№ files_lp_4_process_3_102067
Policy document outlining the commissioning and clinical criteria for using glucarpidase in urgent cases of toxic plasma methotrexate concentrations due to delayed elimination in England.
Publication date: March 2024
Version: 3.0
First published: January 2015
Last updated: December 2022
Region: England
Type: Clinical commissioning policy
Organization: NHS England
Indication: Toxic plasma methotrexate concentration due to delayed methotrexate elimination
Target population: Adults and children receiving high-dose methotrexate chemotherapy
Therapeutic area: Oncology / Haematology
Administration: Urgent intravenous use
Expected annual use: 5–20 patients
Evidence base: Phase II studies, case reports, pooled compassionate-use trials
Risk assessment: Life-threatening methotrexate toxicity
Ethical framework: NHS healthcare commissioning principles, Individual Funding Request guidance
Price: 8 / 10 USD
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