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Clinical Policy: Pembrolizumab (Keytruda) Reference Number: CP.PHAR.322 Effective Date: 03.01.17 Last Review Date: 08.21 Line of Business: Commercial, HIM, MedicaidCoding Implications Revision LogSee
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How to fill out clinical review - pembrolizumab

01
Gather patient medical history and current treatment regimen.
02
Obtain relevant diagnostic tests and results.
03
Assess the patient's tumor type and stage applicable for pembrolizumab therapy.
04
Evaluate the patient's performance status using appropriate scales.
05
Document any prior immunotherapy and responses.
06
Consider any contraindications or precautions for pembrolizumab use.
07
Complete the clinical review form with all gathered information and recommendations.
08
Submit the completed review for approval according to institutional protocols.

Who needs clinical review - pembrolizumab?

01
Patients with melanoma, non-small cell lung cancer, or other specified cancers indicated for pembrolizumab therapy.
02
Patients who have previously received treatment and require assessment for further therapy.
03
Patients whose disease shows progression or who experience significant side effects from prior treatments.
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Clinical review of pembrolizumab refers to the evaluation and assessment of clinical trial data and patient outcomes related to the use of pembrolizumab, an immune checkpoint inhibitor, to ensure its efficacy and safety for approved indications.
Healthcare providers, researchers, and sponsors of clinical trials involving pembrolizumab are typically required to file clinical reviews, especially if they are reporting results to regulatory bodies.
To fill out a clinical review for pembrolizumab, one must collect relevant patient data, trial results, and safety reports, and complete the designated forms provided by regulatory authorities or institutional review boards, ensuring accuracy and adherence to guidelines.
The purpose of the clinical review for pembrolizumab is to assess the drug's clinical effectiveness, safety, and risk-benefit profile to support its approved use and inform healthcare providers and patients.
Information that must be reported includes clinical trial methodologies, patient demographics, treatment outcomes, adverse events, and any relevant statistical analyses.
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