PBAC's latest decision on Aliskiren: Not recommended (2010). Considered for For the treatment of hypertension.
PBAC outcome
Not recommended
2010
ICER (AUD/QALY)
Cost-min
cost-minimisation analysis
Submissions
1
first 2010
Submissions
1
2010 → 2010
Eligible population
patients treated for hypertension where an agent acting on the renin-angiotensin system (RAS) is considered to be clinically indicated by the prescriber
irbesartan (main); valsartan, ramipril, lisinopril (secondary); PBAC considered should include mix of all PBS-subsidised antihypertensive agents
Economic model
Cost-minimisation
ICER note
Cost minimisation analysis performed; no ICER calculated
Why PBAC said no
Reasons cited in the latest PSD: no reduction in cardiovascular mortality and morbidity demonstrated (unlike ACE inhibitors and AIIRAs), no additional indications (heart failure, post-MI, vascular disease, renal disease), no long-term safety data, uncertain clinical need, uncertain cost effectiveness