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- 2026-05-08 13:04:41
- Company
- Discussion on whether Vabysmo benefit is possible
- by Eo, Yun-Ho Jul 04, 2023 05:37am
- Attention is focusing on whether Vabysmo, a macular degeneration treatment, will be able to be listed on the insurance benefit list. According to related industries, it is expected that Vabysmo, a Bispecific antibody treatment in Roche Korea, will be presented to the Drug Benefit Evaluation Committee this month (July). This drug passed the Drug Benefit Standards Subcommittee in May. Vabysmo, licensed as a treatment for neovascular or wet-related macular degeneration (nAMD) and vision damage by diabetic macular edema, is a new drug with a differentiated mechanism that targets both VEGF-A and Ang-2, the main path of disease. Based on the new mechanism, it is the first intraocular injection that enables administration every 4 months (16 weeks) through licensed clinical studies, and a small number of injections can reduce the patient's treatment burden. Vabysmo is administered in the recommended dose of 6 mg (0.05 ml) into the vitreous once a month (4 weeks) for the first 4 doses. After that, nAMD patients who do not have disease activity are administered once every 4 months (16 weeks). In patients with diabetic macular edema (DME), the administration interval can be increased to four weeks, extending up to four months (16 weeks), at the discretion of the medical staff. Vabysmo proved its validity through a total of four Phase 3 studies, including clinical studies related to nAMD treatment TENAYA and LUCERNE and clinical studies related to DME treatment YOSEMITE and RHINE studies. TENAYA and LUCERNE studies are Non-inferiority trials compared to Vabysmo and Eylea in nAMD treatment. As a result of the study, Babismo treatment at intervals of up to 4 months (16 weeks) in the first year of treatment showed Eylea at intervals of 2 months (8 weeks) and treatment and a mean level of vision improvement. In the first year of treatment, about 80% of the Vabysmo administration group maintained an administration interval of more than 3 months (12 weeks). In the recently released second year of treatment, more than 60% of patients maintained a four-month (16 weeks) administration interval, which was expected to provide continuous clinical benefits to patients.
- Opinion
- [Reporter’s View] Gvn't policies hinder KOR pharma growth
- by Lee, Tak-Sun Jul 04, 2023 05:37am
- It seems that the pro-business policy the new administration has been implementing to promote Korea’s industries is not benefiting the domestic pharmaceutical companies at all. Rather, the companies have expressed their regrets on how the authorities have been implementing policies that hinder their corporate activities, such as those that lower generic drug prices. Although the policy to reduce the price of generics has not been implemented yet, the industry believes the policy will surface with the release of the 2nd Comprehensive National Health Insurance Plan in the second half of this year. In particular, the drug price-reducing policy is expected to come to the fore because Professor Jinhyun from Seoul National University who has been at the forefront in arguing for generic drug price reductions, has been appointed the joint head of the 2nd Comprehensive National Health Insurance Plan Promotion Team with Korea’s 2nd Vice-Minister of Health and Welfare, Minsoo Park. Therefore, the industry also expressed concerns about the rumors that Vice Minister Park is revamping the drug pricing system to reduce the number of generic items on the market. All in all, it seems that a series of policies unfavorable to domestic pharmaceutical companies will be introduced to Korea in the near future, along with the reorganization of the generic drug pricing system, the complete revision of the actual transaction price discount system, and comparison with overseas generic drug prices. Therefore, it is only natural that domestic pharmaceutical companies are expressing their dissatisfaction regarding the changes being made. The companies have pointed out that the policies are in direct contrast to the government’s goal of becoming one of the 6 global biohealth powerhouses and developing two homegrown new blockbuster drugs that can bring in annual sales of over KRW 1 trillion in 5 years. The Korean pharmaceutical industry has constantly stressed that Korea’s generic drug industry is the driving force behind the self-sufficiency of Korea’s pharmaceutical market. Therefore, adopting a direct comparison model that compares Korea’s situation with other countries that gave way to cheap imported generics is illogical. Also, the companies implored that they cannot fund the long-term research and development required for the introduction of new blockbuster drugs if the government reduces the sales revenue from generic drugs, as it is the major driving force for R&D in most domestic pharmaceutical companies. Therefore, the Korean pharmaceutical industry plans to take action and relay its message on the need to protect the domestic industry before the government implements its generic drug price reform plan. Policies to reduce generic drug prices have been steadily proposed by every administration, regardless of their political tendencies, liberal or conservative. However, the impact made by the conservative governments has been stronger. One leading example is the lump-sum drug price cuts in 2012 made during the Lee Myung Bak administration. The industry, therefore, is more worried that the Yoon Suk Yeol administration will also come up with a policy similar to Lee’s lump sum drug price cut. Of course, the companies are also welcoming some policies that they have longed for, such as regulatory reform. However, most domestic pharmaceutical companies seem to believe that the positive effects of other policies are offset by the generic drug price cut that will inevitably affect most pharmaceutical companies. The Korean pharmaceutical industry is not understanding why the government is so obsessed with measures to reduce Korea’s drug use volume and generic drug prices. One official emphasized, “The company needs to first do well for it to pay the corporate taxes and contribute to the national wealth. However, domestic pharmaceutical companies are applied the lowest rate for corporate taxes due to low revenue. In this context, are policies that further reduce profit really right and necessary? With pharmaceutical companies that have no money to pay corporate taxes, and the unwavering government pushing to cut their profits, this reporter must ask, are pharmaceutical companies included in the government’s business-friendly policies?
- Company
- Forxiga expands its benefit through heart failure
- by Jung, Sae-Im Jul 04, 2023 05:36am
- Domestic and foreign cardiac societies recommend SGLT-2 for preserving exudation rates Forxiga, a blockbuster treatment with an annual prescription of 90 billion won, has expanded its scope to the entire heart failure. AstraZeneca Korea held a press conference at The Plaza Hotel in Jung-gu, Seoul on the 3rd to commemorate the expansion of chronic heart failure indications, including preservation of SGLT-2 inhibitor Forxiga ejection rate. At the meeting, Yoon Jong-chan, a professor of cardiology at Catholic University Seoul St. Mary's Hospital, and Oh Jae-won, a professor of cardiology at Yonsei University Severance Hospital, led by Kang Seok-min, chairman of the Korean Heart Failure Association (Cardiology at Severance Hospital). Heart failure is divided into reduction, mild reduction, and preservation according to the heart rate. Usually, less than 40% of the ejection rate is regarded as HFrEF, 41-49% as HFmrEF, and 50% or more as HFpEF. Unlike heart failure, which reduces the rate of exudation, there has been no suitable treatment for mild reduction and preservation of exudation. Many new drugs have challenged this area but failed clinical trials. SGLT-2 inhibitors have succeeded in advancing into exudate conservation heart failure. Following last year's SGLT-2 inhibitor Jardiance, Forxiga also secured the indication this year. With the expansion of this indication, Forxiga can be used in all chronic heart failure patients, including heart failure conservation at the rate of exudation. Phase 3 DELIVER study conducted by the company is a global phase 3 clinical trial that evaluates the effectiveness of Forxiga compared to placebo in heart failure patients with a withdrawal rate of more than 40% (hardness reduction-preservation) regardless of type 2 diabetes. Professor Oh Jae-won said, "About half of the patients without a history of type 2 diabetes were included, and relatively high-risk patients were included in the clinical trial, such as those who were hospitalized or have been hospitalized for heart failure. In addition, most of the patients were using various drugs, and at the time of registration of the study, patients with an improved exudation rate of more than 40% were also registered. " As a result of clinical trials, Forxiga reduced the risk of developing complex evaluation variables evaluated as cardiovascular death or worsening heart failure (unscheduled hospitalization and hospital visits due to heart failure) by 18% compared to the placebo group. Forxiga was 23% lower than the placebo group in overall heart failure exacerbation and cardiovascular death risk, and the symptom evaluation score also improved by an average of 2.4 points over the placebo group. In a sub-analysis according to the ejection rate, Forxiga also confirmed a consistent improvement trend in the patient groups of 49% or less, 50-59%, and 60% or more. Professor Oh explained, "The results of the DELIVER study are an important basis for patients and actual clinical trials as Dapagliflozin can be considered for patients with heart failure who can be prescribed by working regardless of the exudation rate." With the performance of Jardiance and Forxiga, guidelines for treating CHF have also changed. In the 2022 revised heart failure guidelines jointly published by ACC, AHA, and HFSA, the three major cardiac societies in the United States, SGLT-2 inhibitors such as Fosiga were recommended as HFmrEF·preserved heart failure treatments (recommended level 2a). The Korean Heart Failure Society also recommended SGLT-2 inhibitors to reduce hospitalization or cardiovascular death from heart failure in patients with preserving exudation rates, with or without diabetes (recommended grade 1). Professor Yoon explained, "Furthermore, this year's ACC recommended that all patients with preserving exudation rates start treatment with SGLT-2 inhibitors in the amendment to the Expert Consensus Decision Pathway." Professor Yoon said, "Half of the patients died within five years of diagnosis, so active treatment is needed from an early stage to improve the prognosis, and SGLT-2 inhibitors have provided the basis for their role." From the left, Professor Kang Seok-min, Professor Oh Jae-won, and Professor Yoon Jong-chan Professor Kang, who headed the team, explained, "It is very meaningful that the DELIVER study confirmed the effectiveness and safety of SGLT-2 inhibitors in patients who take other drugs as well as the entire ejection rate spectrum of chronic heart failure." He added, "In the meantime, new treatment options have been limited in patients with preservation and mild reduction of exudation rates, so we hope that many patients will benefit by registering their benefits as soon as possible."
- Policy
- Mounjaro, a weight loss effect for DM pts, has been approved
- by Lee, Hye-Kyung Jul 03, 2023 05:47am
- Eli Lilly's 'Mounjaro PFS', known overseas as a game changer for obesity treatment, has been approved in Korea. In Korea, it has been approved as a treatment for diabetes. Mounjaro is a synthetic peptide with a mechanism that can selectively bind to both the GIP and GLP-1 receptors for the first time in Korea. The Ministry of Food and Drug Safety (Ministry of Food and Drug Safety, Minister Oh Yu-Kyoung) has tested the content of 6 Mounjaro (2.5, 5, 7.5, 10, 12.5, 15mg/0.5ml) used as an adjuvant for diet and exercise therapy to control blood sugar in adult type 2 diabetic patients. It was confirmed on the 28th. This drug selectively binds to the GIP receptor and the GLP-1 receptor to induce insulin secretion promotion, insulin resistance improvement, and glucagon secretion reduction, thereby causing pre- and postprandial blood glucose reduction. GLP-1 agonists act on GLP-1, a hormone that makes you feel full by acting on the brain's hypothalamus, activates incretin, an intestinal hormone, and promotes insulin production to lower blood sugar levels. It slows down the movement of food from the stomach to the small intestine, increases satiety, and has proven its effectiveness, becoming a very popular obesity treatment in the United States. Mounjaro is a successor to Lilly's blockbuster diabetes treatment Trulicity and was approved by the US FDA in May of last year as a dietary and exercise supplement to improve blood sugar control in patients with type 2 diabetes. It can be used as a monotherapy or as a combination therapy with Metformin, SGLT2 inhibitor, Sulfonylurea, and Insulin glargine. The Ministry of Food and Drug Safety said, “We will continue to do our best to expand treatment opportunities for patients by making efforts to promptly supply treatments whose safety and effectiveness are sufficiently confirmed based on regulatory science expertise.”
- Company
- Lagevrio was voluntarily withdrawn from Europe
- by Kim, Jin-Gu Jul 03, 2023 05:47am
- Merck has voluntarily withdrawn its European approval application for Lagevrio, an oral COVID-19 treatment. The pharmaceutical industry is paying close attention to whether the global supply of this drug will continue. Celltrion and Hanmi Pharmaceutical, which had already decided to produce and supply Lagevrio generics to developing countries, have withdrawn their plans. Foreign media including Reuters reported on the 28th (local time) that Merck voluntarily withdrew its application for permission from the European Union (EU) for Lagevrio, an oral COVID-19 treatment. It is an analysis that Europe is in fact stepping out of the process. The EMA-affiliated CHMP recommended banning Lagevrio approval in February this year. At the recommendation of the CHMP, Merck eventually voluntarily withdrew its application for authorization in the EU. In the pharmaceutical industry, attention is focused on whether Lagevrio's exit will spread to other countries, including the United States. Lagevrio is being supplied as a corona treatment in more than 25 countries, including Korea, the US, Japan, the UK, Australia, and China. Regarding this, Merck drew a line, saying, "This decision will not affect the use of Lagevrio in countries where licensing or approval has already been completed." Lagevrio appeared in 2022, in the midst of the Corona-19 crisis. Together with Pfizer Paxlovid, it was widely used as an oral corona treatment. However, this year, the global pandemic situation has ended and its use has declined significantly. In the pharmaceutical industry, there is an analysis that Merck has decided to withdraw from the European market due to declining marketability. It is analyzed that the lower effect compared to Paxlovid also influenced the decision to withdraw voluntarily. Lagevrio is a mechanism that inhibits viral replication. Unlike Paxlovid, which lowered the risk of hospitalization and death due to corona by 89%, Lagevrio only reduced the risk of hospitalization and death by 30%, as shown in phase 3 clinical trials. It is said that the treatment effect is low and the marketability is greatly reduced, and global demand is said to have decreased significantly. After generating $5.684 billion in global sales last year, Lagevrio's sales have plummeted this year. As a result, domestic biopharmaceutical companies that were trying to produce and supply Lagevrio generics to low- and middle-developed countries are also stepping back. Celltrion Pharmaceuticals recently passed the bill to terminate the license agreement for Lagevrio generic production at the board of directors' meeting. The company originally planned to produce Lagevrio generics at its Cheongju plant but decided to terminate the contract as the COVID-19 situation eased compared to the time of the contract. Hanmi also signed a contract to produce Lagevrio generics last year but canceled it earlier this year. Likewise, Hanmi Pharm explained that this is because demand has significantly decreased as the corona crisis turned endemic. In the pharmaceutical industry, attention is focused on alternatives to Lagevrio, which is in the process of being virtually phased out. Potential alternative drugs include Xocova, developed by Japan's Shionogi Pharmaceutical, and Xafty, which is being developed by Hyundai Bioscience. Xocova is an oral COVID-19 treatment developed by Japan's Shionogi Pharmaceuticals. Xocova is currently being supplied only in Japan with EUA. Xocova recorded sales of close to 1 trillion won in Japan for four months from November last year to March this year. The Japanese government purchased 2 million doses of Xocova for 104.7 billion yen under a supply contract with Shionogi. In Korea, Ildong Pharmaceutical started the joint development of Xocova with Shionogi Pharmaceutical. Earlier this year, Ildong Pharmaceutical applied for product approval of Xocova to the Ministry of Food and Drug Safety. The review is still ongoing after 6 months. Hyundai Bioscience is developing niclosamide, which was previously used as an insect repellent in Korea, as an oral corona treatment through drug re-creation clinical trials. In phase 2 clinical trials, it was found that the time taken for improvement of corona symptoms was shortened by 4 days. Hyundai Bioscience plans to proceed with EUA and product approval to the Ministry of Food and Drug Safety.
- Company
- Leclaza and Tagrisso compete for reimb in the first line
- by Jung, Sae-Im Jul 03, 2023 05:47am
- (From the left) Pic of Leclaza and Tagrisso Yuhan Corp’s EGFR-targeted anticancer drug ‘Leclaza (lasertinib)’ has been approved as a first-line treatment in Korea and is competing for reimbursement with its competitor ‘Tagrisso (osimertinib).’ As reimbursement review for Tagrisso’s first-line indication is already in progress, Yuhan is also expected to hasten its steps to receive reimbursement for its Leclaza. On June 30th, the Ministry of Food and Drug Safety approved the change in Leclaza’s indication to ‘the treatment of patients with advanced or metastatic non-small-cell lung cancer harboring EGFR mutation exon 19 deletions or exon 21 substitution.’ With the approval, Leclaza, which had been used as a second-line treatment until now, is now available as a first-line treatment in Korea. As a result, 2 third-generation TKIs – Tagrisso and Leclaza – are now available for the treatment of EGFR-mutated NSCLC in the first line. However, as the first-line indication for the drugs is yet to be reimbursed in Korea, the drugs are mainly used as subsequent therapy following initial treatment with first and second-generation drugs. Leclaza PFS data(Data: ESMO Asia) Results of the Phase III LASER301 trial that was presented in December last year showed that Leclaza achieved its primary endpoint and improved progression-free survival (PFS) over its comparator (gefitinib) by 9.7 months. Also, Leclaza reduced the risk of disease progression and death by 55% compared to the control group (HR=0.45). Also, its benefit was consistently observed in ▲patients with brain metastasis, ▲patients with L858R mutation, and▲ Asians. Although a uniquely high incidence of paresthesia was observed in the Leclaza-treated group, most were mild and manageable. ◆Tagrisso and Leclaza compete for first-line reimbursement With the approval, Leclaza is now on a level playing field with Tagrisso. Leclaza quickly closed the gap during the 4 years Tagrisso struggled and failed to pass its first step to receiving reimbursement in the first line. Therefore, how the competition will end will now depend on which drug becomes reimbursed in the first line. In the case of Tagrisso, its adequacy for reimbursement in the first line was finally recognized in March by the Health Insurance Review and Assessment Service’s Cancer Disease Deliberation Committee (CDDC) after 5 attempts. AstraZeneca had attempted to pass CDDC review with its global FLAURA trial data that was the basis of Tagrisso’s fist-line indication and the FLAURA China trial data that confirmed an improvement in overall survival (OS) in Asians, to no avail. The CDDC had deemed that the data was not sufficient to recognize the drug’s effect on Asians. The company had strategically narrowed its reimbursement standards, but that attempt was also turned down by the CDDC. The situation turned in favor of Tagrisso at the end of 2022 after large-scale real-world data on Tagrisso’s effect as a first-line treatment in Asia and Europe was released. Analysis of the real-world data of 660 Japanese patients confirmed a progression-free survival of 20.0 months and overall survival of more than 3 years (40.9 months), which was longer than that found in its Phase III clinical trial. Based on the data, the company put an end to Tagrisso’s efficacy controversy in Asia. However, the problem is that the company has only now passed the first step to its reimbursement. Tagrisso’s reimbursement agenda needs to pass HIRA’s Drug Reimbursement Evaluation Committee (DREC) review, drug pricing negotiations with the National Health Insurance Service, and the Ministry of Health and Welfare’s Health Insurance Policy Deliberation Committee (HIPDC) to complete the reimbursement process in Korea. As a risk-sharing agreement (RSA) drug, Tagrisso must also pass pharmacoeconomic evaluations. HIRA’s statuary evaluation period is set at 120 days or less, but it is common for HIRA to exceed the set deadline if the company is required to submit supplementary data. In fact, 3 months have passed since Tagrisso passed the CDDC review, but no schedule for the subcommittee for its pharmacoeconomic evaluation has been set yet. Although the statutory period set for the reimbursement process sets the timing for Tagrisso's reimbursement extension at the end of this year, there is a strong possibility that the period will be delayed somewhat. Unlike Tagrisso, Leclaza’s reimbursement agenda is expected to pass CDDC review without difficulty as the drug demonstrated its effectiveness in the Asian subgroup with a hazard ratio of 0.46. The fact that it is the only homegrown new drug is also expected to work in favor of Leclaza. Therefore, if Leclaza passes the CDDC review in July or August, the drug may also be deliberated by DREC with Tagrisso. Yuhan Corp plans to apply for reimbursement in the first line as soon as possible. Also, the company has also prepared an Early Access Program (EAP) that provides Leclaza free of charge until the drug is granted reimbursement. The move shows Yuhan Corp’s confidence that it will be able to rapidly receive reimbursement. Yuhan Corp said, “With Leclaza’s approval, we are pleased to be able to provide a new treatment option for patients with EGFR mutation-positive NSCLC, which is highly prevalent in Korea. We are preparing to apply for the reimbursement extension for Leclaza in the first line and provide our drug for free to the patients until it is reimbursed through our Early Access Program (EAP).”
- Policy
- Drug price negotiations such as Roche Evrysdi begin
- by Lee, Tak-Sun Jul 03, 2023 05:47am
- Roche's 5q spinal muscular dystrophy treatment Evrysdi Dry Syrup began negotiations with the NHIS as soon as it passed the Drug Benefit Evaluation Committee of the HIRA. Ace Pharma and H&O Pharm's multiple myeloma treatments Megval Inj. and Melpspal Inj. have also entered negotiations. The NHIS added oEvrysdi Dry Syrup 0.75 mg/mL, Melpspal Inj. 50 mg and Megval Inj. 50 mg to the negotiation list for new drug prices on the 30th. As a result, six items are currently under negotiation, including these three items, Lilly Retevmo Cap, Bayer Verquvo, and BMS Onureg. When the drug price negotiations are concluded, the benefits will be applied through a report by the Health Insurance Policy Review Committee of the Ministry of Health and Welfare. Evrysdi Dry Syrup, Megval Inj., and Melpspal Inj. were recognized for their adequacy of benefit at the Drug Benefit Evaluation Committee of the HIRA on June 1 and moved on to the negotiation stage of the industrial complex. Usually, when the MOHW orders the negotiation, the NHIS sets up a negotiation team to conduct full-fledged negotiations on the upper limit and expected usage. Evrysdi Dry Syrup is a liquid formulation that is taken PO QD and is characterized by being applicable to patients who have difficulty in treating spinal cord cavities. Motor function improvement and safety profiles were confirmed in patients of a wide range of diseases, including patients of a wide age range from 2.2 to 25 months old and patients with experience in scoliosis-related surgery. Since self-administration is possible at home, it is expected to reduce insurance financial and socioeconomic burdens by reducing the burden of indirect medical expenses such as academic, workplace interruption, transportation, and nursing. Megval and Melpspal are forms of injections with Melphalan as the main active ingredient and are national essential drugs. In Korea, Samil Pharmaceutical's Alkeran has been reported, but currently, the KODC has stopped importing and only the KODC supplies inventory as unlicensed drugs in Korea. Accordingly, Megval and Melpspal are expected to have much better accessibility to patients with multiple myeloma if they are paid.
- Company
- Pfizer, Lilly, AbbVie engage in JAKi battle in KOR
- by Nho, Byung Chul Jul 03, 2023 05:47am
- Pfizer's Xeljanz and Lilly's Olumiant are engaged in an intense competition for sales in the JAK inhibitor market. According to the distribution data of pharmaceuticals, Xeljanz (including Xeljanz XR) recorded sales of KRW 15.5 billion won last year, while Olumiant recorded KRW 15.4 billion. Although Xeljanz maintained a slight lead, Olumiant has shown a faster infiltration rate in terms of growth. Olumiant's sales in 2019, 2020, 2021, and 2022 were KRW 2.2 billion, 9 billion, 12.6 billion, and 15.4 billion, respectively, representing a 600% increase over four years. During the same period, Xeljanz recorded sales of KRW 14.6 billion, 16.2 billion, 15.1 billion, and 13.7 billion, with an additional sales increase of approximately KRW 2 billion in 2021 with the launch of Xeljanz XR. AbbVie's Rinvoq has also established its position in the market quite quickly. Its sales in 2020, 2021, and 2022 were approximately KRW 55 million, 2.6 billion, and 11.4 billion, respectively. Although the representative JAK product Xeljanz has maintained its lead so far, the drug's prospects are unpredictable from this year onwards. Already in Q1 2023, Xeljanz, Olumiant, and Rinvoq recorded sales of KRW 3.3 billion, 3.7 billion, and 3.5 billion, respectively, engaging in fierce competition. The total market size of major JAK inhibitors has risen from KRW 16.8 billion, 25.3 billion, 31.1 billion, to 42.4 billion, demonstrating a growth close to KRW 10 billion each year and is being recognized as a blue ocean market. The indications for Xeljanz Tab. (tofacitinib) include rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and ulcerative colitis. The indications for Rinvoq PR Tab. (upadacitinib) include atopic dermatitis, in addition to the indications of Xeljanz Tab. Olumiant (baricitinib) has shown efficacy in rheumatoid arthritis, atopic dermatitis, and alopecia areata. Xeljanz XR Tab. is prescribed for the treatment of moderate-to-severe active rheumatoid arthritis in adults who do not respond adequately to or cannot tolerate methotrexate. Furthermore, Pfizer has expanded its market share by launching the JAK1 inhibitor Cibinqo in November 2021, after receiving approval from the Ministry of Food and Drug Safety. This is the fourth JAK inhibitor that has been introduced to the Korean market, and the second JAK class drug to be introduced by Pfizer, following Xeljanz. Cibinqo is expected to compete with Dupixent and Rinvoq as the treatment of severe atopic dermatitis. Olumiant is a JAK inhibitor that has gained attention as a new treatment option for alopecia areata, a condition where therapies for autoimmune disease have shown limited effectiveness. Olumiant has demonstrated significant improvements, 6-10 times more than placebo, through two large-scale clinical trials. While Rinvoq was previously reimbursed only for the treatment of moderate to severe atopic dermatitis in adults, starting from April this year, reimbursement for adolescents aged 12 and above has been approved. As a result, it is anticipated that adolescent patients with atopic dermatitis will have improved accessibility to treatment.
- Company
- Illaris for 13 pts, re-challenge to enter insurance benefit
- by Eo, Yun-Ho Jul 03, 2023 05:45am
- Illaris, a treatment for vulva diseases with only 13 patients in Korea, will try again to enter the insurance benefit zone. According to related industries, Novartis Korea submitted an application for Ilaris' benefit in April and is under discussion. However, the registration process is still expected to be difficult. The drug has already undergone two pay procedures but has not achieved its purpose. Ilaris, licensed in Korea in 2015, is a treatment for hereditary recurrence syndrome, and detailed diseases are divided according to abnormal genes. Specifically, Ilaris can be prescribed for ▲CAPS, TRAPS, HIDS/MKD, and FMF ▲ Systemic JIA in Korea. Among them, CAPS is classified again as ▲FCAS/FCU ▲MWS▲NOMID/CINCA. As there are so few target patients and the indications are complicated, it is not easy to discuss the benefits. The number of patients corresponding to various indications of Ilaris is extremely small. Some indications of Illaris do not even have a disease code or have been recently registered. In the case of CAPS, a drug called Kineret is used through the KODC. It is a drug that comes through the center rather than officially approved by the MFDS in Korea, and there are some disruptions in supply, but the communication channel is unclear and there is a limit to supply improvement. In addition, in the case of FMF, colchicine is recommended as the primary treatment, but this drug is not available in Korea. Ilaris is licensed for use in FMFs where colchicine is contraindicated or does not show an appropriate response to the highest drug dose of colchicine. However, since colchicine has not been introduced in Korea, it is difficult to use Illaris if the permission and salary problems of Kolkisin are not resolved even if the benefit is applied later. In order to solve this problem, the association is known to have applied for an increase in the salary of the drug. Since the HIRA regulations define alternative drugs as drugs included in the same treatment range in terms of permission and salary standards, it is not expected that Illaris will be able to devise a reimbursed strategy by viewing Kineret, an unlicensed emergency drug currently used only for CINCA. "There are many difficulties in many ways because the target diseases that require treatment for Illaris are detailed and the number of patients is too small," said Jeong Dae-Chul, chairman of the KCPCI (Pediatric and Adolescent Department at Seoul St. Mary's Hospital). "It is a pity for the medical staff that there are patients who are considering immigration to countries where Ilaris can be prescribed." It remains to be seen whether the drug "Ilaris" for very few patients will achieve good results this time. Ilaris is an IL-1 inhibitor recommended by international guidelines for the treatment of hereditary recurrence syndrome and is the only approved treatment in both domestic and U.S. FDA and European EMA. Ilaris is used as a benefit in a total of 30 countries based on the therapeutic effect and safety confirmed through clinical research. In Italy, Switzerland, and the United Kingdom, patients have benefited from the treatment of Illaris since 2009 in Canada and 2011 in Japan. In the UK and Canada, where Health Technology Assessment (HTA) is carried out to register new drugs like Korea, Illaris excludes cost-effectiveness evaluation and applies salaries only for PFS (CAPS, TRAPS, HIDS/MKD, FMF) indications.
- Company
- Imfinzi+Imjudo combo approved for liver cancer in KOR
- by Eo, Yun-Ho Jul 03, 2023 05:45am
- The immuno-oncology drug ‘Imfinzi’ added an indication in Korea and can be used in combination with ‘Imjudo’ in Korea. According to industry sources, AstraZeneca received approval for the combined use of Imfinzi+Imjudo from the Ministry of Food and Drug Safety on June 30th, immediately after receiving approval for its CTLA-4 inhibiting cancer immunotherapy Imjudo (tremelimumab) in Korea. The immunotherapy combo will first target liver cancer, as the combination was approved as a first-line treatment for adult patients with advanced or unresectable hepatocellular carcinoma (liver cancer). More specifically, the approved STRIDE regimen (Single Tremelimumab Regular Interval Durvalumab) includes an initial single dose of Imjudo 300mg added to Imfinzi 1500mg, followed by Imfinzi every four weeks. The Phase III HIMALAYA trial that confirmed the efficacy of Imjudo+Imfinzi showed that patients treated with the Imjudo+Imfinzi STRIDE regimen achieved a median overall survival (mOS) of 16.4 months, reducing the risk of death by 22% compared to the current standard-of-care Nexavar. At 36 months of follow-up, the OS rate of Imfinzi+tremelimumab(Imjudo) and Nexavar was 30.7% and 20.2%, respectively, demonstrating the long-term survival benefit of the combination. The benefit of the combination therapy In the Asian subgroup analysis was also consistent with the global results. The Imjudo+Imfinzi combination is also being studied for various other types of cancer, including locoregional hepatocellular carcinoma (EMERALD-3), small cell lung cancer (ADRIATIC) and bladder cancer (VOLGA and NILE).
