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Lung SACT Regimens

Afatinib Monotherapy

Regimen

Indication

00221a

Treatment of EGFR TKI- naïve adult patients with locally advanced or metastatic NSCLC with activating EGFR mutation(s).

Alectinib Monotherapy

Regimen

Indication

00401a

Treatment of adult patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib.

00401b

As monotherapy is indicated for the first-line treatment of adultpatients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC)

00401c

As monotherapy is indicated as adjuvant treatment following complete tumour resection for adult patients with anaplastic lymphoma kinase (ALK)‑positive NSCLC at high risk of recurrence.

Atezolizumab Monotherapy- 21 day

Regimen

Indication

00544a

Treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy.

00544d

As monotherapy for the first-line treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumours have a PDL1 expression ≥ 50% tumour cells (TC) or ≥ 10% tumour-infiltrating immune cells (IC) and who do not have EGFR mutant or ALK-positive NSCLC

00544e

Adjuvant treatment following complete resection and platinum-based chemotherapy for adult patients with non-small cell lung cancer (NSCLC) with a high risk of recurrence whose tumours have PD-L1 expression on ≥50% of tumour cells and who do not have EGFR mutant or ALK-positive mutations

00544f

For the maintenance treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC), where this is a continuation of treatment for patients who have completed the induction chemotherapy component of the treatment

Atezolizumab 1680mg Monotherapy – 28 Day

Regimen

Indication

00593a

Treatment of adult patients with locally advanced or metastatic nonsmall

cell lung cancer (NSCLC) after prior chemotherapy.

00593d

As monotherapy for the first-line treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumours have a PDL1 expression ≥ 50% tumour cells (TC) or ≥ 10% tumour-infiltrating immune cells (IC) and who do not have EGFR mutant or ALK-positive NSCLC

00593e

For the maintenance treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC), where this is a continuation of treatment for patients who have completed the induction chemotherapy component of the treatment

00593f

Adjuvant treatment following complete resection and platinum-based chemotherapy for adult patients with non-small cell lung cancer (NSCLC) with a high risk of recurrence whose tumours have PD-L1 expression on ≥50% of tumour cells and who do not have EGFR mutant or ALK-positive mutations.

Atezolizumab 840mg Monotherapy – 14 day

Regimen

Indication

00592d

As monotherapy for the first-line treatment of adult patients with

metastatic non-small cell lung cancer (NSCLC) whose tumours have a PDL1 expression ≥ 50% tumour cells (TC) or ≥ 10% tumour-infiltrating

immune cells (IC) and who do not have EGFR mutant or ALK-positive

NSCLC.

00592e

Adjuvant treatment following complete resection and platinum-based chemotherapy for adult patients with non-small cell lung cancer (NSCLC) with a high risk of recurrence whose tumours have PD-L1 expression on ≥50% of tumour cells and who do not have EGFR mutant or ALK-positive mutations.

00592f

For the maintenance treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC), where this is a continuation of treatment for patients who have completed the induction chemotherapy component of the treatment

Bevacizumab 7.5 mg/kg –21 days

Regimen

Indication

00214b

In addition to platinum-based chemotherapy is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-small cell lung cancer (NSCLC) other than predominantly squamous cell histology.

Atezolizumab 1200mg, CARBOplatin AUC 5 and Etoposide 100mg/m2 Therapy

Regimen

Indication

00689a

First-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC).

Bevacizumab 15 mg/kg –21 days

Regimen

Indication

00215f

In addition to platinum-based chemotherapy is indicated for first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-small cell lung cancer (NSCLC) other than predominantly squamous cell histology.

00215g

In combination with erlotinib is indicated for the first-line treatment of adult patients with unresectable advanced, metastatic or recurrent non-squamous cell lung cancer with Epidermal Growth Factor (EGFR) activating mutations.

Brigatinib Therapy

Regimen

Indication

00562a

For the treatment of adult patients with anaplastic lymphoma kinase(ALK) positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib

00562b

Monotherapy for the treatment of adult patients with anaplastic lymphoma kinase (ALK) positive advanced non small cell lung cancer (NSCLC) previously not treated with an ALK inhibitor

CARBOplatin (AUC5) and Etoposide 100mg/m2Therapy-21 days

Regimen

Indication

00271a

Small cell lung cancer (SCLC) extensive disease.

CARBOplatin (AUC 3), Etoposide (50mg/m2) and Thoracic Radiotherapy (TRT) -28 day

Regimen

Indication

00561a

Stage III Non Small cell lung cancer (NSCLC) in patients not suitable for treatment with CISplatin

CARBOplatin and Oral Etoposide Therapy-21 days

Regimen

Indication

00319a

Small cell lung cancer (SCLC) extensive disease

CARBOplatin (AUC6) and PACLitaxel 200mg/m2 Therapy

Regimen

Indication

00304a

Adjuvant Treatment of Stage I,II and IIIA Non Small Cell Lung Cancer( NSCLC)*

00304b

Treatment of locally advanced, recurrent or metastatic NSCLC*00304c

In combination with nivolumab for the neoadjuvant treatment of resectable NSCLC at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥ 1%

CARBOplatin and Vinorelbine Therapy-21 Day

Regimen

Indication

00614a

Treatment of locally advanced, recurrent or metastatic non-small cell lung cancer (NSCLC) in patients not suitable for treatment with CISplatin

Ceritinib Monotherapy

Regimen

Indication

00340a

Treatment of adult patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib.

CISplatin (50mg/m2) and Etoposide (50mg/m2) and Thoracic Radiotherapy (TRT) -28 day

Regimen

Indication

00456a

Stage III nonsmall cell lung cancer (NSCLC).

CISplatin and Etoposide

Regimen

Indication

00280a

Small cell lung cancer (SCLC) extensive disease

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

Regimen

Indication

00279a

Small cell lung cancer (SCLC) limited disease

Crizotinib Monotherapy

Regimen

Indication

00243a

Treatment of adults with previously treated ALK-positive advanced NSCLC

00243b

The treatment of adults with ROS1-positive advanced non-small cell lung cancer (NSCLC)

00243c

First-line treatment of adults with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC)

Dacomitinib Monotherapy

Regimen

Indication

00565a

Monotherapy, for the first-line treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR)-activating mutations

Durvalumab Monotherapy 10mg/kg – 14 Day

Regimen

Indication

00576a

As monotherapy is indicated for the treatment of locally advanced, unresectable NSCLC in adults whose tumours express PD-L1 ≥1% on tumour cells and whose disease has not progressed following platinum-based chemo-radiation therapy (CRT)

Durvalumab Monotherapy 1500mg – 28 Day

Regimen

Indication

00655a

As monotherapy is indicated for the treatment of locally advanced, unresectable NSCLC in adults whose tumours express PD-L1 ≥1% on tumour cells and whose disease has not progressed following platinum-based chemo-radiation therapy (CRT)

DOCEtaxel Monotherapy 75mg/m2 – 21 day cycle

Regimen

Indication

00203a

Treatment of locally advanced or metastatic NSLC after failure of prior chemotherapy

Entrectinib Monotherapy – Adult

Regimen

Indication

00702a

As monotherapy for the treatment of adult patients with ROS1-positive, advanced non-small cell lung cancer (NSCLC) not previously treated with ROS1 inhibitors.

Erlotinib Monotherapy

Regimen

Indication

00219a

First-line treatment of patients with locally advanced or metastatic non- small cell lung cancer (NSCLC) with EGFR activating mutations.

00219b

Switch maintenance treatment in patients with locally advanced or metastatic NSCLC with EGFR activating mutations and stable disease after first-line chemotherapy.

00219c

Treatment of patients with locally advanced or metastatic NSCLC after failure of at least one prior chemotherapy regimen.

Gefitinib Monotherapy

Regimen

Indication

00220a

Treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with activating mutations of EGFR-TK

Gemcitabine (1000mg/m2) and CARBOplatin (AUC5) Therapy-21 day

Regimen

Indication

00310b

Treatment of patients with locally advanced, recurrent or metastatic non small cell lung cancer (NSCLC)

00310c

In combination with nivolumab for the neoadjuvant treatment of resectable NSCLC at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥ 1%

Gemcitabine (1250mg/m2) and CISplatin 75mg/m2Therapy-21day

Regimen

Indication

00281a

Treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC)

00281b

In combination with nivolumab for the neoadjuvant treatment of resectable NSCLC at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥ 1%

Gemcitabine 1000mg/m2Monotherapy- 28 day

Regimen

Indication

00284b

Treatment of elderly patients or patients with ECOG =2 with locally advanced or metastatic non-small cell lung cancer (NSCLC)

Lorlatinib Therapy

Regimen

Indication

00570a

As monotherapy for the treatment of adult patients with anaplasticlymphoma kinase (ALK)-positive advanced non-small cell lung cancer(NSCLC), following disease progression on

(i) alectinib or ceritinib as the first ALK-targeted treatment

or

(ii) crizotinib and at least one other ALK-targeted treatment

Lorlatinib Therapy

Regimen

Indication

00570b

As monotherapy for the treatment of adult patients with ALK-positive advanced NSCLC previously not treated with an ALK inhibitor

Intravenous Vinorelbine Therapy-21 days

Regimen

Indication

00232b

Non small cell lung cancer (NSLC)

Nintedanib Therapy

Regimen

Indication

00372a

Treatment of adult patients with locally advanced, metastatic of stage IIIB or IV, or locally recurrent NSCLC of adenocarcinoma tumour histology after first-line chemotherapy

Nivolumab 360mg and Chemotherapy

Regimen

Indication

00849a

Nivolumab in combination with platinum-based chemotherapy for the neoadjuvant treatment of resectable non-small cell lung cancer at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥ 1%

Nivolumab Monotherapy - 14 day

Regimen

Indication

00483e

As monotherapy for the treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy in adults.

Nivolumab Monotherapy - 28 day

Regimen

Indication

00484f

As monotherapy for the treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy in adults.

Nivolumab 360mg and Ipilimumab 1mg/kg Therapy

Regimen

Indication

00792a

Nivolumab in combination with ipilimumab for the first-line treatment of adult patients with unresectable malignant pleural mesothelioma

Nivolumab, ipilimumab, CARBOplatin and PACLitaxel Therapy

Regimen

Indication

00712a

First-line treatment of metastatic squamous non-small cell lung cancer (NSCLC) in adults whose tumours have no sensitising EGFR mutation or ALK translocation.

Nivolumab, ipilimumab, PEMEtrexed and CARBOplatin Therapy

Regimen

Indication

00713a

First-line treatment of metastatic non-small cell lung cancer (NSCLC) in adults whose tumours have no sensitising EGFR mutation or ALK translocation.

Nivolumab, ipilimumab, PEMEtrexed and CISplatin Therapy

Regimen

Indication

00714a

First-line treatment of metastatic non-small cell lung cancer (NSCLC) in adults whose tumours have no sensitising EGFR mutation or ALK translocation.

Oral Etoposide Therapy

Regimen

Indication

00388a

Small cell lung cancer (SCLC) extensive disease in patients unsuitable for intravenous or combination chemotherapy.

Oral Vinorelbine Monotherapy 7 days

Regimen

Indication

00259b

Non small cell lung cancer (NSLC)

Osimertinib Monotherapy

Regimen

Indication

00353a

Treatment of adult patients with locally advanced or metastatic epidermal growth factor receptor (EGFR) T790M mutation-positive non-small cell lung cancer (NSCLC)

00353b

First-line treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor (EGFR) mutations

00353c

As monotherapy for adjuvant treatment after complete tumour resection in adult patients with stage IB-IIIA Non-Small Cell Lung Cancer (NSCLC) whose tumour has epidermal growth factor receptor (EGFR) exon 19 deletions (Ex19del) or exon 21 (L858R) substitution mutations.

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

Regimen

Indication

00226d*

Relapsed or refractory small cell lung cancer.

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

Regimen

Indication

00621d*

Relapsed or refractory small cell lung cancer.

Pembrolizumab 200mg Monotherapy

Regimen

Indication

00455a

First-line treatment of metastatic non-small cell lung carcinoma (NSCLC) in adults whose tumours express PD-L1 with a ≥50% tumour proportion score (TPS) with no EGFR or ALK positive tumour mutations.

00455n

As monotherapy for the adjuvant treatment of adults with non-small cell lung carcinoma who are at a high risk of recurrence following complete resection and platinum-based chemotherapy

Pembrolizumab 400 mg monotherapy

Regimen

Indication

00558a

First-line treatment of metastatic non-small cell lung carcinoma (NSCLC) in adults whose tumours express PD-L1 with a ≥50% tumour proportion score (TPS) with no EGFR mutations or ALK translocations.

00558n

As monotherapy for the adjuvant treatment of adults with non-small cell lung carcinoma who are at a high risk of recurrence following complete resection and platinum-based chemotherapy

Pembrolizumab, PEMEtrexed and CARBOplatin (AUC 5) Therapy

Regimen

Indication

00568a

Pembrolizumab is indicated in combination with PEMEtrexed and CARBOplatin for the first-line treatment of metastatic non-squamous NSCLC in adults whose tumors have no EGFR or ALK positive mutations

Pembrolizumab, PEMEtrexed and CISplatin Therapy

Regimen

Indication

00569a

Pembrolizumab is indicated in combination with PEMEtrexed and CISplatin for the first-line treatment of metastatic non-squamous NSCLC in adults whose tumors have no EGFR or ALK positive mutations

Pembrolizumab, PACLitaxel and CARBOplatin (AUC 6) Therapy

Regimen

Indication

00579a

Pembrolizumab In Combination with CARBOplatin and PACLitaxel for the first-line treatment of Patients with metastatic Squamous Non-Small Cell Lung Cancer (NSCLC)

PEMEtrexed and CARBOplatin Therapy

Regimen

Indication

00318a

Treatment of chemotherapy naïve patients with unresectable malignant pleural mesothelioma.

00318b

First line treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) other than predominantly squamous cell histology.

00318c

In combination with nivolumab for the neoadjuvant treatment of resectable NSCLC at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥ 1%

PEMEtrexed and CISplatin Therapy

Regimen

Indication

00317a

Treatment of chemotherapy naïve patients with unresectable malignant pleural mesothelioma.

00317b

First line treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC).

00317c

In combination with nivolumab for the neoadjuvant treatment of resectable NSCLC at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥ 1%

PEMEtrexed Monotherapy

Regimen

Indication

00222a

Maintenance treatment of locally advanced or metastatic non-small cell lung cancer other than predominantly squamous cell histology in patients who disease has not progressed immediately following platinum-based chemotherapy.

00222b

Second line treatment of patients with locally advanced or metastatic NSLC other than predominantly squamous cell histology.

Serplulimab, CARBOplatin AUC5 and Etoposide 100mg/m2 – 21 Day Therapy

Regimen

Indication

00908a

In combination with CARBOplatin and etoposide for the first-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC).

Tepotinib Therapy

Regimen

Indication

00823a

As monotherapy for the treatment of adult patients with advanced non-small cell lung cancer (NSCLC) harbouring alterations leading to mesenchymal-epithelial transition factor gene exon 14 (METex14) skipping, who require systemic therapy following prior treatment with immunotherapy and/or platinum-based chemotherapy

Topotecan Monotherapy-5 day

Regimen

Indication

00311b

Treatment of patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate.

Topotecan Oral Monotherapy

Regimen

Indication

00587a

Treatment of adult patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first –line regimen is not considered appropriate

Vinorelbine 30 (Day 1, 8, 15) and CISplatin 80 (Day 1) Therapy-21 day

Regimen

Indication

00339a

Adjuvant treatment of patients with completely resected stage IB, ll or lllA non small cell lung cancer (NSLC).

00339b

Treatment of locally advanced recurrent or metastatic NSCLC.

Vinorelbine and CISplatin Therapy-28 days

Regimen

Indication

00339a

Adjuvant treatment of patients with completely resected stage IB, ll or lllA non small cell lung cancer (NSLC).

00339b

Treatment of locally advanced recurrent or metastatic NSCLC.

Vinorelbine and CISplatin Therapy-28 days

Regimen

Indication

00343a

Adjuvant treatment of patients with completely resected stage IB, ll or lllA non small cell lung cancer (NSLC).

00343b

Treatment of locally advanced recurrent or metastatic NSCLC.

Weekly CARBOplatin (AUC2) and PACLitaxel 50mg/m2 Therapy with Radiotherapy

Regimen

Indication

00309a

Stage III Non small cell lung cancer (NSCLC)*