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
- 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. 
- RAVICTI has shown itself to be non-inferior to AMMONAPS (sodium phenylbutyrate) for controlling plasma ammonia concentration in children and adults, 
- Its safety profile is characterised by gastrointestinal disorders: diarrhoea, flatulence, abdominal pain, vomiting, dyspepsia, abdominal discomfort, nausea and oral discomfort. 
Clinical Benefit
| Substantial | - | 
Clinical Added Value
| no clinical added value | - | 
 
	 
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