following a full submission assessed under the orphan equivalent medicine process:
sodium thiosulfate (Pedmarqsi®) is accepted for use within NHSScotland.
Indication under review: for the prevention of ototoxicity induced by cisplatin chemotherapy in patients 1 month to <18 years of age with localised, non-metastatic, solid tumours.
In two randomised, open-label, phase III studies, sodium thiosulfate treatment resulted in statistically significant reductions in hearing loss induced by cisplatin chemotherapy in patients with localised, non-metastatic, solid tumours compared with best supportive care.
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:
 - sodium thiosulfate (Pedmarqsi)
 - SMC ID:
 - SMC2730
 - Indication:
 For the prevention of ototoxicity caused by cisplatin chemotherapy in patients 1 month to < 18 years of age with localised, non-metastatic, solid tumours.
- Pharmaceutical company
 - Norgine Ltd
 - BNF chapter
 - Ear, nose and oropharynx
 - Submission type
 - Full
 - Status
 - Accepted
 - Date advice published
 - 12 May 2025