The National Institute of Clinical Excellence (NICE), the rationing body for medical treatment under the UK's National Health Service in England and Wales, yesterday released a revised preliminary recommendation on the use of Danish insulin giant Novo Nordisk's Victoza (liraglutide) for patients with type 2 diabetes, following a second appraisal committee meeting held in April. Final guidance is expected as early as October this year.
Victoza is a once-daily injectable human GLP-1 analog licensed in Europe, the USA, Japan and India. It has been available in the UK since July 2009 for people with type 2 diabetes in combination with oral anti-diabetic tablets.
The newly revised preliminary recommendation maintains the positioning of liraglutide issued by the NICE in February this year. It also includes a recommendation that liraglutide 1.2mg daily is a clinically and cost-effective treatment option, for use in combination with one oral anti-diabetic tablet (metformin or a sulphonylurea) for treatment in people with type 2 diabetes if:
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