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lumacaftor-ivacaftor (Orkambi)

Advice

following a full submission considered under the orphan medicine process

lumacaftor, ivacaftor (Orkambi®) is not recommended for use within NHS Scotland.

Indication under review: treatment of cystic fibrosis (CF) in patients aged 12 years and older who are homozygous for the F508del mutation in the CF transmembrane conductance regulator (CFTR) gene.

Lumacaftor-ivacaftor, compared to placebo, significantly increased percent predicted forced expiratory volume in one second (ppFEV1) by less than 3% at six months and reduced the annual rate of pulmonary exacerbations in patients with CF homozygous for the F508del mutation of the CFTR gene.

The submitting company’s justification of the treatment’s cost in relation to its health benefits was not sufficient and in addition the company did not present a sufficiently robust clinical and economic analysis to gain acceptance by SMC.

This advice takes account of the views from a Patient and Clinician and Engagement (PACE) meeting.

Drug Details

Drug Name: lumacaftor-ivacaftor (Orkambi)
SMC Drug ID: 1136/16
Manufacturer: Vertex Pharmaceuticals Ltd
Indication: Treatment of cystic fibrosis (CF) in patients aged 12 years and older who are homozygous for the F508del mutation in the CF transmembrane conductance regulator (CFTR) gene.
BNF Category:
Sub Category: 3.7 Mucolytics
Submission Type: Full submission
Status: Not Recommended
Date Advice Published: 9 May 2016

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