Advice

following a full submission assessed under the orphan equivalent medicine process:

isatuximab (Sarclisa®) is accepted for use within NHSScotland.

Indication under review: in combination with bortezomib, lenalidomide, and dexamethasone, for the treatment of adult patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant.

In a phase III study of patients with newly diagnosed multiple myeloma ineligible for autologous stem cell transplant, the addition of isatuximab to bortezomib, lenalidomide, and dexamethasone significantly improved progression-free survival.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:
isatuximab (Sarclisa)
SMC ID:
SMC2804
Indication:

In combination with bortezomib, lenalidomide, and dexamethasone, for the treatment of adult patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant (ASCT).

Pharmaceutical company
Sanofi
BNF chapter
Malignant disease and immunosuppression
Submission type
Full
Status
Accepted
Date advice published
10 November 2025