Reason for request

Indication extension

Key points

Favourable opinion for reimbursement in the MA indication extension: “This medicinal product is for diagnostic use only.

RADELUMIN is indicated for the detection of prostate-specific membrane antigen (PSMA) positive lesions with positron emission tomography (PET) in adults with prostate cancer (PCa) [in the following clinical setting]: Primary staging of patients with high-risk PCa prior to primary curative therapy, […]”.


Clinical Benefit

Substantial

The Committee deems that the clinical benefit of RADELUMIN ([18F] PSMA-1007) solution for injection is substantial in the MA indication: “[…] for the detection of prostate-specific membrane antigen (PSMA) positive lesions with positron emission tomography (PET) in adults with prostate cancer (PCa) in [the following clinical setting]: Primary staging of patients with high-risk PCa prior to primary curative therapy, […]”.


Clinical Added Value

no clinical added value

Considering:

  • the diagnostic performance data with [18F] PSMA-1007 PET in five studies (from a review of the literature) retained for analysis and the absence of robust data relative to the impact on patient management,
  • the absence of evidence of an impact on mortality, morbidity or quality of life,
  • its satisfactory safety profile,
  • the medical need which remains partially met,

The Committee deems that RADELUMIN ([18F] PSMA-1007) solution for injection provides no clinical added value (CAV V) in the diagnostic strategy for prostate cancer, in the following clinical situation: primary staging of patients with high-risk PCa prior to primary curative therapy.


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