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. 2015 Aug 31;7:463–476. doi: 10.2147/CEOR.S87462

Table S1.

List of all submissions that were accepted with ICERs higher than the threshold, by HTA agency

Drug Indication BNF Category Manufacturer’s base-case ICER Nature of acceptance Key rationale provided by HTA bodya
PAS/risk sharing schemeb Unmet need/lack of alternative therapeutic options High clinical benefitc Orphan/rare disease End of life considerations
NICE (£)
Abiraterone + prednisolone Castration-resistant metastatic prostate cancer previously treated with one docetaxel-containing regimen Malignant disease and immunosuppression 52,851 Accepted X X
Adalimumab Plaque psoriasis Skin 30,500 Restricted
Azacitidine Myelodysplasic syndromes, chronic myelomonocytic leukemia and acute myeloid leukemia Malignant disease and immunosuppression 47,432 Accepted X X X
Bortezomib Multiple myeloma Malignant disease and immunosuppression 38,000 Accepted X X X
Certolizumab Rheumatoid arthritis Musculoskeletal and joint diseases 34,930 Restricted X
Fingolimod Highly active relapsing-remitting multiple sclerosis Malignant disease and immunosuppression 55,634 Accepted X X
Gefitinib Locally advanced or metastatic non-small-cell lung cancer Malignant disease and immunosuppression 35,992 Accepted X
Golimumab +methotrexate Rheumatoid arthritis Musculoskeletal and joint diseases 31,464 Restricted X
Ipilimumab Previously treated advanced (unresectable or metastatic) melanoma Malignant disease and immunosuppression 60,737 Accepted X X
Mannitol dry powder Cystic fibrosis Respiratory system 47,095 Restricted X X
Mifamurtide High-grade resectable nonmetastatic osteosarcoma in children, adolescents and young adults Malignant disease and immunosuppression 56,683 Accepted X X X
Natalizumab Multiple sclerosis Malignant disease and immunosuppression 44,600 Restricted X
Pazopanib Metastatic renal cell carcinoma Malignant disease and immunosuppression 32,898 Accepted X X X
Pemetrexed Non-small-cell lung cancer (maintenance) Malignant disease and immunosuppression 33,065 Accepted X X
Pemetrexed + cisplatin Locally advanced or metastatic non-small-cell lung cancer Malignant disease and immunosuppression 33,732 Accepted X
Pirfenidone Idiopathic pulmonary fibrosis Musculoskeletal and joint diseases 36,327 Restricted X
Ranibizumab Visual impairment due to diabetic macular edema Eye 30,277 Restricted X X
Sunitinib Unresectable and/or metastatic malignant gastrointestinal stromal tumors Malignant disease and immunosuppression 47,628 Accepted X X
Trabectedin Advanced soft tissue sarcoma Malignant disease and immunosuppression 56,985 Accepted X X
Trastuzumab + cisplatin and capecitabine or 5-FU Gastric cancer (HER2-positive, metastatic) Malignant disease and immunosuppression 51,927 Restricted X
Ustekinumab Plaque psoriasis Skin 30,664 Accepted X
Vemurafenib Locally advanced or metastatic BRAF V600 mutation-positive malignant melanoma Malignant disease and immunosuppression 56,410 Accepted X X X X
SMC (£)
Axitinib Advanced renal cell carcinoma Malignant disease and immunosuppression 33,837 Accepted X X X
Carglumic acid Hyperammonaemia Nutrition and blood 81,000 Restricted X X X
Crizotinib Previously treated ALK-positive advanced non-small-cell lung cancer Malignant disease and immunosuppression 42,295 Accepted X X X
Dasatinib Leukemia Malignant disease and immunosuppression 44,456 Restricted X
Dimethyl fumarate Relapsing-remitting multiple sclerosis Malignant disease and immunosuppression 73,724 Accepted X X X
Elvitegravir + cobicistat + emtricitabine + tenofovir disoproxil (as fumarate) Treatment-naïve HIV Infections 1,332,746 Accepted X
Infliximab Ulcerative colitis in children and adolescents Musculoskeletal and joint diseases 35,000 Restricted X X
Lenalidomide Transfusion-dependent anemia Malignant disease and immunosuppression 57,930 Accepted X X X
Mecasermin Severe primary insulin-like growth factor-l deficiency Endocrine System 47,729 Accepted X X X
Methylnaltrexone bromide Opioid-induced constipation Gastrointestinal system 32,284 Restricted X
Nelarabine T-cell acute lymphoblastic leukemia/lymphoma Malignant disease and immunosuppression 56,107 Restricted X X
Parathyroid hormone Severe osteoporosis in postmenopausal women Endocrine System 107,000 Restricted X
Pazopanib Advanced renal cell carcinoma Malignant disease and immunosuppression 62,414 Accepted X
Pemetrexed Malignant pleural mesothelioma Malignant disease and immunosuppression 35,600 Restricted X X
Plerixafor Lymphoma and multiple myeloma Nutrition and blood 39,649 Accepted X X
Tacrolimus Prophylaxis of transplant rejection in heart allograft recipients Malignant disease and immunosuppression 35,000 Restricted
Ustekinumab Plaque psoriasis Skin 97,063 Restricted X
Vemurafenib BRAF V600 mutation-positive unresectable or metastatic melanoma Malignant disease and immunosuppression 39,617 Restricted X X X
CADTH (CAN$)
Erlotinib Non-small-cell lung cancer Malignant disease and immunosuppression 71,000 Restricted X
Tipranavir HIV infection Infections 52,000 Restricted X
Sunitinib Gastrointestinal stromal tumor Malignant disease and immunosuppression 80,000 Restricted X
Deferasirox Iron overload Nutrition and blood 67,595 Restricted X
Rufinamide Lennox-Gastaut syndrome; adjunctive treatment of seizures Central nervous system 55,715 Restricted X X
Asenapine Bipolar I disorder Central nervous system 72,623 Restricted X
Tocilizumab Juvenile idiopathic arthritis Musculoskeletal and joint diseases 69,845 Restricted X
PBAC(AUS$)
Afatinib Locally advanced or metastatic non-small-cell lung cancer in patients with EGFR gene mutation(s) Malignant disease and immunosuppression 45,000–75,000 Accepted X
Bevacizumab Metastatic colorectal cancer Malignant disease and immunosuppression 45,000–75,000 Accepted X X
Carmustine Malignant glioma Malignant disease and immunosuppression 105,000–200,000 Restricted X
Dabrafenib BRAF V600 mutation positive melanoma Malignant disease and immunosuppression 45,000–75,000 Accepted X X X
Erlotinib Locally advanced or metastatic non-squamous non-small-cell lung cancer in patients with evidence of activating EGFR mutation(s) Malignant disease and immunosuppression 45,000–75,000 Accepted X X
Everolimus Postmenopausal women with hormone-receptor positive, HER2 negative advanced breast cancer after failure of letrozole or anastrozole Malignant disease and immunosuppression 45,000–75,000 Accepted X
Everolimus Subependymal giant cell astrocytoma Malignant disease and immunosuppression 45,000–75,000 Accepted X X X
Infliximab Severe plaque psoriasis Skin 45,000–75,000 Restricted X
Pazopanib Advanced (unresectable and/or metastatic) soft tissue sarcoma Malignant disease and immunosuppression 45,000–75,000 Accepted X
Raltegravir HIV infection in antiretroviral experienced patients Infections 45,000–75,000 Accepted X
Somatropin Prader-Willi Syndrome Endocrine System 45,000–75,000 Accepted X
Sunitinib Malignant pancreatic neuroendocrine tumor Malignant disease and immunosuppression 45,000–75,000 Accepted X X X
Sunitinib malate Gastrointestinal stromal tumor Malignant disease and immunosuppression 45,000–75,000 Accepted X X
Sunitinib malate Advanced/metastatic renal cell carcinoma Malignant disease and immunosuppression 45,000–75,000 Accepted X X
Tamsulosin hydrochloride Lower urinary tract symptoms associated with benign prostatic hyperplasia Obstetrics, gynecology, and urinary tract disorders 45,000–75,000 Restricted X
Verteporfin Subfoveal choroidal neovascularisation Eye 45,000–75,000 Accepted X

Notes:

a

Reflects information available in the publically available summary document only. Additional criteria not stated in this document may also have contributed to acceptance;

b

includes discounts, patient-access schemes, price capping agreements, and outcomes-linked schemes;

c

covers improved efficacy improved safety, and/or improved patient quality of life.

Abbreviations: ICERs, incremental cost-effectiveness ratios; HTA, health technology assessment; BNF, British National Formulary; PAS, patient access scheme; NICE, National Institute for Health and Care Excellence; SMC, Scottish Medicines Consortium; CADTH, Canadian Agency for Drugs and Technologies in Health; PBAC, Pharmaceutical Benefits Advisory Committee.