GRANUPAS (para-aminosalicylic acid), antituberculosis agent

INFECTIOUS DISEASES - New medicinal product
Opinions on drugs - Posted on Jan 21 2015

Reason for request

Inclusion

Minor clinical added value in combination with other antituberculosis agents in multidrug resistant tuberculosis when compared with the usual treatment

 

  • GRANUPAS has Marketing Authorisation for multidrug resistant tuberculosis in combination with other antituberculosis agents. This is the first medicinal product with this indication.
  • The WHO has included it in the treatment strategy for multidrug resistant tuberculosis in combination with several second-line antituberculosis agents.
  • The evidence for its efficacy is based on a long experience in tuberculosis treatment and on the follow-up of a non-comparative cohort. The adverse effects, for the most part gastrointestinal or cutaneous, are not of a serious nature.

Clinical Benefit

Substantial

Substancial.


Clinical Added Value

minor
Due to great need but poorly demonstrated efficacy in the treatment of MDR-TB, GRANUPAS (para-aminosalicylic acid) in combination with other TB medicines provides a minor improvement in actual benefit (level IV) in the treatment strategy for these patients.