June 30, 2022
HAS agreed to continue reimbursement of Kymriah for DLBCL
Kymriah (tisagenlecleucel) was reassessed for the patients with refractory or relapsed diffuse large B-cell lymphoma. It was reimbursed for patients whose cancer has returned after two or more systemic therapies.
HAS mentioned that immunochemotherapy of the R-CHOP is a standard first-line therapy; nearly 2/3rd of patients achieve remission.
The reassessment of Kymriah was based on the pivotal JULIET study - where Kymriah showed a median overall survival of 8.2 months. HAS agreed that Kymriah showed benefits compared to the standard of care based on the indirect comparison.
HAS retained the SMR important for Kymriah.
May 20, 2022
HAS gave a favorable opinion for Xeljanz in patients with polyarticular juvenile idiopathic arthritis
HAS given position opinion for reimbursement of Xeljanz for treating patients with active polyarticular juvenile idiopathic arthritis and juvenile psoriatic arthritis, who had an inadequate response to DMARD therapy.
A3921104 and A3921145 trials supported the recommendation. In the A3921104 trial, the percentage of patients who had at least one disease flare was lower in the Xeljanz group (29%) compared to the placebo group (53%).
Xeljanz can be administered in combination with methotrexate and as monotherapy if patients are intolerant to methotrexate.
April 12, 2022
HAS gave an unfavorable opinion to reimburse Kineret for COVID-19 patients
HAS not recommended using Kineret (anakinra) for adult COVID-19 patients who require supplemental oxygen and are having pneumonia.
HCSP recommended using tocilizumab for patients who require a high flow of oxygen.
The recommendation was because of
Uncertain significance of clinical efficacy at 28 days observed in terms of oxygen supplementation
lack of robust data on mortality and morbidity
modest impact on the organization of care
unable to transfer the clinical data to transfer to the French population
availability of therapeutic alternatives, in particular, tocilizumab in combination with corticosteroid therapy
April 12, 2022
HAS said no to BeiGene's Brukinsa for Waldenström’s macroglobulinaemia
HAS gave an unfavorable opinion for reimbursing BeiGene's Brukinsa (zanubrutinib) for treating adult patients with Waldenström's macroglobulinemia. Brukinsa was not recommended as monotherapy for first-line patients who are ineligible for chemotherapy.
The factors considered for the recommendation are:
Only 18% of patients are first-line patients; others are relapsed or refractory patients
No superiority in terms of complete response
Not differentiating from ibrutinib in terms of progression-free survival or overall survival
uncertainties in demonstrating the safety profile versus ibrutinib
HAS recommended the combination of rituximab, an alkylating agent, or proteasome inhibitor as first-line therapy in the first intention. Imbruvica (ibrutinib) as monotherapy or chemo-immunotherapy was recommended as second-line treatment.
April 12, 2022
HAS didn't recommend Sanofi's Aubagio in pediatric multiple sclerosis patients
HAS did not recommend Aubagio (teriflunomide) in pediatric patients aged ten years and over suffering from relapsing-remitting forms of multiple sclerosis (RRMS). The recommendation was due to
In the TERIKIDS study, there was a lack of statistically significant improvement versus placebo in the primary endpoint
Lack of head-to-head trials versus comparator when it was feasible
Lack of long-term safety data
HAS recommended the use of beta 1-a interferons (Avonex and Rebif), beta 1-b interferons (Extavia and Betaferon), and glatiramer acetate (Copaxone) as first-line therapy for pediatric RRMS. Rebif (interferon beta 1-a) was the only therapy recommended for patients two years and older. Gilenya was also recommended for ten years and older.
11 Jan 2022
Sarclisa is recommended for treating multiple myeloma
HAS published guidance recommending the use of Sarclisa (isatuximab) in combination with carfilzomib and dexamethasone to treat adult patients with multiple myeloma as a second-line option.
HAS mentioned that there are several therapeutic options for multiple myeloma. Daratumumab (Darzalex), ixazomib (Ninlaro), carfilzomib (Kyprolis), or pomalidomide (Imnovid) in combination are recommended in the second line.
For the first relapse, refractory status to the lenalidomide and the prior exposure to daratumumab is considered for selecting the drugs.
For the second relapse, Imnovid in combination with dexamethasone is recommended in patients who were previously treated with Velcade (bortezomib) and Revlimid (lenalidomide). However, with the availability of new drugs, the therapeutic position of Imnovid is limited. Fardyak in combination with bortezomib and dexamethasone is recommended in patients who have relapsed or multiple refractory myeloma, and who were treated previously with two therapeutic options. Darzalex is another therapeutic option for patients with relapsed or refractory multiple myeloma.
Sarclisa (isatuximab) in combination with Kyprolis and dexamethasone showed superiority in progression-free survival compared to Kyprolis plus dexamethasone combination. The result of the overall survival was not available. Based on the available information, HAS recommended Sarclisa combined with Kyprolis plus dexamethasone over Kyprolis plus dexamethasone in adult patients who received at least one prior treatment.
Sarclisa is not recommended in patients who are refractory to anti-CD38 antibodies. There is a risk of immunodeficiency in the long term, so HAS asked the prescribers to be cautious. In the IKEMA study, respiratory tract infections were observed in patients on Sarclisa.
HAS has given SMR Important and ASMR IV for Sarclisa in patients with multiple myelomas who were treated with at least one treatment.
HAS criticized the lack of overall survival data and robust quality of life.
BioCryst's Orladeyo received favorable reimbursement decision in France
In France, HAS gave a positive reimbursement decision for BioCryst's Orladeyo to prevent recurrent attacks of hereditary angioedema (HAE) in adults and adolescents.
The product received ASMR V and is reimbursed only as a second-line option. It received 'Insufficient' SMR for first-line patients.
HAS commented that the place versus Cinryze (c1 inhibitor -human esterase) and Takhzyro (lanadelumab) cannot be determined due to lack of direct comparison.
EMA approved Orladeyo in April 2021 for preventing the attack of HAE in adults and adolescents.
HAS says OK to continue the reimbursement of Zykadia (ceritinib) for ALK + NSCLC
HAS gave a positive opinion to continue the reimbursement of Zykadia (ceritinib) for patients with ALK-positive non-small-cell lung cancer. The drug is reimbursed for patients who were previously treated with crizotinib.
Crizotinib is the first product approved for ALK-positive NSCLC, which demonstrated its superiority over chemotherapy.
Alecensa (alectinib) had demonstrated superiority in progression-free survival and the risk of brain progression over crizotinib; it is the preferred treatment option for the first-line treatment of ALK+ lung cancer.
HAS has recommended Zyadia as a second-line treatment option after failure of the first treatment (preferentially alectinib).
Zyadia received ASMR V considering the gain in progression-free survival versus chemotherapy. However, HAS believed that the trial result does not reflect the current treatment strategy.
The product has achieved SMR ‘Important.’