20 May 2016 - NICE has recommended Novartis's Zykadia (ceritinib) for lung cancer in final guidance, after the manufacturer agreed to supply the drug at a discount to the National Health Service.
NICE said Zykadia is recommended in line with its marketing authorisation, as an option for advanced anaplastic lymphoma kinase positive non-small cell lung cancer in adults who have previously had Pfizer's Xalkori (crizotinib). Final guidance is expected to be published in June.
According to NICE, the list price is £4,923 for a 30-day supply, but Novartis has agreed a commercially confidential discount.
Without the discount, NICE said the cost per Quality Adjusted Life Year (QALY) was almost £80,000, but with the discount agreed in a patient access scheme the cost fell below £50,000 per QALY.
NICE is willing to accept this cost, which is still higher than its £30,000 per QALY threshold above which it usually rejects drugs, because end-of-life criteria were met.