VANFLYTA Access Central is now VANFLYTA4U. Our commitment to helping patients receive their prescribed VANFLYTA treatment remains the same. Learn More

×

Please see Full Prescribing Information, including Boxed WARNINGS, and Medication Guide.

This information is intended for US healthcare professionals and/or healthcare professionals involved in healthcare reimbursement only.

For US Healthcare Professionals For Patients
VANFLYTA Access Central is becoming
Modal Logo

During this time, you may see both program names in use.

Daiichi Sankyo remains dedicated to helping patients find financial assistance and resources to receive their medications with confidence. VANFLYTA4U is here to provide support and information to help.

You are now leaving
Modal Logo
Continue
Stay on VANFLYTA4U
support icon
Need support?
Connect live with Daiichi Sankyo AccessCentral4U

1-866-4-DSI-NOW (1-866-437-4669)
Mon – Fri, 8:00AM – 6:00PM ET, excluding holidays

close
Close Button Icon
Welcome to
Modal Logo

Please select if you are a US Healthcare Professional or Patient

For US Healthcare Professional
For Patients
Access & Affordability Icon
Access & Affordability
Financial and distribution support are available through VANFLYTA4U
Coding & Reimbursement Icon
Coding & Reimbursement
Billing, coding, claims, and appeal support is available through VANFLYTA4U
Form & Resource Icon
Form & Resources
Find resources to help patients receive their prescribed VANFLYTA medication

VANFLYTA® (quizartinib) 4U provides support and information to help your patients access VANFLYTA, which is available through either a network specialty pharmacy or your office-/hospital-/health system-based pharmacy.*

If your patient needs to use a network specialty pharmacy, please fax the Patient Enrollment Form to their selected specialty pharmacy.
You will need to contact the specialty pharmacy directly regarding prescriptions and patient support services.
The specialty pharmacy will:
  • Conduct a benefit investigation and assist with the completion of a prior authorization
  • Assess patient eligibility for the VANFLYTA Savings Program
  • Assess patient eligibility for the VANFLYTA OuickStart Program
  • Refer patient to alternative financial assistance if applicable, including the VANFLYTA Patient Assistance Program
  • Fill the prescription and ship the medication to the patient upon confirmation of coverage and prescriber REMS certification
If you have an office-, hospital-, or health system-based pharmacy that is Risk Evaluation and Mitigation Strategy (REMS) certified, such pharmacy can order VANFLYTA directly from one of our specialty distributors for subsequent dispensing.
If you utilize an office-, hospital-, or health system-based pharmacy, you may contact VANFLYTA4U regarding patient support services.
VANFLYTA4U is available to assist you with these optional services:
  • Benefit investigation
  • VANFLYTA OuickStart Program
  • Enrollment into financial support programs tor eligible patients
If your patient needs to use a network specialty pharmacy, please fax the Patient Enrollment Form to their selected specialty pharmacy.
Callout Image
*REMS certification required. Please visit VANFLYTAREMS.com for more information.
VANFLYTA is only available through a limited distribution program under a Risk Evaluation and Mitigation Strategy (REMS) called the VANFLYTA REMS because of the serious risk of QT prolongation, torsades de pointes, and cardiac arrest.
Enroll today to prescribe VANFLYTA with a one-time training for the VANFLYTA REMS Program at VANFLYTAREMS.com.
The completion and submission of coverage-related documentation are the responsibility of the patient and healthcare provider. Daiichi Sankyo, Inc. makes no representation or guarantee concerning coverage or reimbursement for any service or item. A completed Patient Enrollment Form includes signatures from both the physician and the patient. Before submitting, please ensure all required information is provided.

Need Support?

Connect live with Daiichi Sankyo AccessCentral4U.

1-866-4-DSI-NOW (1-866-437-4669)
Mon – Fri, 8:00AM – 6:00PM ET, excluding holidays

Call the preferred specialty pharmacy with questions about VANFLYTA prescriptions and patient support.

Biologics (1-800-850-4306) or Onco360 (1-877-662-6633)
Contact Icon
Important Safety Information SEE MORE

WARNING: QT PROLONGATION, TORSADES DE POINTES, and CARDIAC ARREST

  • VANFLYTA prolongs the QT interval in a dose- and concentration-related manner. Prior to VANFLYTA administration and periodically, monitor for hypokalemia or hypomagnesemia, and correct deficiencies. Perform electrocardiograms (ECGs) to monitor the QTc at baseline, weekly during induction and consolidation therapy, weekly for at least the first month of maintenance, and periodically thereafter.
  • Torsades de pointes and cardiac arrest have occurred in patients receiving VANFLYTA. Do not administer VANFLYTA to patients with severe hypokalemia, severe hypomagnesemia, or long QT syndrome.
  • Do not initiate treatment with VANFLYTA or escalate the VANFLYTA dose if the QT interval corrected by Fridericia’s formula (QTcF) is greater than 450 ms.
  • Monitor ECGs more frequently if concomitant use of drugs known to prolong the QT interval is required.
  • Reduce the VANFLYTA dose when used concomitantly with strong CYP3A inhibitors, as they may increase quizartinib exposure.
  • Because of the risk of QT prolongation, VANFLYTA is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS) called the VANFLYTA REMS.

Contraindications

  • VANFLYTA is contraindicated in patients with severe hypokalemia, severe hypomagnesemia, long QT syndrome, or in patients with a history of ventricular arrhythmias or torsades de pointes.

Warnings and Precautions

QT Prolongation, Torsades de Pointes, and Cardiac Arrest (See BOXED WARNING)

  • VANFLYTA prolongs the QT interval in a dose- and concentration-dependent manner. The mechanism of QTc interval prolongation is via inhibition of the slow delayed rectifier potassium current, IKs, as compared to all other medications that prolong the QTc interval, which is via the rapid delayed rectifier potassium current, IKr.
  • The level of QTc prolongation with VANFLYTA that predicts the risk of cardiac arrhythmias is unclear. Inhibition of IKs and IKr may leave patients with limited reserve, leading to a higher risk of QT prolongation and serious cardiac arrhythmias, including fatal outcomes. Torsades de pointes, ventricular fibrillation, cardiac arrest, and sudden death have occurred in patients treated with VANFLYTA.
  • Among 1,081 VANFLYTA-treated AML patients in clinical trials, severe cardiac arrhythmias occurred primarily during induction and included torsades de pointes (0.2%), cardiac arrest (0.6%, including 0.4% fatal), and ventricular fibrillation (0.1%).
  • Of the 265 patients who received VANFLYTA in the clinical trial, 2.3% had a QTcF >500 ms and 10% had an increase of >60 ms from baseline. The trial excluded patients with a QTcF ≥450 ms or other factors that increased the risk of QT prolongation or arrhythmic events (eg, NYHA Class III/IV congestive heart failure, hypokalemia, or a family history of long QT interval syndrome).
  • Avoid use in patients who are at significant risk of developing torsades de pointes, including uncontrolled or significant cardiac disease, recent myocardial infarction, heart failure, unstable angina, bradyarrhythmias, tachyarrhythmias, uncontrolled hypertension, high-degree atrioventricular block, severe aortic stenosis, or uncontrolled hypothyroidism.
  • During induction and consolidation, perform an ECG prior to initiation and then once weekly during VANFLYTA treatment or more frequently as clinically indicated. During maintenance, perform ECGs prior to initiation, once weekly for at least the first month following dose initiation and escalation, and as clinically indicated thereafter.
  • Perform ECG monitoring of the QT interval more frequently in patients who are at significant risk of developing QT interval prolongation and torsades de pointes, or following dose escalation.
  • Monitor and correct hypokalemia and hypomagnesemia prior to and during treatment. Maintain electrolytes in the normal range. Monitor electrolytes and ECGs more frequently in patients who experience diarrhea or vomiting.
  • Reduce the VANFLYTA dose if QTc increases to greater than 480 ms and less than 500 ms. Interrupt and reduce the VANFLYTA dose if QTc increases to greater than 500 ms. Permanently discontinue VANFLYTA in patients who develop recurrent QTc greater than 500 ms or QTc interval prolongation with signs or symptoms of life-threatening arrhythmia.

VANFLYTA REMS

  • Requirements include:
    • Prescribers must be certified in the VANFLYTA REMS by enrolling and completing training.
    • Prescribers must counsel patients receiving VANFLYTA about the risk of QT prolongation, torsades de pointes, and cardiac arrest, and provide patients with a Patient Wallet Card.
    • Pharmacies that dispense VANFLYTA must be certified with the VANFLYTA REMS and must verify prescribers are certified through the VANFLYTA REMS.
    • Further information is available at www.VANFLYTAREMS.com or by telephone at 1-855-212-6670.

Embryo-Fetal Toxicity

  • Advise pregnant women of the potential risk to a fetus. Advise females of reproductive potential to use effective contraception during treatment with VANFLYTA and for 7 months after the last dose. Advise males with female partners of reproductive potential to use effective contraception during treatment with VANFLYTA and for 4 months after the last dose.

Adverse Reactions

  • The most common (>20%) adverse reactions, including laboratory abnormalities, were lymphocytes decreased (60%), potassium decreased (59%), albumin decreased (53%), phosphorus decreased (52%), alkaline phosphatase increased (51%), magnesium decreased (44%), febrile neutropenia (44%), diarrhea (42%), mucositis (38%), nausea (34%), calcium decreased (33%), abdominal pain (30%), sepsis (30%), neutropenia (29%), headache (28%), creatine phosphokinase increased (26%), vomiting (25%), and upper respiratory tract infection (21%).

Drug Interactions

  • Strong CYP3A Inhibitors: Reduce the VANFLYTA dose due to increased quizartinib concentrations.
  • Strong or Moderate CYP3A Inducers: Avoid concomitant use due to decreased quizartinib concentrations.

Use in Specific Populations

  • Advise women not to breastfeed during treatment with VANFLYTA and for one month after the last dose.

Indication

VANFLYTA® (quizartinib) is indicated in combination with standard cytarabine and anthracycline induction and cytarabine consolidation, and as maintenance monotherapy following consolidation chemotherapy, for the treatment of adult patients with newly diagnosed acute myeloid leukemia (AML) that is FLT3 internal tandem duplication (ITD)-positive as detected by an FDA-approved test.

Limitations of Use:
VANFLYTA is not indicated as maintenance monotherapy following allogeneic hematopoietic stem cell transplantation (HSCT); improvement in overall survival with VANFLYTA in this setting has not been demonstrated.

To report SUSPECTED ADVERSE REACTIONS, contact Daiichi Sankyo, Inc., at 1-877-437-7763 or the FDA at 1-800-FDA-1088 or fda.gov/medwatch.

Please see full Full Prescribing Information, including Boxed WARNINGS, and Medication Guide.