In an about turn, UK drugs watchdog the National Institute for Health and Care Excellence (NICE) has today issued a Final Appraisal Determination (FAD) recommending Japanese drug major Astellas Pharma’s (TYO: 4503) Xtandi (enzalutamide) as an option for the treatment of metastatic hormone-relapsed prostate cancer in adults whose disease has progressed during or after docetaxel containing chemotherapy.
This announcement follows issuance of a first Appraisal Consultation Document (ACD) in October 2013ii and a second one in January 2014.The latter ACD included a restriction on the use of enzalutamide post-abiraterone,which, following consultation, has been removed, noted Astellas.
Decision based on new observations
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