← The record

GuselkumabTREMFYA

Recommended GastroenterologyAuthority RequiredLater-line line 💬 consumer voice

Treatment of adults with severe Crohn's disease who have had an inadequate response, lost response, or were intolerant to either conventional therapy or a biologic treatment.

6
Submissions
3 resub
2018–25
On the record
Redacted
ICER range
commercial-in-confidence
Redacted
Cost basis

Decisions on record

8 decisions
  • Meeting Jul 2025 Recommended Severe Crohn disease
  • Meeting May 2025 Recommended Severe chronic plaque psoriasis
  • Meeting Jul 2023 Noted Chronic plaque psoriasis no PSD
  • Meeting Mar 2021 Not recommended Severe chronic plaque psoriasis
  • Meeting Nov 2020 Recommended Psoriatic arthritis (PsA)
  • Meeting Jul 2020 Recommended Severe chronic plaque psoriasis
  • Meeting Jul 2018 Recommended Severe chronic plaque psoriasis no PSD
  • Meeting Mar 2018 Not recommended Severe chronic plaque psoriasis

Access path

6 submissions · public record
  1. TGA registered · TREMFYA

    TGA label narrower than the PBS population

  2. Mar 2018
    Recommended · restricted

    vs ustekinumab (primary); adalimumab (supplementary)

  3. Jul 2020
    Recommended

    Comparator changed: ustekinumab (primary); adalimumab (supplementary) → lowest cost…

  4. Nov 2020
    Recommended · restricted

    Comparator changed: lowest cost biological agent available for severe chronic plaque…

  5. Mar 2021
    Not recommended

    guselkumab PFP does not provide a substantial and clinically relevant improvement in efficacy or reduction of toxicity…

  6. ↻ resubmitted
    May 2025
    Recommended · restricted

    Comparator changed: lowest cost PBS-listed biological disease-modifying antirheumatic…

  7. Jul 2025
    Recommended · restricted

    Comparator changed: guselkumab 100 mg pre-filled syringe (PFS) → adalimumab, infliximab…

  8. PBS listing · Authority Required
RecommendedDeferredNot recommended

From the public summary

Verbatim · PSD text · may span indications
PBAC outcome
The PBAC recommended the Section 100 (Highly Specialised Drugs Program) and General Schedule Authority Required (in writing) Pharmaceutical Benefits Scheme (PBS) listings of guselkumab (GUS) for the treatment of adults with severe Crohn’s disease (CD).PSD · Jul 2025
The PBAC noted the consumer comments regarding the significant quality of life impact severe CD has on patients and the importance of having additional treatment options available, particularly medicines with different mechanisms of action. 50 OFFICIALPSD · Jul 2025
Economic analysis
The submission presented a cost-utility analysis comparing GUS (GUS 200 mg Q4W and GUS 100 mg Q8W separately) versus a weighted comparator of other b/tsDMARDs, informed by the direct and indirect evidence presented in the submission and parameters from the literature. The main treatment effect in the model was derived from the trial-design-adjusted Australian NMA for maintenance treatment.PSD · Jul 2025
Overall, the ESC considered the modelled economic evaluation presented in the submission was largely uninformative for decision-making, given that the trial-design- adjusted Australian NMA was considered unreliable and the other clinical evidence on balance indicated that GUS was comparable to other b/tsDMARDs in terms of effectiveness.PSD · Jul 2025
Clinical claim
In patients with severe CD, the submission described GUS as superior compared to all currently PBS-listed b/tsDMARDs (ADA, IFX, UST, UPA and VDZ) in terms of effectiveness based on maintenance outcomes at Week 48-60. In terms of safety, the submission described GUS as superior compared to IFX and non-inferior compared to ADA, UST, UPA and VDZ.PSD · Jul 2025
The ESC considered the clinical claim of non-inferior efficacy and safety between the GUS IV and GUS SC induction dosing regimens was reasonably supported by the evidence presented in the submission.PSD · Jul 2025
Consumer comments
The individual described the positive impacts of guselkumab treatment, including ability to enjoy life and return to work. The individual noted the inequitable opportunity for improved clinical and quality of life outcomes, due to current lack of access to guselkumab outside of clinical trials.PSD · Jul 2025
Input was received from GESA, Inflammatory Bowel Disease Sydney and Crohn’s & Colitis Australia (CCA). All organised emphasised the very significant impact CD has on patients and their families and the importance of having access to additional treatment options.PSD · Jul 2025

Cost-effectiveness

ICER values are redacted (marked as &&&&) in the publicly available document; commercial-in-confidence pricing and economic model details are not disclosed.

The PBAC considered that guselkumab PFP did not meet these criteria to be listed at a price higher than the lowest cost of PBS-listed bDMARDs for the treatment of severe CPP. PBAC · 2021
ICER / price too highEconomic model disputedPrice cut / RSA needed ×2

Decision context

PopulationAdults aged 18 years or older with severe Crohn's disease (CDAI ≥300 or CDAI ≥220 with extensive small intestine disease) who have failed prior systemic therapy (corticosteroids and at least 3 months of immunosuppressive therapy) and have evidence of intestinal inflammation or high faecal output or require surgery or total parenteral nutrition.

Submission history

6 entries
DecidedOutcomeComparatorICEREvidence
Jul 2025 Recommended · restricted adalimumab, infliximab, upadacitinib, ustekinumab, vedolizumab RCT · Clinical response and clinical remission
May 2025 Recommended · restricted guselkumab 100 mg pre-filled syringe (PFS) RCT · PASI 75, PASI 90
Mar 2021 Not recommended lowest cost PBS-listed biological disease-modifying antirheumatic drugs (bDMARDs) for severe chronic plaque psoriasis Cost-minimisation · Cost-minimisation
Nov 2020 Recommended · restricted ustekinumab RCT · ACR20
Jul 2020 Recommended lowest cost biological agent available for severe chronic plaque psoriasis Cost-minimisation · Cost-minimisation
Mar 2018 Recommended · restricted ustekinumab (primary); adalimumab (supplementary) RCT · PASI-75

Clinical evidence

Trials cited in the PSDs · ClinicalTrials.gov
TrialPhaseNPrimary outcomeStatus
GALAXI Ph 2, PHASE3 1,409 GALAXI 1: Change From Baseline in the Crohn's Disease Activity Index (CDAI) Score at Week … active not recruiting
NAVIGATE Ph 3 872 Number of Visits at Which Participants Achieved an Investigator's Global Assessment (IGA) … completed

Consumer voice

Jul 2025

Consumer input highlighted an unmet need for effective treatments for moderate to severe Crohn's disease, with comments emphasizing guselkumab's potential to help those who have exhausted other options, its favorable safety profile, and benefits including reduced treatment burden via subcutaneous administration and improved quality of life outcomes.

Input described an unmet need regarding effective and durable treatments for moderate to severe CD, with current treatment options noted as moderately effective with high rates of loss of response. Consumer comments · PSD
unmet needtreatment burdenquality of lifeaccess barrierssafety profileside effects prevention

Similar precedents

By decision profile

Regulatory · TGA

Label narrower than PBS population — PBAC restricts to severe disease (CDAI ≥300 or ≥220 with extensive small bowel disease) and requires documented prior systemic therapy failure, versus TGA's broader moderately to severely active label.