RAVICTI (glycerol phenylbutyrate), digestive tract and metabolism medicinal product
Reason for request
High clinical benefit in urea cycle disorders, but no demonstrated clinical value over AMMONAPS
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RAVICTI oral solution has been granted marketing authorisation for the treatment of urea cycle disordersinvolving deficiency in carbamyl-phosphate synthase I, ornithine, carbamoyl transferase, argininosuccinate synthetase, argininosuccinate lyase, arginase I and ornithine translocase, hyperornithinaemia-hyperammonaemia-homocitrullinuria syndrome, that cannot be managed exclusively by a low-protein diet and/or by amino acid supplementation.
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RAVICTI has shown itself to be non-inferior to AMMONAPS (sodium phenylbutyrate) for controlling plasma ammonia concentration in children and adults,
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Its safety profile is characterised by gastrointestinal disorders: diarrhoea, flatulence, abdominal pain, vomiting, dyspepsia, abdominal discomfort, nausea and oral discomfort.
Clinical Benefit
| Substantial |
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Clinical Added Value
| no clinical added value |
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