Reason for request

Initial inclusion

Summary of opinion

Unfavourable opinion for reimbursement in the indication “in combination with dexamethasone, for the treatment of adult patients with multiple myeloma who have received at least three prior lines of therapies, whose disease is refractory to at least one proteasome inhibitor, one immunomodulatory agent, and one anti-CD38 monoclonal antibody, and who have demonstrated disease progression on or after the last therapy. For patients with a prior autologous stem cell transplantation, the time to progression should be at least 3 years from transplantation (see section 4.4 of the SPC).”


Clinical Benefit

Insufficient

The Committee deems that the clinical benefit of PEPAXTI (melphalan flufenamide) 20 mg powder for concentrate for solution for infusion is insufficient to justify public funding in the MA indication.


Clinical Added Value

Not applicable

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Évaluation des médicaments