Reason for request

Indication extension

Summary of opinion

Favourable opinion for reimbursement in “the treatment of Human Immunodeficiency Virus type 1 (HIV-1) infected children at least 3 months of age and weighing at least 6 kg to less than 25 kg, not carrying the HLAB*5701 allele and with no evidence of previous or current resistance to any of the antiretroviral classes represented in the dolutegravir/ abacavir/lamivudine fixed-dose combination, i.e. integrase inhibitors (INIs) and nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs)”.


Clinical Benefit

Substantial

The clinical benefit of TRIUMEQ (dolutegravir/abacavir/lamivudine) 5 mg/60 mg/30 mg dispersible tablets is substantial only in the treatment of children at least 3 months of age weighing from 6 kg to less than 14 kg with HIV-1 infection not carrying the HLAB*5701 allele and in whom the virus has no mutations leading to resistance to integrase inhibitors (INIs) and nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs).


Clinical Added Value

no clinical added value

Considering:

  • very limited efficacy and safety data in children based almost exclusively on extrapolation of the results observed in adults and adolescents,
  • the available data (phase 1/2 study) in children weighing at least 6 kg to less than 14 kg with HIV infection, suggesting an efficacy and safety profile comparable to that described in adults and adolescents,
  • its good safety, good palatability and ease of administration (dosing without requirements in terms of food),

the Committee deems that TRIUMEQ (dolutegravir/abacavir/lamivudine) 5 mg/60 mg/30 mg dispersible tablets provides no clinical added value (CAV V) compared to separate doses of the different components of the fixed-dose combination in children at least 3 months of age weighing from 6 kg to less than 14 kg with HIV-1 infection not carrying the HLAB*5701 allele and in whom the virus has no mutations leading to resistance to integrase inhibitors (INIs) and nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs). 


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