Advice

Following a resubmission:

ivacaftor (Kalydeco®) is not recommended for use within NHS Scotland.

Indication under review: treatment of cystic fibrosis (CF) in patients age 6 years and older who have a G551D mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene.

Ivacaftor has demonstrated superiority over placebo measured by absolute change in forced expiratory volume in one second (FEV1) % predicted in two phase III, double-blind randomised studies.

The submitting company’s justification of the treatment’s cost in relation to its health benefits was not sufficient and in addition the company did not present a sufficiently robust economic assessment to gain acceptance by SMC.

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Medicine details

Medicine name:
ivacaftor (Kalydeco)
SMC ID:
827/12
Indication:
For the treatment of cystic fibrosis (CF) in patients age 6 years and older who have a G551D mutation in the CFTR (cystic fibrosis transmembrane conductance regulator) gene.
Pharmaceutical company
Vertex Pharmaceuticals Ltd
BNF chapter
Respiratory system
Submission type
Resubmission
Status
Not recommended
Date advice published
10 June 2013