- National Institute for Health and Care Excellence (NICE) Published a Final Appraisal Determination (FAD) in a Multiple Technology Appraisal (MTA) That Also Includes a Review of cetuximab
- Vectibix® (panitumumab) and cetuximab Recommended by NICE for Previously Untreated RAS Wild-Type Metastatic Colorectal Cancer in Combination With FOLFOX or FOLFIRI
The National Institute for Health and Care Excellence (NICE) issued a Final Appraisal Determination (FAD) on 2 March recommending panitumumab as an option for patients with previously untreated, RAS wild-type metastatic colorectal cancer in adults in combination with the FOLFOX or FOLFIRI chemotherapy regimes. NICE evaluated the clinical and cost-effectiveness of panitumumab and cetuximab in the Multiple Technology Appraisal (MTA) and concluded that both are cost-effective use of NHS resources.
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Professor Richard Wilson, Professor of Cancer Medicine at Queen’s University Belfast said, “The overall 5-year survival rate for patients with metastatic colorectal cancer is around 10 percent, highlighting the need for targeted treatments like panitumumab to help patients. The assessment from NICE reinforces the importance of panitumumab with chemotherapy for patients in clinical practice, particularly for shrinking tumour tissue for surgical resection and slowing disease progression, which prolongs life and improves both symptoms and quality of life.”
The FAD recommends panitumumab within its marketing authorisation* and on the basis of the discounts agreed in the patient access scheme with NICE. Panitumumab is the only fully-human monoclonal anti-epidermal growth factor receptor (EGFR) antibody authorised for the treatment of wild-type RAS metastatic colorectal cancer.
“Through Amgen’s continued commitment and work with NICE, along with our partner’s and stakeholder’s determination, we are pleased that the treatment is now recommended, meaning that people will now be able to gain access to panitumumab on the NHS.” said Tony Patrikios, Executive Medical Director at Amgen UK. He added, “Previously, people were only able to access panitumumab through the Cancer Drugs Fund, subject to satisfying the eligibility criteria for the treatment.”
Colorectal cancer is the fourth most common cancer in the UK and accounts for 12 percent of all new cases of cancer. It is the third most common cancer found in both men and women. Colorectal cancer is the second most common cause of cancer deaths in the UK. With nearly 16,000 deaths a year, there still is a clear need for treatment options for patients. Approximately 25 percent of people with colorectal cancer have metastatic disease when first diagnosed, and approximately 50 percent of people who have surgery for early stage disease will eventually develop metastases.
The NICE FAD for panitumumab is published as a Multiple Technology Appraisal (MTA), which also includes cetuximab. Both treatments were recommended within their marketing authorisation, provided they meet the discounts agreed in their patient access schemes. The FAD is not NICE’s Final Guidance for panitumumab – it is expected to become Final Guidance to the NHS in England and Wales in April 2017.
*For first-line treatment, panitumumab is indicated for the treatment of adult patients with wild-type RAS metastatic colorectal cancer in combination with FOLFOX or FOLFIRI.
Please refer to the Summary of Product Characteristics for full European prescribing information: https://www.medicines.org.uk/emc/medicine/20528
About Vectibix® (panitumumab) in Europe
Panitumumab is a fully human anti-epidermal growth factor receptor (EGFR) antibody licensed by the European Commission (EC) for the treatment of wild-type RAS metastatic colorectal cancer (mCRC). The safety and efficacy of panitumumab have not been studied in patients with renal or hepatic impairment. Panitumumab was first authorised by the EC in December 2007 as a monotherapy for the treatment of patients with EGFR-expressing mCRC with non-mutated (wild-type) KRAS genes after failure of standard chemotherapy regimens.
In Europe, panitumumab is indicated for the treatment of adult patients with wild-type RAS mCRC:
- in first-line in combination with FOLFOX or FOLFIRI
- in second-line in combination with FOLFIRI for patients who have received first-line fluoropyrimidine-based chemotherapy (excluding irinotecan)
- as monotherapy after failure of fluoropyrimidine-, oxaliplatin-, and irinotecan-containing chemotherapy regimens
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