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New HTA Decisions in France
December 2021
Drug name
ORLADEYO® (berotralstat)
Company
BioCryst Pharmaceuticals
Decision date
03/11/2021
Therapeutic area
Genetic conditions
Therapeutic sub area
Genetic conditions: general and other
Official notice date
08/12/2021
Reimbursement %
35%
Decision (SMR)
Moderate
Decision (ASMR)
No improvement (V)
Indication
ORLADEYO® is indicated for the routine prevention of recurrent attacks of hereditary angioedema (HAE) in adults and adolescents 12 years and older (2nd line treatment).
Decision (SMR)
Insufficient to justify reimbursement
Decision (ASMR)
No improvement (V)
Indication
ORLADEYO® is indicated for the routine prevention of recurrent attacks of hereditary angioedema (HAE) in adults and adolescents 12 years and older (1st line treatment).
Decision Type
New technology assessment
Summary
Considering the potential severity of the condition, the good benefit-risk profile of ORLADEYO®, the alternatives available, the place of ORLADEYO® in the therapeutic strategy, and the unlikely impact of ORLADEYO® on public health, the committee considered the actual benefit of ORLADEYO® to be ‘moderate’ in the indication of the Marketing Authorisation, but only as a 2nd line treatment- proposing a reimbursement rate of 35%. Furthermore, given the demonstrated clinical efficacy of ORLADEYO® versus placebo, the tolerance profile, the medical need already covered by the existence of alternatives, and the absence of comparative data on drugs used as 2nd line treatment, the committee considered that ORLADEYO® provides no improvement in actual benefit (ASMR V) in this indication. It was concluded that the target population for ORLADEYO® is estimated to be between 150 and 300 people.