PBAC's latest decision on Atezolizumab: Recommended with restriction (2024). Considered for Subcutaneous injection formulation for multiple cancer indications including locally advanced or metastatic NSCLC, stage IV metastatic NSCLC, extensive-stage small cell lung cancer, hepatocellular carcinoma, and resected early-stage NSCLC.
PBAC outcome
Recommended with restriction
Authority Required
ICER (AUD/QALY)
Cost-min
cost-minimisation analysis
Submissions
11
first 2017
PBS spend
$274M
38,018 scripts · 2024
Eligible population
Patients with locally advanced or metastatic NSCLC, stage IV metastatic NSCLC, extensive-stage small cell lung cancer, advanced hepatocellular carcinoma, and resected early-stage NSCLC requiring atezolizumab treatment.
Therapy area
Oncology
Line of therapy
Not applicable
Evidence base
RCT
Primary endpoint
Surrogate
Key trials
IMscin001
Comparator
atezolizumab IV
Economic model
Cost-minimisation
ICER note
Cost-minimisation analysis conducted; no ICER calculated as the submission demonstrated cost-neutrality between atezolizumab SC and IV formulations.
ICER (historical)
$45k/QALY–$75k/QALY in an earlier submission (2019) — the latest submission carried no numeric base case. No single PSD states this combined range; see source PSDs.
PBS expenditure
The Australian government paid $274M in PBS benefits for Atezolizumab in 2024 across 38,018 scripts, at $7,213 per script.
Submission history
Nov 2017: Recommended with restriction · Authority Required
Mar 2019: Recommended with restriction · Restricted
Jul 2019: Recommended with restriction · Restricted
Nov 2019: Recommended with restriction · Authority Required — ICER $75k/QALY
Nov 2019: Recommended with restriction · Authority Required
Mar 2020: Recommended with restriction · Authority Required - Streamlined
Mar 2020: Recommended with restriction · Restricted
Jul 2020: Recommended with restriction · Restricted
Mar 2021: Recommended with restriction · Authority Required
Jul 2022: Recommended with restriction · Authority Required
Mar 2024: Recommended with restriction · Authority Required