NICE issues negative ACD for Piqray for advanced breast cancer patients

1 April 2022

The UK health technology assessor the National Institute for Health and Care Excellence on Thursday advised the National Health Service in England to not provide Novartis' (NOVN: VX) Piqray (alpelisib) with fulvestrant to post-menopausal women and men with a certain type of advanced breast cancer.

Even though indirect comparisons suggested that Piqray-based treatment may be more effective than Novartis' Afinitor (everolimus) with exemestane, which is currently the only option for NHS patients at this stage, the committee said it saw no direct evidence in favor of the Piqray-based regimen when comparing it against this standard treatment. The decision is open for public comment until April 21.

Novartis' list price is £4,082.14 ($5,365.18) per 56-pack of 150mg Piqray tablets. The average cost of a course of Piqray-fulvestrant combination treatment has a list price is £6,170.70 for the loading dose and £5,126.42 for subsequent cycles.

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