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Perindopril Arginine With Amlodipine BesylateAPO-Perindopril Arginine/Amlodipine

Recommended CardiovascularRestricted

Substitution therapy for hypertension and stable coronary heart disease in patients already controlled with separate doses of perindopril and amlodipine given concurrently at the same dose level.

2
Submissions
2010–10
On the record
ICER range
Cost-min
Cost basis

Decision on record

1 decision
  • Meeting Mar 2010 Recommended Hypertension

Access path

2 submissions · public record
  1. TGA registered · APO-Perindopril Arginine/Amlodipine

    TGA label narrower than the PBS population

  2. Mar 2010
    Recommended · restricted

    Comparator changed: perindopril arginine and amlodipine besylate given concomitantly →…

  3. Mar 2010
    Recommended · restricted

    Comparator changed: perindopril arginine and amlodipine besylate given concomitantly →…

  4. PBS listing · Restricted
RecommendedDeferredNot recommended

Cost-effectiveness

Cost-minimisation analysis; no ICER calculated by design

The PBAC accepted that perindopril with amlodipine was non-inferior in terms of comparative effectiveness and equivalent in terms of comparative safety over perindopril and amlodipine monotherapies. PBAC · 2010

Decision context

PopulationPatients stabilised on treatment with perindopril and amlodipine given concomitantly at the same dose level for hypertension and/or stable coronary heart disease.

Submission history

2 entries
DecidedOutcomeComparatorICEREvidence
Mar 2010 Recommended · restricted perindopril arginine and amlodipine besylate given concomitantly Bioequivalence studies, meta-analysis
Mar 2010 Recommended · restricted perindopril and amlodipine given concomitantly RCT

Similar precedents

By decision profile

Regulatory · TGA

Label narrower than PBS population — PBAC adds hypertension as explicit indication; TGA label omits hypertension, focusing only on coronary heart disease.