Ibrutinib

BNF:
Immune System & Malignant Disease
Status:
Do Not Prescribe (DNP), Red
Decision Date:
None
 

Comments

RED:

  • NICE TA429: for previously treated chronic lymphocytic leukaemia and untreated chronic lymphocytic leukaemia with 17p deletion or TP53 mutation (decision date - Feb 2017)
  • NICE TA491: Ibrutinib for treating Waldenstrom's macroglobulinaemia (decision date - Dec 2017)
  • NICE TA502: Ibrutinib for treating relapsed or refractory mantle cell lymphoma. (Decision date - February 2018)
  • NICE TA891 - Ibrutinib with venetoclax for untreated chronic lymphocytic leukaemia. (Decision date – June 2023)

DO NOT PRESCRIBE (DNP):
  • NICE TA437: Ibrutinib with bendamustine and rituximab for treating relapsed or refractory chronic lymphocytic leukaemia after systemic therapy (terminated appraisal) (decision date - April 2017)
  • NICE TA452: Ibrutinib for untreated chronic lymphocytic leukaemia without a 17p deletion or TP53 mutation (terminated appraisal) (decision date - Aug 2017)
  • NICE TA608: Ibrutinib with rituximab for treating Waldenstrom's macroglobulinaemia. (Terminated appraisal) (Decision date - December 2019)
  • NICE TA702 - Ibrutinib with obinutuzumab for untreated chronic lymphocytic leukaemia and small lymphocytic lymphoma (terminated appraisal) (Decision date - July 2021)
  • NICE TA703 - Ibrutinib with rituximab for untreated chronic lymphocytic leukaemia (terminated appraisal) (Decision date - July 2021)
  • NICE TA795 - Ibrutinib for treating Waldenstrom’s macroglobulinaemia. NHSE commissioned. (Decision date - July 2022)


Black Drug Classifications

  • 6: Have NICE guidance that recommends they should not be used

Red Drug Classifications

  • 1: Requiring specialist assessment to enable patient selection, initiation and ongoing treating
  • 2: Requiring long term on-going monitoring of efficacy by a specialist and not suitable for shared care
  • 3: Requiring long term on-going monitoring of toxicity by a specialist (either because of difficulty in recognising side effects or high cost of investigations to identify toxicity)

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