KISQALI (ribociclib) - Breast cancer
Reason for 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:
|
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. |