Table S1.
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:
Reflects information available in the publically available summary document only. Additional criteria not stated in this document may also have contributed to acceptance;
includes discounts, patient-access schemes, price capping agreements, and outcomes-linked schemes;
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.