Reason for request

Reassessment at pharmaceutical company’s request

Summary of opinion

Favourable opinion for maintenance of reimbursement of KISQALI (ribociclib) in the treatment of HR-positive/HER2-negative locally advanced or metastatic breast cancer in the absence of short-term life-threatening symptomatic visceral involvement:

  • in combination with fulvestrant in postmenopausal women, as initial endocrine-based therapy, or after prior endocrine therapy,
  • in combination with a nonsteroidal aromatase inhibitor (letrozole or anastrozole) and an LHRH agonist in premenopausal women as initial endocrine-based therapy.

Clinical Benefit

Substantial

The clinical benefit of KISQALI 200 mg (ribociclib) film-coated tablet remains substantial:

  • in combination with fulvestrant in the treatment of postmenopausal women with HR-positive, HER2-negative locally advanced or metastatic breast cancer, without short-term life-threatening symptomatic visceral involvement, as initial endocrine-based therapy, or following prior endocrine therapy.
  • in combination with a nonsteroidal aromatase inhibitor (letrozole or anastrozole) and an LHRH agonist in premenopausal women with HR-positive, HER2-negative locally advanced or metastatic breast cancer, without short-term life-threatening symptomatic visceral involvement, as initial endocrine-based therapy.


Clinical Added Value

moderate

KISQALI (ribociclib) in combination with fulvestrant provides a moderate clinical added value (CAV III) compared to fulvestrant alone in the first- or second-line endocrine therapy of RH positive, HER2-negative advanced breast cancer in postmenopausal women without short-term life-threatening symptomatic visceral involvement.

The addition of KISQALI to letrozole or anastrozole and an LHRH agonist provides a moderate clinical added value (CAV III) compared to the combination of a nonsteroidal aromatase inhibitor (letrozole or anastrozole) and an LHRH agonist in the first-line treatment of HR-positive, HER2-negative locally advanced or metastatic breast cancer, in premenopausal women without short-term life-threatening symptomatic visceral involvement.


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