RAVICTI (glycerol phenylbutyrate), digestive tract and metabolism medicinal product

RARE DISEASE - New medicinal product
Opinions on drugs - Posted on Oct 24 2018

Reason for request

Inclusion

High clinical benefit in urea cycle disorders, but no demonstrated clinical value over AMMONAPS

 

  • RAVICTI oral solution has been granted marketing authorisation for the treatment of urea cycle disordersinvolving deficiency in carbamyl-phosphate synthase I, ornithine, carbamoyl transferase, argininosuccinate synthetase, argininosuccinate lyase, arginase I and ornithine translocase, hyperornithinaemia-hyperammonaemia-homocitrullinuria syndrome, that cannot be managed exclusively by a low-protein diet and/or by amino acid supplementation.

  • RAVICTI has shown itself to be non-inferior to AMMONAPS (sodium phenylbutyrate) for controlling plasma ammonia concentration in children and adults,

  • Its safety profile is characterised by gastrointestinal disorders: diarrhoea, flatulence, abdominal pain, vomiting, dyspepsia, abdominal discomfort, nausea and oral discomfort.

 

 


Clinical Benefit

Substantial

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Clinical Added Value

no clinical added value

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