Reason for request

Reassessment

Summary of opinion

Favourable opinion for reimbursement in the “treatment of severe, chronic pain in adults who require intrathecal (IT) analgesia”.


Clinical Benefit

Moderate

The clinical benefit of PRIALT 100 mcg/mL (ziconotide) solution for infusion is moderate in the MA indication.


Clinical Added Value

no clinical added value

Considering:

  • the known analgesic properties of ziconotide and clinical data suggestive of the efficacy of the product in the management of severe pain,
  • the potential impact of this non-opioid analgesic on the care or life pathway of patients requiring intrathecal analgesia,
  • the lack of clinical data enabling a conclusion to be reached with respect to the superiority of ziconotide in terms of efficacy and/or safety compared to the analgesics used in the management of severe, chronic pain,
  • the need for hospital management to initiate treatment and close monitoring of the patient by a physician experienced in the intrathecal administration of ziconotide,

the Committee deems that PRIALT 100 mcg/mL (ziconotide) solution for infusion provides no clinical added value (CAV V) in the care pathway for the treatment of severe, chronic pain in adults who require intrathecal analgesia, particularly with opioids.


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