← The record

BetaineCystadane

Recommended MetabolicAuthority RequiredNot applicable line 💬 consumer voice

Adjunct treatment for homocystinuria, a rare metabolic condition caused by inherited disorders of amino acid metabolism characterised by excessive homocysteine levels.

1
Submissions
2014–14
On the record
ICER range
Not modelled
Cost basis
risk sharing

Decision on record

1 decision
  • Meeting Mar 2014 Recommended Cystadane® Emerge Health Pty Ltd Homocystinuria To request an Authority Required General Schedule listing for the treatment of patients with homocystinuria.

Access path

1 submission · public record
  1. TGA registered · Cystadane

    TGA label narrower than the PBS population

  2. Mar 2014
    Recommended · restricted

    vs standard care without betaine

  3. PBS listing · Authority Required
RecommendedDeferredNot recommended

From the public summary

Verbatim · PSD text · may span indications
Comparative effectiveness
The PBAC considered that it was appropriate that a risk share arrangement is implemented to manage the uncertainty around the utilisation and total financial cost. This risk share arrangement should include a cap on patient numbers, using the estimates provided in the submission.PSD · Mar 2014
The PBAC noted that its recommendation was in the context of a small patient population with a high unmet clinical need, and a modest overall likely financial impact to the PBS.PSD · Mar 2014

Cost-effectiveness

ICER not calculated in traditional health economics format; submission presented cost per unit reduction in homocysteine (<$2,000 per 1 µmol/L reduction).

The submission presented a cost effectiveness analysis based on the annual cost of betaine and the pooled reduction in homocysteine levels from the included studies. PSD · 2014
ICER uncertainSurrogate endpoint

Decision context

PopulationPatients with homocystinuria, primarily those non-responsive to pyridoxine, managed in consultation with a metabolic physician.

Risk sharingRisk share arrangement based on a cap on the number of patients, using the patient numbers presented in the submission, to manage uncertainty around utilisation and total financial cost.

Submission history

1 entries
DecidedOutcomeComparatorICEREvidence
Mar 2014 Recommended · restricted standard care without betaine Single-arm · Surrogate

Consumer voice

Mar 2014

The Australasian Society for Inborn Errors of Metabolism (ASIEM) provided input highlighting the effectiveness of betaine in treating homocysteinurias and the difficulty patients face in obtaining betaine at a reasonable price without PBS listing.

ASIEM's input highlighted the effectiveness of betaine in treating homocysteinurias, and the difficulty faced by patients in obtaining betaine at a reasonable price in the absence of PBS listing. Consumer comments · PSD
access barriersout-of-pocket costunmet need

Similar precedents

By decision profile

Regulatory · TGA

Label narrower than PBS population — PBAC restricts to patients non-responsive to pyridoxine and requiring metabolic physician consultation; TGA label has no such restrictions.