The German Institute for Quality and Efficiency in Health Care (IQWiG) has assessed documents subsequently submitted by the drug manufacturer in the commenting procedure on the dossier assessment of the fixed-dose drug combination of ledipasvir and sofosbuvir (trade name: Harvoni). According to the findings, a hint of a non-quantifiable added benefit for a further patient group can be derived from this additional information.

This patient group consists of treatment-naive or pretreated patients with hepatitis C virus (HCV) infection of genotype 1 who are also infected with HIV, but have not yet developed cirrhosis of the liver. For genotype 1 patients (without cirrhosis) who have no HIV coinfection, IQWiG had already determined an added benefit in the dossier assessment.

In the commenting procedure, the pharmaceutical company had submitted further documents on a total of five studies to the G-BA. In comparison with the dossier assessment, this additional information changed the result for one of the seven patient groups differentiated by the G-BA: It shows that the results on the outcome “sustained virologic response” (SVR) for patients without HIV coinfection are transferable to patients with HIV coinfection. However, this only applies if these patients have not yet developed cirrhosis of the liver. For patients with cirrhosis of the liver, sufficient and evaluable data are still not available.

For more details, go to: https://www.iqwig.de/en/press/press-releases/press-releases/ledipasvir-plus-sofosbuvir-hint-of-added-benefit-in-further-patient-group.6712.html