Recommendations made by the PBAC - July 2019

PBAC

23 August 2019 - The recommendations from the July 2019 PBAC meeting are now available.

Submissions

  • 57 submissions were considered by the PBAC; 55 relate to the listing of a medicine or medicinal preparation on the Pharmaceutical Benefits Scheme; the remaining two submissions relates to the listing of a vaccine on the National Immunisation Program
  • 30 (53%) were major submissions
  • 40 (69%) were initial submissions and 17 (31%) were resubmissions
  • 13 (23%) submissions were for a ‘new (single entity) medicine’
  • 20 (35%) submissions were for a cancer medicine
  • 12 (21%) submissions included a CEA/CUA. The type of economic evaluation in some submissions is as yet unknown.
  • One submission was withdrawn
  • The PBAC considered a minor submission that was not included in the published agenda

Outcomes

  • The 57 submissions yielded 72 outcomes;40 (56%) recommendations, 23 (33%) rejections & 9 (13%) deferrals. Insofar as some submissions included multiple requests; the number of outcomes exceeds the number of submissions.
  • Only 3 (23%) of the 13 submissions for a new medicine were recommended
  • The 20 submissions for a cancer medicine yielded 27 outcomes; 14 recommendations, 12 rejections and 1 deferral

Of note

  • Two medicines were recommended on the basis of a comparison with a lowest cost alternative
  • The PBAC considered six submissions for a PD-1/PD-L1 inhibitor; only one was recommended (pembrolizumab)
  • The PBAC recommended the listing of Eli Lilly’s new calcitonin gene-related peptide (CGRP) receptor antagonist galcanezumab (Emgality) after just one submission; Novartis’s CGRP receptor antagonist erenumab (Aimovig) is languishing after two rejections

Read PBAC outcomes

Michael Wonder

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Michael Wonder