Cases / 2020-12-01-D-614
completed2020-12-01D series

Nusinersen

Überschreitung 50 Mio € Grenze: Spinale Muskelatrophie

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Brand
Spinraza
Manufacturer
Biogen GmbH

G-BA action

final resolution

2021-05-20

Arzneimittel-Richtlinie/Anlage XII: Nusinersen (Neubewertung eines Orphan Drugs nach Überschreitung der 50 Mio. Euro-Grenze: Spinale Muskelatrophie)

Evidence-checked summary

The G-BA found an indication of major added benefit for Patienten mit 5q-assoziierter spinaler Muskelatrophie (5q-SMA) Typ 1:. The appropriate comparator was BSC. The G-BA found a hint of considerable added benefit for Patienten mit 5q-SMA Typ 2. The appropriate comparator was BSC. The G-BA found no proven added benefit for Patienten mit 5q-SMA Typ 3 / 4. The appropriate comparator was BSC. The G-BA found a hint of major added benefit for präsymptomatische Patienten mit 5q-SMA und 2 SMN2-Genkopien. The appropriate comparator was BSC. The G-BA found a hint of non-quantifiable added benefit for präsymptomatische Patienten mit 5q-SMA und 3 SMN2-Genkopien. The appropriate comparator was BSC. The G-BA found no proven added benefit for präsymptomatische Patienten mit 5q-SMA und mehr als 3 SMN2-Genkopien. The appropriate comparator was BSC. The G-BA issued a final resolution on 2021-05-20. The official page states that it took effect as follows: 20.05.2021. The page lists Arzneimittel-Richtlinie as the normative target.

This is the latest validated public action attached to this case. It is separate from the IQWiG assessment result.

Final benefit result

G-BA result by patient group

Open decision 4835 →

Patient group a

Patienten mit 5q-assoziierter spinaler Muskelatrophie (5q-SMA) Typ 1:

Indication of major added benefit

Comparator
BSC

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Patient group d1

präsymptomatische Patienten mit 5q-SMA und 2 SMN2-Genkopien

Hint of major added benefit

Comparator
BSC

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Patient group d2

präsymptomatische Patienten mit 5q-SMA und 3 SMN2-Genkopien

Hint of non quantifiable added benefit

Comparator
BSC

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Patient group d3

präsymptomatische Patienten mit 5q-SMA und mehr als 3 SMN2-Genkopien

Added benefit not proven

Comparator
BSC

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Official case record

What happened, in source order

No inferred stages

Consultation record

Oral hearing and Wortprotokoll

1 hearing

2021-04-06

190 parsed turns

Oral hearing: Nusinersen (Überschreitung 50 Mio € Grenze: Spinale Muskelatrophie)

Official Wortprotokoll · 23 pages

IQWiG comparison

Assessment record versus G-BA action

1 reference

IQWiG assessment findings and the later G-BA action are separate records. Open both to compare them.

A20-114

matched

Nusinersen (spinal muscular atrophy) - Benefit assessment according to §35a Social Code Book V

Official assessment PDF · 138 pages

G-BA decisions

Distinct actions and documents

1 decision

2021-05-20

final resolution

Arzneimittel-Richtlinie/Anlage XII: Nusinersen (Neubewertung eines Orphan Drugs nach Überschreitung der 50 Mio. Euro-Grenze: Spinale Muskelatrophie)

The G-BA found an indication of major added benefit for Patienten mit 5q-assoziierter spinaler Muskelatrophie (5q-SMA) Typ 1:. The appropriate comparator was BSC. The G-BA found a hint of considerable added benefit for Patienten mit 5q-SMA Typ 2. The appropriate comparator was BSC. The G-BA found no proven added benefit for Patienten mit 5q-SMA Typ 3 / 4. The appropriate comparator was BSC. The G-BA found a hint of major added benefit for präsymptomatische Patienten mit 5q-SMA und 2 SMN2-Genkopien. The appropriate comparator was BSC. The G-BA found a hint of non-quantifiable added benefit for präsymptomatische Patienten mit 5q-SMA und 3 SMN2-Genkopien. The appropriate comparator was BSC. The G-BA found no proven added benefit for präsymptomatische Patienten mit 5q-SMA und mehr als 3 SMN2-Genkopien. The appropriate comparator was BSC. The G-BA issued a final resolution on 2021-05-20. The official page states that it took effect as follows: 20.05.2021. The page lists Arzneimittel-Richtlinie as the normative target.

3 official documents · 9 cited claims

Official sources

Case document package

9 source
Generic graph relations · 6