Advice

following a resubmission assessed under the end of life medicine process:

durvalumab (Imfinzi®) is accepted for use within NHSScotland.

Indication under review: In combination with tremelimumab for the first-line treatment of adults with advanced or unresectable hepatocellular carcinoma (HCC).

In an open-label phase III study durvalumab in combination with tremelimumab was associated with statistically significant improvements in overall survival compared with a multikinase inhibitor.

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.

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

Medicine details

Medicine name:
durvalumab (Imfinzi)
SMC ID:
SMC2857
Indication:

In combination with tremelimumab for the first line treatment of adults with advanced or unresectable hepatocellular carcinoma.

Pharmaceutical company
AstraZeneca UK Ltd
BNF chapter
Malignant disease and immunosuppression
Submission type
Resubmission
Status
Accepted
Date advice published
10 November 2025