NICE single technology appraisal Flashcards
when are technology appraisals needed
for the use of new and existing medicines
what are the 3 forms of technology appraisals
- single technology appraisal
- fast track appraisal
- multiple technology appraisal
what is single technology appraisal
covers single technology for a single indication for example 40-49 weeks
what is a fast track appraisal
covers single technology but with a shorter process time to speed up access to cost effective drugs
what is multiple appraisal
covers more than one technology for a longer indication 47-60 weeks
how do NICE classify recommendations for technology appraisals
- recommended
- optimised
- only in research
- not recommended
- recommended for use in cancer drugs fund
what is the cancer drugs fund
the criteria for routine comlsslon despite remaining clinical uncertainty. The committee must decide if criteria Is met :
1. likely cost - effective at current price
- further data collection will reduce clinical uncertainty
- ongoing studies provide useful data
- treatment is feasible
venetoclax is used to treat
chronic lymphocytic leukaemia
what does chronic lymphocytic leukaemia
anaemia, swollen lymph nodes, spleen enlargement, unexplained weight loss
an individual is defined as ‘high risk’ if they have
- TP53 mutation
- 17p deletion
- diseases relapses after chemotherapy
how does venetoclax works
selective small molecule Inhibitor of B- cell lymphoma 2 , anti-apoptotic protein overexpressed
how is venetoclax market authorised
in the absence of MD deletion /TP53 mutation in adults who have failed chemo - immunotherapy and a B- cell receptor
pathway inhibitor