Advice

Following a full submission

mitotane (Lysodren) is not recommended for use within NHS Scotland for the symptomatic treatment of advanced (unresectable, metastatic or relapsed) adrenal cortical carcinoma. The effect of mitotane on non-functional adrenal cortical carcinoma is not established.

Mitotane relieves the symptoms of advanced adrenal cortical carcinoma, but there is insufficient evidence to support an increase in survival. The economic case has not been demonstrated.

Mitotane should be used only within the context of clinical trials

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Medicine details

Medicine name:
mitotane 500 mg tablets (Lysodren)
SMC ID:
328/06
Indication:
Advanced (unresectable, metastatic or relapsed) adrenal cortical carcinoma
Pharmaceutical company
Laboratoire HRA Pharma
BNF chapter
Malignant disease and immunosuppression
Submission type
Full
Status
Not recommended
Date advice published
11 December 2006