Ultra Orphan Assessment

The Scottish Medicines Consortium (SMC) has completed its initial assessment of the evidence for the above product using the ultra-orphan framework:

Indication under review: for the treatment of transfusion-dependent beta-thalassemia in patients 12 years of age and older for whom haematopoietic stem cell transplantation is appropriate and a human leukocyte antigen matched related haematopoietic stem cell donor is not available.

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From 19 June, 2025 exagamglogene autotemcel (exa-cel) (Casgevy®) can be prescribed within the ultra-orphan pathway while further evidence on its effectiveness is generated. At the end of the data collection period, the company will provide an updated submission for reassessment to allow a decision on its routine use in NHSScotland.

Medicine details

Medicine name:
exagamglogene autotemcel (exa-cel) (Casgevy)
SMC ID:
SMC2709
Indication:

For the treatment of transfusion-dependent β-thalassaemia in patients 12 years of age and older for whom haematopoietic stem cell transplantation is appropriate and a human leukocyte antigen (HLA)-matched related haematopoietic stem cell (HSC) donor is not available.

Pharmaceutical company
Vertex Pharmaceuticals Ltd
BNF chapter
Nutrition and blood
Submission type
Ultra-orphan initial assessment
Date Published
12 May 2025