RAVICTI (glycerol phenylbutyrate), digestive tract and metabolism medicinal product
Reason for request
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 |
- |
Clinical Added Value
no clinical added value |
- |