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Botulinum Toxin Type A

Recommended NeurologyRestrictedSecond-line line 💬 consumer voice

Moderate to severe lower limb focal spasticity following a stroke or other acute central nervous system injury (including traumatic brain injury and spinal cord injury).

14
Submissions
8 resub
2008–19
On the record
$15k–105k
ICER range
9 sourced ICERs · 2008–2019
ICER stated
Cost basis
risk sharing

Decisions on record

3 decisions
  • Meeting Nov 2008 Recommended Spasticity of the upper limbs of children with cerebral palsy
  • Meeting Jul 2008 Recommended Spasticity of the upper limbs
  • Meeting Jul 2008 Not recommended Botulinum Toxin Type A Purified Neurotoxin Complex is indicated for: treatment of blepharospasm associated with dystonia, including benign blepharospasm and VII nerve disorders (specifically hemifacial spasm) in patients twelve years and over; treatment of cervical dystonia (spasmodic torticollis);

Access path

14 submissions · public record
  1. Jul 2008
    Not recommended

    uncertain clinical benefit, high and uncertain cost-effectiveness, post-hoc analysis of efficacy, no difference between…

  2. ↻ resubmitted
    Nov 2008
    Recommended · restricted

    ICER dropped $75,000 → $15,000 (-80%)

  3. Nov 2008
    Recommended · restricted

    ICER dropped $75,000 → $15,000 (-80%)

  4. Nov 2009
    Not recommended

    High and uncertain cost-effectiveness, uncertainty in utility values extrapolated to 12 months, model sensitivity to…

  5. ↻ resubmitted
    Mar 2010
    Recommended · restricted
  6. Nov 2011
    Not recommended

    uncertain clinical benefit (small and borderline clinically significant benefit compared to BSC, large placebo effect)…

  7. ↻ resubmitted
    Jul 2012
    Recommended · restricted
  8. Jul 2013
    Recommended · restricted

    Listing: Authority Required → Restricted

  9. Nov 2013
    Recommended · restricted

    Listing: Restricted → Authority Required

  10. Mar 2017
    Recommended · restricted

    Comparator changed: best supportive care → sacral neuromodulation (sacral nerve…

  11. Mar 2018
    Not recommended

    Comparator changed: sacral neuromodulation (sacral nerve stimulation) → best supportive…

  12. ↻ resubmitted
    Jul 2018
    Recommended · restricted

    Evidence: Single-arm → Other

  13. Nov 2018
    Deferred

    Evidence: Other → RCT

  14. Mar 2019
    Recommended · restricted

    Comparator changed: Placebo/Standard management → standard of care / placebo

  15. PBS listing · Restricted
RecommendedDeferredNot recommended

From the public summary

Verbatim · PSD text · may span indications
PBAC outcome
5.1 The PBAC recommended the Section 100 (Botulinum Toxin Program), Authority Required (STREAMLINED) listing of botulinum toxin type A (BOTOX®) for focal 9PSD · Mar 2019
5.2 In November 2018, the PBAC considered that there was a clinical need for effective treatments for lower limb focal spasticity following stroke. The PBAC noted the request to add additional acute aetiologies, including traumatic brain and spinal cord injuries, to the requested population. The PBAC noted that this request was supported by the Rehabilitation Medicine Society of Australia and New Zealand (RMSANZ).PSD · Mar 2019
Economic analysis
4.5 The minor resubmission provided a new base case and sensitivity analyses based on advice provided by the PBAC when considered at the November 2018 meeting.PSD · Mar 2019
Changes to the economic model requested by the PBAC (BOTOX® PSD, November 2018) and presented in the resubmission included:  A sensitivity analysis using an alternative response criteria (as defined by a change in Modified Ashworth Scale (MAS) score of > one point) (paragraph 7.12);  A stepped economic analysis with a re-specified base case with the following parameters the PBAC considered a more appropriate base case would (paragraph 7.13): o …PSD · Mar 2019
Clinical claim
4.4 Whilst the resubmission did not present new clinical information, the sponsor indicated it did not accept the PBAC position that BOTOX® was inferior in terms of safety compared to standard of care/placebo (paragraph 7.10, BOTOX® PSD, November 2018). The sponsor reiterated its argument that a clinical claim of non- inferior safety versus placebo was supported by the evidence presented in the previous submission.PSD · Mar 2019
Consumer comments
6.2 The PBAC noted and welcomed the input from individuals (3), health care professionals (9) and organisations (1) via the Consumer Comments facility on the PBS website. The comments described a range of benefits of treatment with BOTOX®, as part of broader management plan, including improved mobility, reduction of pain, improved quality of life and a reduction in the burden of care.PSD · Nov 2018

Cost-effectiveness

9 sourced ICERs · 2008–2019
result in an incremental cost-effectiveness ratio (ICER) of approximately $15,000 to $45,000 per quality adjusted life year (QALY). PSD · 2019
ICER uncertain ×3Economic model disputed ×2Price cut / RSA neededSurrogate endpoint ×2Cost-effectiveness accepted ×3

Decision context

PopulationAdults aged 18 years or older with moderate to severe lower limb focal spasticity following a stroke or other acute neurological event (including traumatic brain injury and spinal cord injury), defined as Modified Ashworth Scale rating of 3 or more.

Risk sharingSpecial Pricing Arrangements apply

Submission history

14 entries
DecidedOutcomeComparatorICEREvidence
Mar 2019 Recommended · restricted standard of care / placebo $15k–45k RCT · MAS
Nov 2018 Deferred Placebo/Standard management RCT · OS | PFS | DFS | ORR | QoL | Surrogate
Jul 2018 Recommended · restricted Other
Mar 2018 Not recommended best supportive care Single-arm
Mar 2017 Recommended · restricted sacral neuromodulation (sacral nerve stimulation) Other
Nov 2013 Recommended · restricted best supportive care RCT
Jul 2013 Recommended · restricted best supportive care $15k–45k RCT · Headache days per month
Jul 2012 Recommended · restricted best supportive care $15k–45k RCT
Nov 2011 Not recommended best supportive care $15k–45k RCT · QoL, headache days per month
Mar 2010 Recommended · restricted placebo $15k–45k RCT
Nov 2009 Not recommended placebo $15k–45k RCT · HDSS
Nov 2008 Recommended · restricted standard management (physical and/or occupational therapy) $15k RCT · GAS, QUEST
Nov 2008 Recommended · restricted standard management (physical and/or occupational therapy) $15k RCT · GAS
Jul 2008 Not recommended placebo $75k–105k RCT

Consumer voice

Mar 2019

No consumer comments were received for this item.

The PBAC noted that no consumer comments were received for this item. Consumer comments · PSD

Similar precedents

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