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.

________________________________________________________________________________________________________________________________________

Scottish Government Medicines Policy Branch will notify Health Boards when this medicine is available for prescribing within the ultra-orphan pathway.  Meantime any requests to access treatment should be considered through local non-formulary processes.

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