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
BevacizumabAvastin®Central Nervous System Cancers - Anaplastic Gliomas/GlioblastomaTreatment following resection with or without carmustine polymer as
  • concurrent and adjuvant treatment in combination with radiation therapy (RT) for patients with glioblastoma multiforme and good performance status (Karnofsky Performance Status [KPS] 70 or greater)
  • chemotherapy with or without RT for patients with glioblastoma multiforme and poor performance status (KPS less than 70)
Bleomycin sulfateBlenoxane®Bladder Cancer

May be considered as second-line therapy as a single agent for metastatic disease

Bleomycin sulfateBlenoxane®Bladder Cancer - Upper GU Tract Tumors

May be considered as second-line therapy as a single agent for metastatic disease

CapecitabineXeloda®Kidney CancerFirst-line therapy as a single agent for patients with relapsed or medically unresectable stage IV disease with non-clear cell histology
CarboplatinParaplatin® InjectionCentral Nervous System Cancers - Anaplastic Gliomas/GlioblastomaTreatment following resection with or without carmustine polymer as
  • concurrent and adjuvant treatment in combination with radiation therapy (RT) for patients with glioblastoma multiforme and good performance status (Karnofsky Performance Status [KPS] 70 or greater)
  • chemotherapy with or without RT for patients with glioblastoma multiforme and poor performance status (KPS less than 70)
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 - Peripheral T-Cell LymphomaSecond-line therapy for relapsed or refractory disease in candidates for high-dose therapy with autologous stem cell rescue as a component of miniBEAM (carmustine, etoposide, cytarabine, and melphalan) regimen
CarmustineBiCNU®NHL - Mantle Cell LymphomaSecond-line chemotherapy for relapsed, refractory, 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
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 - Diffuse Large B-Cell LymphomaSecond-line therapy for relapsed or refractory 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
CarmustineBiCNU®NHL - Splenic Marginal Zone LymphomaSecond-line therapy for 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
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
CisplatinPlatinol®, Platinol®-AQWaldenström's Macroglobulinemia/Lymphoplasmacytic LymphomaTreatment of Waldenström's Macroglobulinemia
CyclophosphamideNoneSmall Cell Lung Cancer (SCLC)Initial treatment in combination with doxorubicin and vincristine
  • for extensive stage disease
  • if used as original regimen, for relapse occurring more than 6 months following complete or partial response with initial treatment
CytarabineCytosar-U®Chronic Myelogenous Leukemia (CML)Cytarabine in combination with interferon for patients not responding to imatinib
Darbepoetin alfaAranesp®Cancer- and Chemotherapy-Induced AnemiaConsider for the treatment of patients receiving myelosuppressive chemotherapy without curative intent
  • who have moderate to severe chronic kidney disease
  • for asymptomatic anemia and risk factors for the functional iron deficiency
  • in combination with IV iron supplementation for symptomatic anemia requiring transfusion
  • in combination with IV iron supplementation for functional iron deficiency
Dexamethasone; Dexamethasone sodium phosphateNoneCentral Nervous System Cancers - Anaplastic Gliomas/GlioblastomaConsider 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 - Anaplastic Gliomas/GlioblastomaTreatment 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®Non-Small Cell Lung Cancer (NSCLC)

Chemotherapy following concurrent chemoradiation with cisplatin and etoposide

DocetaxelEmcyt®Prostate CancerIn combination with docetaxel
  • as treatment for castration-recurrent metastatic disease
  • for treatment of metastases with neuroendocrine features
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 hydrochlorideNoneSmall Cell Lung Cancer (SCLC)Initial treatment in combination with cyclophosphamide and vincristine
  • for extensive stage disease
  • if used as original regimen, for relapse occurring more than 6 months following complete or partial response with initial treatment
  • Doxorubicin hydrochlorideNoneMultiple MyelomaPrimary induction therapy in VAD (vincristine, doxorubicin, and dexamethasone) regimen for transplant candidates
    Doxorubicin hydrochloride, Liposome injectionDoxil®Cervical CancerSecond-line therapy as a single agent for
    • local/regional recurrence in patients who have received prior radiation therapy
    • distant metastases
    Epirubicin hydrochlorideEllence®Cervical CancerSecond-line therapy as a single agent for
    • local/regional recurrence in patients who have received prior radiation therapy
    • distant metastases
    Etoposide; Etoposide phosphateEtopophos® Preservative Free, VePesid®Small Cell Lung Cancer (SCLC)Initial treatment in combination with cyclophosphamide and doxorubicin for extensive stage disease
    Etoposide; Etoposide phosphateEtopophos® Preservative Free, VePesid®Central Nervous System Cancers - Anaplastic Gliomas/GlioblastomaTreatment following resection with or without carmustine polymer as
    • concurrent and adjuvant treatment in combination with radiation therapy (RT) for patients with glioblastoma multiforme and good performance status (Karnofsky Performance Status [KPS] 70 or greater)
    • chemotherapy with or without RT for patients with glioblastoma multiforme and poor performance status (KPS less than 70)
    Etoposide; Etoposide phosphateEtopophos® Preservative FreeBone Cancer - Osteosarcoma

    Adjuvant treatment with growth factor support in combination with ifosfamide

    Etoposide; Etoposide phosphateEtopophos® Preservative FreeBone Cancer - Osteosarcoma

    Neoadjuvant/primary treatment with growth factor support for high-grade or periosteal osteosarcoma in combination with ifosfamide

    FloxuridineNoneKidney CancerFirst-line therapy as a single agent for patients with relapsed or medically unresectable stage IV disease with non-clear cell histology
    FluorouracilNoneKidney CancerFirst-line therapy as a single agent for patients with relapsed or medically unresectable stage IV disease with non-clear cell histology
    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 - Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma (excluding pilocytic astrocytoma)Gemcitabine 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.
    Gemtuzumab ozogamicinMylotarg®Acute Promyelocytic Leukemia (APL)Postremission therapy
    • in nontransplant candidates who have not achieved a molecular remission (polymerase chain reaction positive) after achieving morphologic second remission
    • for patients in first relapse who have not achieved second remission with arsenic trioxide with or without all-trans-retinoic acid
    Gemtuzumab ozogamicinMylotarg®Acute Myeloid Leukemia (AML)Salvage therapy for disease relapse for patients 60 years or older
    HydroxyureaHydrea®Central Nervous System Cancers - Anaplastic Gliomas/GlioblastomaTreatment following resection with or without carmustine polymer as
    • concurrent and adjuvant treatment in combination with radiation therapy (RT) for patients with glioblastoma multiforme and good performance status (Karnofsky Performance Status [KPS] 70 or greater)
    • chemotherapy with or without RT for patients with glioblastoma multiforme and poor performance status (KPS less than 70)
    IfosfamideNoneUterine Neoplasms - Uterine SarcomaCombination regimen cisplatin/ifosfamide/mesna for advanced or metastatic disease
    IfosfamideNoneSmall Cell Lung Cancer (SCLC)Ifosfamide-based regimens as additional regimens
    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®-ANeuroendocrine Tumors - Pancreatic Endocrine Tumors (Islet Cell Tumors)Management of bone metastases or unresectable lung metastases in patients with symptoms or clinically significant tumor burden or significant progression
    Interferon alfa-2b, recombinantIntron®-AHepatobiliary Cancers - Hepatocellular CarcinomaTreatment for selected low-risk hepatitis C patients with completely resected tumors and good performance status
    Interferon alfa-2b, recombinantIntron®-ABladder CancerTreatment of recurrent or persistent disease (cytology positive, imaging and cystoscopy negative) in combination with BCG after initial intravesical treatment for Tis or clinical stage Ta or T1 tumors and incomplete response to BCG alone
    IxabepiloneIxempra® KitUterine Neoplasms - Endometrial CarcinomaMay be used as a single agent for second-line treatment
    LevoleucovorinFusilev®Esophageal and Esophagogastric Junction CancersIndicated 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 - Diffuse Large B-Cell LymphomaSecond-line therapy for relapsed or refractory 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 - 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® tabletsWaldenström's Macroglobulinemia/Lymphoplasmacytic LymphomaTreatment of Waldenström's Macroglobulinemia
    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
    Melphalan; Melphalan hydrochlorideAlkeran® for injection, Alkeran® tabletsNHL - Splenic Marginal Zone LymphomaSecond-line chemotherapy for 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 - Mantle Cell LymphomaSecond-line chemotherapy for relapsed, refractory, 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 - Peripheral T-Cell LymphomaSecond-line therapy for relapsed or refractory disease in candidates for high-dose therapy with autologous stem cell rescue as a component of miniBEAM (carmustine, etoposide, cytarabine, and melphalan) regimen
    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 - Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma (excluding pilocytic astrocytoma)Methylprednisolone as steroid therapy in metastatic spine tumors
    Metoclopramide hydrochlorideReglan® Injection, Reglan® tabletsAntiemesisMetoclopramide 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 AdenocarcinomaIn combination with gemcitabine for patients with locally advanced or metastatic disease and good performance status
    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 and Esophagogastric Junction CancersPhotodynamic therapy for the primary treatment of Tis or T1a esophageal cancer
    TemozolomideTemodar®Central Nervous System Cancers - Anaplastic Gliomas/GlioblastomaConsider as single-agent treatment for spine or brain recurrence of ependymoma after radiation therapy
    TemsirolimusTorisel®NHL - Mantle Cell LymphomaSecond-line therapy as a single agent for relapsed, refractory, or progressive disease
    ThalidomideThalomid®NHL - Mantle Cell LymphomaSecond-line therapy in combination with rituximab for relapsed, refractory, or progressive 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
    Topotecan; Topotecan hydrochlorideHycamtin® InjectionUterine Neoplasms - Uterine SarcomaSingle-agent therapy for advanced or metastatic disease
    Vincristine sulfateNoneMultiple Myeloma

    Salvage therapy on or off clinical trials in C-VAD (cyclophosphamide, vincristine, doxorubicin, and dexamethasone) regimen for disease relapse or for progressive or refractory disease

    Vincristine sulfateNoneSmall Cell Lung Cancer (SCLC)Treatment in combination with cyclophosphamide and doxorubicin
    • for extensive stage disease
    • if used as original regimen, for relapse occurring more than 6 months following complete or partial response with initial treatment
    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