinoma

00261i

fallopian tube cancer.

CARBOplatin (AUC 4-6) Monotherapy- 28 day

Regimen

Indication

First line adjuvant therapy of

00251a

ovarian carcinoma of epithelial origin

00251b

primary peritoneal carcinoma

00251c

fallopian tube cancer

where combination therapy is not suitable.

CARBOplatin (AUC 4-6) Monotherapy- 28 day

Regimen

Indication

First line therapy of advanced Stage 3 and 4

00251d

ovarian carcinoma of epithelial origin

00251e

primary peritoneal carcinoma

00251f

fallopian tube cancer

where surgery is not feasible and where combination therapy is not suitable.

CARBOplatin (AUC 4-6) Monotherapy- 28 day

Regimen

Indication

Treatment of recurrent, platinum-sensitive,

00251g

invasive ovarian carcinoma of epithelial origin

00251h

primary peritoneal carcinoma

00251i

fallopian tube cancer

Carboplatin AUC 5, Pegylated Liposomal Doxorubicin 30mg/m2

Regimen

Indication

00624a

Treatment of patients with platinum sensitive relapsed/recurrent ovarian cancer

00624b

Treatment of patients with platinum sensitive relapsed/recurrent primary peritoneal cancer

00624c

Treatment of patients with platinum sensitive relapsed/recurrent fallopian tube cancer

CARBOplatin (AUC 6) and Weekly PACLitaxel 80mg/m2 Therapy

Regimen

Indication

00308a

Adjuvant treatment of high risk, stage I, epithelial ovarian cancer*

00308b

Treatment of advanced ovarian cancer*

00308c

Treatment of primary peritoneal cancer*

00308d

Treatment of fallopian tube cancer*

CARBOplatin (AUC5-7.5) and PACLitaxel 175mg/m2 Therapy

Regimen

Indication

00303a

Adjuvant treatment of high risk, stage I, epithelial ovarian cancer*

00303b

Treatment of advanced ovarian cancer

00303c

Treatment of primary peritoneal cancer

00303d

Treatment of fallopian tube cancer

00303g

Treatment of carcinoma of unknown primary site*

DOCEtaxel Monotherapy 75mg/m2 - 21 day cycle

Regimen

Indication

00203e

Treatment of Relapsed/Progressing primary peritoneal carcinoma

00203f

Treatment of Relapsed/Progressing Epthelial Ovarian carcinoma

00203g

Treatment of Relapsed/Progressing Fallopian Tube carcinoma

Etoposide and CISplatin 20mg/m2 (EP) 5 Day Therapy

Regimen

Indication

00301a

Treatment of good prognosis (IGCCCG criteria) metastatic germ cell tumours (both non-seminoma and seminoma)

Gemcitabine 1000mg/m2 and CARBOplatin (AUC 4) Therapy-21 day

Regimen

Indication

00306a

Treatment of patients with locally advanced or metastatic epithelial ovarian carcinoma, in patients with relapsed disease following a recurrence-free interval of at least 6 months after platinum-based, first line therapy.

00306b

Treatment of patients with fallopian tube cancer with relapsed disease following a recurrence-free interval of at least 6 months after platinum-based, first line therapy*

00306c

Treatment of patients with primary peritoneal cancer with relapsed disease following a recurrence-free interval of at least 6 months after platinum-based, first line therapy*

Gemcitabine(1000mg/m2),CARBOplatin (AUC 4) and Bevacizumab 15mg/kg Therapy- 21 day

Regimen

Indication

00499a

Treatment of adult patients with first recurrence of platinum-sensitive epithelial ovarian, fallopian tube or primary peritoneal cancer who have not received prior therapy with bevacizumab or other VEGF inhibitors or VEGF receptor-targeted agents

Intravenous Vinorelbine Therapy-21 days

Regimen

Indication

00232c*

Platinum refractory advanced ovarian carcinoma.

Niraparib (Tablets) Monotherapy

Regimen

Indication

00862a

As monotherapy for the maintenance treatment of adult patients with platinum sensitive relapsed high grade serous epithelial ovarian cancer who are in response (complete response or partial response) to platinum-based chemotherapy

00862b

As monotherapy for the maintenance treatment of adult patients with platinum sensitive relapsed fallopian tube cancer who are in response (complete response or partial response) to platinum-based chemotherapy

00862c

As monotherapy for the maintenance treatment of adult patients with platinum sensitive relapsed primary peritoneal cancer who are in response (complete response or partial response) to platinum-based chemotherapy

00862d

As monotherapy for the maintenance treatment of adult patients with advanced epithelial (FIGO Stages III and IV) high grade ovarian cancer who are in response (complete or partial) following completion of first-line platinum-based chemotherapy

00862e

As monotherapy for the maintenance treatment of adult patients with advanced epithelial (FIGO Stages III and IV) fallopian tube cancer who are in response (complete or partial) following completion of first-line platinum-based chemotherapy

00862f

As monotherapy for the maintenance treatment of adult patients with advanced epithelial (FIGO Stages III and IV) primary peritoneal cancer who are in response (complete or partial) following completion of first-line platinum-based chemotherapy

Olaparib (Tablet) and Bevacizumab Therapy

Regimen

Indication

00746a-c

Olaparib in combination with bevacizumab for the maintenance treatment of adult patients with advanced (FIGO stages III and IV) high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer who are in response (complete or partial) to first-line platinum-based chemotherapy and whose cancer is associated with homologous recombination deficiency (HRD) positive status defined by either a BRCA1/2 mutation and/or genomic instability (GIS).

Olaparib (Tablet) Monotherapy

Regimen

Indication

00588a

Maintenance treatment of adult patients with advanced (FIGO stages III and IV) BRCA1/2‐mutated (germline and/or somatic) high grade epithelial ovarian cancer who are in response (complete or partial) following completion of first‐line platinum based chemotherapy

00588b

Maintenance treatment of adult patients with advanced (FIGO stages III and IV) BRCA1/2‐mutated (germline and/or somatic) fallopian tube cancer who are in response (complete or partial) following completion of first‐line platinum based chemotherapy

00588c

Maintenance treatment of adult patients with advanced (FIGO stages III and IV) BRCA1/2‐mutated (germline and/or somatic) primary peritoneal carcinoma who are in response (complete or partial) following completion of first‐line platinum based chemotherapy

00588d

Maintenance treatment of adult patients with platinum - sensitive relapsed BRCA-mutated (germline and/or somatic) - high grade serous epithelial ovarian cancer who are in response (complete response or partial response) to platinum-based chemotherapy.

00588e

Maintenance treatment of adult patients with platinum - sensitive relapsed BRCA-mutated (germline and/or somatic) fallopian tube cancer who are in response (complete response or partial response) to platinum-based chemotherapy.

00588f

Maintenance treatment of adult patients with platinum - sensitive relapsed BRCA-mutated (germline and/or somatic) primary peritoneal cancer who are in response (complete response or partial response) to platinum-based chemotherapy.

PACLitaxel Monotherapy 80mg/m2 Day 1, 8, 15 and 22 - 28 Day

Regimen

Indication

00226b*

Second-line chemotherapy for metastatic ovarian cancer after failure of standard, platinum-containing therapy.

PACLitaxel 80mg/m2 Day 1, 8, 15 Monotherapy - 28 Day

Regimen

Indication

00621c*

Second-line chemotherapy for metastatic ovarian cancer after failure of standard, platinum-containing therapy.

Pegylated Liposomal DOXOrubicin 50mg/m2 28 days Regimen

Regimen

Indication

00205b

Treatment of advanced ovarian cancer in women who have failed a first-line platinum-based chemotherapy regimen.

Rucaparib (Tablets) Monotherapy

Regimen

Indication

00904a-c

As monotherapy for the maintenance treatment of adult patients with advanced (FIGO stages III and IV)

  • high-grade epithelial ovarian,
  • fallopian tube, or
  • primary peritoneal cancer

who are in response (complete or partial) following completion of first-line platinum-based chemotherapy.

Topotecan Monotherapy-5 day

Regimen

Indication

00311a

Treatment of patients with metastatic carcinoma of the ovary after failure of first-line or subsequent therapy

00311c

Treatment of patients with metastatic carcinoma of the fallopian tubes after failure of first-line or subsequent therapy*

00311d

Treatment of patients with metastatic peritoneal carcinoma after failure of first-line or subsequent therapy*

Topotecan Monotherapy-Weekly

Regimen

Indication

00312a

Treatment of patients with metastatic carcinoma of the ovary after failure of first-line or subsequent therapy

00312b

Treatment of patients with metastatic carcinoma of the fallopian tubes after failure of first-line or subsequent therapy

00312c

Treatment of patients with metastatic peritoneal carcinoma after failure of first-line or subsequent therapy

Trabectedin and Pegylated Liposomal DOXOrubicin (PLD) Therapy

Regimen

Indication

00375a

Treatment of patients with relapsed platinum-sensitive ovarian cancer.