script.reportAU
Oncology

Fosaprepitant

Brand: Emend IV

PBAC's latest decision on Fosaprepitant: Recommended (2016). Considered for Prevention of nausea and vomiting associated with cytotoxic chemotherapy. Indicated for primary prophylaxis prior to highly emetogenic chemotherapy (HEC) or breast cancer chemotherapy with cyclophosphamide and anthracycline, secondary prophylaxis prior to moderately emetogenic chemotherapy (MEC), and primary prophylaxis prior to carboplatin/oxaliplatin regimens.

PBAC outcome
Recommended
Authority Required
ICER (AUD/QALY)
Cost-min
cost-minimisation analysis
Submissions
1
first 2016
Submissions
1
2016 → 2016

Eligible population

Adult patients and children requiring prevention of nausea and vomiting associated with cytotoxic chemotherapy (highly emetogenic, moderately emetogenic, or carboplatin/oxaliplatin regimens), including those with difficulty swallowing or absorbing oral formulations.

Therapy area
Oncology
Line of therapy
Not applicable
Evidence base
RCT
Primary endpoint
Other
Key trials
Protocol 017, Protocol 018, Protocol 031, Protocol 165
Comparator
aprepitant one-day regimen (165 mg)
Economic model
Cost-minimisation
ICER note
Cost-minimisation analysis; no ICER calculated.
Risk sharing
Risk-sharing arrangement in place — Fosaprepitant included in existing aprepitant Risk Sharing Arrangement for use with carboplatin/oxaliplatin regimens from the first chemotherapy cycle without prior episode of CINV, with no change to existing caps.

Similar precedents

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