Advice

following a full submission assessed under the end-of-life and ultra-orphan medicine process:

brigatinib (Alunbrig®) is accepted for use within NHSScotland.

Indication under review: as monotherapy for the treatment of adult patients with anaplastic lymphoma kinase (ALK) positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib.

Brigatinib was associated with an objective response rate of 56% in a single-arm, open-label, phase II study in patients with ALK-positive NSCLC who had progressed on first-line targeted treatment with crizotinib.

This SMC advice takes account of the benefits of a Patient Access Scheme (PAS) that improves the cost-effectiveness of brigatinib. This advice is contingent upon the continuing availability of the PAS in NHS Scotland or a list price that is equivalent or lower.

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

Medicine details

Medicine name:
brigatinib (Alunbrig)
SMC ID:
SMC2147
Indication:

as monotherapy for the treatment of adult patients with anaplastic lymphoma kinase positive (ALK+) advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib

Pharmaceutical company
Takeda UK Ltd
BNF chapter
Malignant disease and immunosuppression
Submission type
Full
Status
Accepted
Date advice published
10 June 2019