← The record

Ezetimibe With SimvastatinAKM EZETIMIBE SIMVASTATIN

Recommended CardiovascularAuthority RequiredFirst-line line

Primary prevention of major cardiovascular events in patients with moderate to severe chronic kidney disease who do not fall into a category for which the General Statement for Lipid Lowering Drugs allows PBS subsidised treatment with a statin.

5
Submissions
1 resub
2005–12
On the record
$15k–75k
ICER range
4 sourced ICERs · 2009–2012
ICER stated
Cost basis

Decisions on record

6 decisions
  • Meeting Jul 2012 Recommended High cholesterol
  • Meeting Mar 2012 Not recommended Lipid lowering drug
  • Meeting Jul 2009 Recommended High cholesterol no PSD
  • Meeting Mar 2009 Not recommended Lipid lowering drug
  • Meeting Mar 2007 Recommended Cholesterol lowering drug no PSD
  • Meeting Nov 2006 Recommended Lipid-lowering drug

Access path

5 submissions · public record
  1. TGA registered · AKM EZETIMIBE SIMVASTATIN

    TGA label narrower than the PBS population

  2. Jul 2005
    Recommended · restricted

    vs not applicable

  3. Mar 2009
    Recommended · restricted

    Comparator changed: not applicable → simvastatin 40 mg, atorvastatin 20 mg and 40 mg…

  4. Mar 2009
    Recommended · restricted

    Comparator changed: not applicable → simvastatin 40 mg, atorvastatin 20 mg and 40 mg…

  5. Mar 2012
    Recommended

    ICER rose $45,000 → $75,000 (+67%)

  6. Mar 2012
    Recommended

    ICER rose $45,000 → $75,000 (+67%)

  7. PBS listing · Authority Required
RecommendedDeferredNot recommended

Cost-effectiveness

4 sourced ICERs · 2009–2012
The PBAC noted that the model results and key sensitivity analyses are particularly sensitive to assumptions regarding the risk of progression to ESRD and risk of CVD death. PBAC · 2012
ICER uncertain ×2ICER / price too high ×2Economic model disputedCost-effectiveness accepted

Decision context

PopulationAdults with moderate to severe chronic kidney disease (persistent proteinuria or eGFR < 60 mL/min/1.73 m²) who do not meet criteria for PBS-subsidised statin therapy under the General Statement for Lipid Lowering Drugs.

Why it was knocked back

  • inappropriate clinical management algorithm, high and unacceptable cost-effectiveness, uncertain model assumptions regarding ESRD progression and CVD death risk, limited applicability of trial data to requested PBS population due to inconsistent CKD definitions, unknown incremental benefit of ezetimibe addition to statin therapy, TGA had not yet approved the indication

Submission history

5 entries
DecidedOutcomeComparatorICEREvidence
Mar 2012 Recommended placebo $45k–75k RCT · MVE, MAE
Mar 2012 Recommended placebo (though PBAC considered statin therapy the appropriate comparator) $45k–75k RCT · MVE
Mar 2009 Recommended · restricted simvastatin 40 mg, atorvastatin 20 mg and 40 mg, rosuvastatin 20 mg $15k–45k RCT · TC:HDL-C ratio, LDL-C percentage change
Mar 2009 Recommended · restricted simvastatin 40 mg, atorvastatin 20 mg, atorvastatin 40 mg, rosuvastatin 20 mg $15k–45k RCT · TC:HDL-C
Jul 2005 Recommended · restricted not applicable RCT · Other

Similar precedents

By decision profile

Regulatory · TGA

Label narrower than PBS population — PBAC restricts to patients with inadequate control after ≥3 months of statin ≥40mg daily, plus CHD/diabetes or homozygous FH.