No Longer Recommended Uses
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No Longer Recommended Uses
 
Agent:   
 
AgentBrand Name(s)DiseaseNCCN Uses: No Longer Recommended
AlemtuzumabCampath®NHL - Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL)Therapy for relapsed or refractory disease as a single agent or in combination with
  • chlorambucil with or without prednisone
  • CHOP regimen (cyclophosphamide, doxorubicin, vincristine and prednisone) in patients who are not able to tolerate fludarabine therapy
  • fludarabine with or without cyclophosphamide
BevacizumabAvastin®Pancreatic AdenocarcinomaBevacizumab in combination with gemcitabine for locally advanced or metastatic disease
CarboplatinParaplatin® InjectionBreast Cancer - InvasiveCarboplatin in combination with docetaxel as a preferred treatment regimen for use in combination with trastuzumab for patients with recurrent or metastatic breast cancer
CarmustineBiCNU®NHL - Nongastric MALT LymphomaSecond-line therapy for recurrent (stage IE-II) or progressive disease in candidates for high-dose therapy with autologous stem cell rescue (HDT/ASCR) as a component of miniBEAM regimen (carmustine, etoposide, cytarabine and melphalan) regimen with or without rituximab
CarmustineBiCNU®NHL - Follicular LymphomaSecond-line therapy for refractory or progressive disease as a component of miniBEAM (carmustine, etoposide, cytarabine, and melphalan) regimen with or without rituximab
CarmustineBiCNU®NHL - Gastric MALT LymphomaSecond-line therapy for recurrent or progressive disease in candidates for high-dose therapy with autologous stem cell rescue (HDT/ASCR) as a component of miniBEAM regimen (carmustine, etoposide, cytarabine and melphalan) with or without rituximab
CetuximabErbitux®Pancreatic AdenocarcinomaCetuximab in combination with gemcitabine for locally advanced or metastatic disease
CisplatinPlatinol®, Platinol®-AQUterine Neoplasms - Uterine SarcomaSingle-agent therapy for advanced or metastatic disease
CisplatinPlatinol®, Platinol®-AQUterine Neoplasms - Uterine SarcomaCombination regimen cisplatin/ifosfamide/mesna for advanced or metastatic disease
CytarabineCytosar-U®Chronic Myelogenous Leukemia (CML)Cytarabine in combination with interferon for patients not responding to imatinib
Dexamethasone; Dexamethasone sodium phosphateNoneCentral Nervous System Cancers - Primary Central Nervous System TumorsConsider systemic and/or intrathecal treatment in combination with a platinum agent and high-dose cytarabine for progressive or recurrent nonimmunosuppressed primary central nervous system lymphoma in patients with prior whole brain radiation therapy
Dexamethasone; Dexamethasone sodium phosphateNoneCentral Nervous System Cancers - Primary Central Nervous System TumorsTreatment in combination with a platinum agent and high-dose cytarabine and with radiation therapy for progressive nonimmunosuppressed primary central nervous system lymphoma in patients with a short or no response to prior methotrexate-based regimen without prior radiation therapy
DocetaxelTaxotere®Bladder CancerChemotherapy in combination with gemcitabine with or without cisplatin for patients with muscle-invasive disease with local recurrence following bladder-sparing treatment in nonsurgical candidates or with or without radiation for patients with metastatic disease or for muscle-invasive disease with local recurrence following cystectomy
DocetaxelTaxotere®Non-Small Cell Lung Cancer (NSCLC)Adjuvant chemotherapy in combination with carboplatin or gemcitabine.
Doxorubicin hydrochlorideNoneNon-Melanoma Skin Cancers - Merkel Cell CarcinomaTreatment for distant metastatic disease or disseminated recurrence with or without surgery or radiation therapy as a single agent or in combination with carboplatin or cisplatin (with or without etoposide)
Doxorubicin hydrochlorideNoneMultiple MyelomaPrimary induction therapy in VAD (vincristine, doxorubicin, and dexamethasone) regimen for transplant candidates
Etoposide; Etoposide phosphateEtopophos® Preservative Free, VePesid®Small Cell Lung Cancer (SCLC)Initial treatment in combination with cyclophosphamide and doxorubicin for extensive stage disease
FluorouracilNoneHepatobiliary Cancers - Gallbladder Cancer Primary treatment in combination with gemcitabine for patients with unresectable disease with jaundice or metastatic disease
FluorouracilNoneRectal CancerAdjuvant concurrent chemoradiation therapy as a single agent for patients with T2, NX, margin-negative disease following transanal excision
GefitinibIressa®Non-Small Cell Lung Cancer (NSCLC)Gefitinib as third-line therapy
Gemcitabine hydrochlorideGemzar®Central Nervous System Cancers - Metastatic Central Nervous System LesionsGemcitabine for melanoma metastatic brain tumors
Gemcitabine hydrochlorideGemzar®Hepatobiliary Cancers - Intrahepatic CholangiocarcinomaAdjuvant treatment in concurrent chemoradiation
Gemcitabine hydrochlorideGemzar®Non-Small Cell Lung Cancer (NSCLC)Adjuvant chemotherapy in combination with carboplatin or docetaxel.
IfosfamideNoneSmall Cell Lung Cancer (SCLC)Ifosfamide-based regimens as additional regimens
IfosfamideNoneUterine Neoplasms - Uterine SarcomaCombination regimen cisplatin/ifosfamide/mesna for advanced or metastatic disease
Interferon alfa-2a, recombinantRoferon®-AChronic Myelogenous Leukemia (CML)Interferon as standard first-line therapy
Interferon alfa-2a, recombinantRoferon®-AChronic Myelogenous Leukemia (CML)Interferon plus or minus cytarabine for patients not responding to imatinib
Interferon alfa-2b, recombinantIntron®-AChronic Myelogenous Leukemia (CML)Interferon as standard first-line therapy
Interferon alfa-2b, recombinantIntron®-AChronic Myelogenous Leukemia (CML)Interferon plus or minus cytarabine for patients not responding to imatinib
Interferon alfa-2b, recombinantIntron®-AHepatobiliary Cancers - Hepatocellular CarcinomaTreatment for selected low-risk hepatitis C patients with completely resected tumors and good performance status
LevoleucovorinFusilev™Esophageal CancerIndicated in combination with infusional fluorouracil-based regimens for preoperative and definitive chemoradiation and for locally advanced or metastatic disease
Melphalan; Melphalan hydrochlorideAlkeran® for injection, Alkeran® tabletsNHL - Nongastric MALT LymphomaSecond-line therapy for recurrent (stage IE-II) or progressive disease in candidates for high-dose therapy with autologous stem cell rescue (HDT/ASCR) as a component of miniBEAM regimen (carmustine, etoposide, cytarabine and melphalan) with or without rituximab
Melphalan; Melphalan hydrochlorideAlkeran® for injection, Alkeran® tabletsNHL - Gastric MALT LymphomaSecond-line therapy for recurrent or progressive disease in candidates for high-dose therapy with autologous stem cell rescue (HDT/ASCR) as a component of miniBEAM regimen (carmustine, etoposide, cytarabine and melphalan) with or without rituximab
Melphalan; Melphalan hydrochlorideAlkeran® for injection, Alkeran® tabletsNHL - Follicular LymphomaSecond-line therapy for refractory or progressive disease as a component of miniBEAM (carmustine, etoposide, cytarabine, and melphalan) regimen with or without rituximab
MesnaMesnex® Injection, Mesnex® TabletsUterine Neoplasms - Uterine SarcomaCombination regimen cisplatin/ifosfamide/mesna for advanced or metastatic disease
Methylprednisolone; Methylprednisolone acetate; Methylprednisolone sodium succinateSolu-Medrol®Central Nervous System Cancers - Metastatic Central Nervous System LesionsMethylprednisolone as steroid therapy in metastatic spine tumors
Metoclopramide hydrochlorideReglan® (injection), Reglan® (tablets)AntiemesisMetoclopramide plus or minus diphenhydramine for moderate emetic risk chemotherapy
Mitoxantrone hydrochlorideNovantrone®Acute Myeloid Leukemia (AML)As induction or postinduction therapy in combination with cytarabine for patients less than 60 years with no antecedent hematologic disease
OxaliplatinEloxatin®Pancreatic AdenocarcinomaOxaliplatin in combination with gemcitabine for locally advanced or metastatic disease
PaclitaxelTaxol®Bladder CancerChemotherapy in combination with cisplatin and/or gemcitabine for patients with muscle-invasive disease with local recurrence following bladder-sparing treatment in nonsurgical candidates or with or without radiation for patients with metastatic disease or for muscle-invasive disease with local recurrence following cystectomy
Pamidronate disodiumAredia®Prostate CancerTreatment of bone metastases in patients with castration-recurrent prostate cancer
Porfimer sodiumPhotofrin®Esophageal CancerPhotodynamic therapy for the primary treatment of Tis or T1a esophageal cancer
Topotecan; Topotecan hydrochlorideHycamtin® InjectionUterine Neoplasms - Uterine SarcomaSingle-agent therapy for advanced or metastatic disease
Topotecan; Topotecan hydrochlorideHycamtin® InjectionNon-Melanoma Skin Cancers - Merkel Cell CarcinomaAdjuvant treatment as a single agent or in combination with cisplatin or carboplatin with or without radiation therapy in older patients with N+ disease
Warfarin sodiumCoumadin® tablets; Coumadin® for injectionVenous Thromboembolic DiseaseAnticoagulation treatment of cancer patients following anticoagulation therapy failure (defined as extension of venous thromboembolism or new venous thromboembolism while on anticoagulation therapy) of factor Xa antagonist. Not used in the immediate phase of anticoagulation treatment