Advice

following a full submission:

alectinib (Alecensa®) is accepted for use within NHSScotland.

Indication under review: as monotherapy as adjuvant treatment for adult patients with
Stage IB (tumours ≥ 4 cm) to IIIA (7th edition of the UICC/AJCC-staging system) anaplastic
lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) following complete
tumour resection.

In an open-label phase III study, alectinib was associated with a statistically significant
improvement in disease-free survival compared with platinum-based chemotherapy
following surgery in patients with early ALK-positive NSCLC.

This advice applies only in the context of approved NHSScotland Patient Access Scheme
(PAS) arrangements delivering the cost-effectiveness results upon which the decision was
based, or PAS/ list prices that are equivalent or lower.

Medicine details

Medicine name:
alectinib hydrochloride (Alecensa)
SMC ID:
SMC2749
Indication:

Monotherapy as adjuvant treatment for adult patients with Stage IB (tumours ≥ 4cm) to IIIA (7th edition of the UICC/AJCC-staging system) anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) following complete tumour resection.

Pharmaceutical company
Roche
BNF chapter
Malignant disease and immunosuppression
Submission type
Full
Status
Accepted
Date advice published
07 April 2025