Table 2. Key features of the multiple technology appraisal (MTA), single technology appraisal (STA) and fast-track appraisal (FTA) processes.
Multiple technology appraisal (MTA) [42] | Single technology appraisal (STA) [39] | Fast track appraisal (FTA) [51] | |
---|---|---|---|
Introduction | 1999 | 2006 | 2017 |
Scope | Single or multiple technologies in one or more indications | Single technology in a single indication; usually new drugs or new indications of existing drugs | Single technologies where the ICER is expected to be < £10,000/QALY |
Responsibility for assessment | Independent assessment group (AG) | Independent evidence review group (ERG) | ERG/NICE secretariat |
Scope of assessment | AG produces an estimate of clinical and cost effectiveness, based on the manufacturer’s submission and a systematic review of the literature | ERG reviews manufacturer’s submission and prepares additional analysis as required | ERG/NICE prepares a commentary and technical judgements on the manufacturer’s submission |
Output | Assessment report | ERG report | Joint technical briefing |
Timeline | 51 weeks | 43 weeks | 32 weeks |