Advice

following a full submission under the orphan medicine process:

chlormethine hydrochloride (Ledaga®) is accepted for use within NHSScotland.

Indication under review: for the topical treatment of mycosis fungoides-type cutaneous T-cell lymphoma (MF-type CTCL) in adult patients.

In a single-blind, randomised, phase II study, chlormethine gel was non-inferior to a compounded chlormethine ointment based on ≥50% improvement in Composite Assessment of Index Lesion Severity (CAILS) score confirmed after 4 weeks.

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

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

Medicine details

Medicine name:
chlormethine hydrochloride (Ledaga)
SMC ID:
SMC2318
Indication:

Topical treatment of mycosis fungoides-type cutaneous T-cell lymphoma (MF-type CTCL) in adult patients.

Pharmaceutical company
Recordati Pharmaceuticals
BNF chapter
Skin
Submission type
Full
Status
Accepted
Date advice published
10 May 2021