Reason for request

Reassessment

Summary of opinion

Favourable opinion for maintenance of reimbursement as single disease modifying therapy in adults with highly active relapsing-remitting multiple sclerosis (RRMS) for the following patient groups:

  • Patients with highly active disease despite a full and adequate course of treatment with at least one disease modifying therapy,
  • Patients with rapidly evolving severe relapsing-remitting multiple sclerosis defined by 2 or more disabling relapses in one year, and with 1 or more Gadolinium-enhancing lesions on brain MRI or a significant increase in T2 lesion load as compared to a previous recent MRI.

Clinical Benefit

Substantial

The clinical benefit of TYSABRI (natalizumab) remains substantial in the MA indication.


Clinical Added Value

Comments without ASMR value

The Committee deems that the data provided in the context of this reassessment are not of a nature to modify the assessment of the clinical added value expressed in the previous opinions of 3 October 2018 and 8 September 2021.


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Évaluation des médicaments