Reason for request

Reassessment

Summary of opinion  

Favourable opinion for maintenance of reimbursement only in the treatment of HR-positive/HER2-negative locally advanced or metastatic breast cancer in postmenopausal women without short-term life-threatening symptomatic visceral involvement:

  • in combination with fulvestrant, as first-line treatment of metastatic disease in women in early relapse following adjuvant endocrine therapy, or as second-line treatment of metastatic disease following a first line of endocrine therapy;
  • in combination with an NSAI (letrozole or anastrozole) as first-line treatment ofmetastatic disease, either in women with cancer diagnosed at an advanced stage, or in women with late relapse following adjuvant endocrine therapy.

Clinical Benefit

Substantial

The clinical benefit of VERZENIOS 50, 100 and 150 mg (abemaciclib) film-coated tablets remains substantial:

  • in combination with fulvestrant in postmenopausal women with HR-positive / HER2-negative locally advanced or metastatic breast cancer, without short-term life-threatening symptomatic visceral involvement, as first-line treatment of metastatic disease in women in early relapse following adjuvant endocrine therapy, or as second-line treatment of metastatic disease following a first line of endocrine therapy.

  • in combination with an NSAI (letrozole or anastrozole) in postmenopausal women with HR-positive / HER2-negative locally advanced or metastatic breast cancer, without short-term life-threatening symptomatic visceral involvement, as first-line treatment of metastatic disease, either in women with cancer diagnosed at an advanced stage, or in women with late relapse following adjuvant endocrine therapy.


Clinical Added Value

moderate

VERZENIOS (abemaciclib) in combination with fulvestrant provides a moderate clinical added value (CAV III) compared to fulvestrant alone 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 first-line treatment of metastatic disease in women in early relapse following adjuvant endocrine therapy, or as second-line treatment of metastatic disease following a first line of endocrine therapy.

VERZENIOS (abemaciclib) in combination with letrozole or anastrozole provides a minor clinical added value (CAV IV) compared to letrozole or anastrozole alone 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 first-line treatment of metastatic disease, either in women with cancer diagnosed at an advanced stage, or in women with late relapse following adjuvant endocrine therapy.


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