Advice

following a full submission assessed under the end of life and orphan equivalent medicine process:

trifluridine/tipiracil (Lonsurf®) is accepted for use within NHSScotland.

Indication under review: in combination with bevacizumab for the treatment of adult patients with metastatic colorectal cancer (CRC) who have received two prior anticancer treatment regimens including fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapies, anti-VEGF agents, and/or anti-EGFR agents.

In an open-label, randomised phase III study, the addition of bevacizumab to trifluridine/tipiracil was associated with significant improvements in overall survival.

This advice applies only in the context of approved NHSScotland Patient Access Scheme (PAS) arrangements delivering the cost-effectiveness results upon which the decision was based, or PAS/ list prices that are equivalent or lower.

This advice takes account of the views from a Patient and Clinician Engagement (PACE) meeting.

Medicine details

Medicine name:
trifluridine tipiracil (Lonsurf)
SMC ID:
SMC2654
Indication:

In combination with bevacizumab for the treatment of adult patients with metastatic colorectal cancer (CRC) who have received two prior anticancer treatment regimens including fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapies, anti-VEGF agents, and/or anti-EGFR agents.

Pharmaceutical company
Servier Laboratories Ltd
BNF chapter
Malignant disease and immunosuppression
Submission type
Full
Status
Accepted
Date advice published
12 August 2024