Advice

following a full submission:

ixekizumab (Taltz®) is not recommended for use within NHSScotland.

Indication under review:

Ankylosing spondyloarthritis (radiographic axial spondyloarthritis)

Treatment of adult patients with active ankylosing spondylitis who have responded inadequately to conventional therapy.

Non-radiographic axial spondyloarthritis

Treatment of adult patients with active non-radiographic axial spondyloarthritis with objective signs of inflammation as indicated by elevated C-reactive protein (CRP) and/or magnetic resonance imaging (MRI) who have responded inadequately to nonsteroidal anti-inflammatory drugs (NSAIDs).

In three phase III studies, ixekizumab, compared with placebo, significantly improved symptoms of active radiographic and non-radiographic axial spondyloarthritis (axSpA) in patients who had not previously received biologic medicines, and in patients with active radiographic axSpA who had an inadequate response or intolerance to TNF-alpha inhibitors.

The submitting company did not present a sufficiently robust economic analysis to gain acceptance by SMC.

Medicine details

Medicine name:
ixekizumab (Taltz)
SMC ID:
SMC2440
Indication:

For treatment of adult patients with active radiographic axial spondyloarthritis (rad-axSpA; also known as ankylosing spondylitis [AS] in the literature) who have responded inadequately to conventional therapy and adult patients with active non-radiographic axial spondyloarthritis (nr-axSpA) with objective signs of inflammation as indicated by elevated C-reactive protein (CRP) and/or magnetic resonance imaging (MRI) who have responded inadequately to nonsteroidal anti-inflammatory drugs (NSAIDs).

Pharmaceutical company
Eli Lilly and Company Ltd
BNF chapter
Musculoskeletal and joint diseases
Submission type
Full
Status
Not recommended
Date advice published
13 June 2022