Tenofovir Alafenamide / Emtricitabine
Deferred Infectious diseaseAuthority RequiredFirst-line line
Treatment of HIV-1 infection in antiretroviral treatment-naïve and treatment-experienced patients, in combination with other antiretroviral agents.
1
Submissions
2016–16
On the record
—
ICER range
Cost-min
Cost basis
From the public summary
PBAC outcome
7.1 The PBAC deferred making a recommendation on whether tenofovir alafenamide with emtricitabine should be listed in the Pharmaceutical Benefits Schedule for the treatment of HIV infection.PSD · Jul 2016
7.2 The PBAC deferred making a recommendation, noting that before doing so it wishes to hear the Department’s views on matters relevant to the question of whether tenofovir disoproxil and tenofovir alafenamide should be declared as different drugs for the purposes of the Act, rather than as tenofovir, as currently. The PBAC noted that the Department is progressing its view about those matters, and that they are 11PSD · Jul 2016
Economic analysis
6.23 Given the recommended dose of tenofovir alafenamide is based on the concomitant administration of a pharmacokinetic booster in the anti-retroviral therapy regimen, the equi-effective doses are estimated as: Descovy® (emtricitabine 200 mg / tenofovir alafenamide 10 mg) in a pharmacokinetic boosted regimen; Descovy® (emtricitabine 200 mg / tenofovir alafenamide 25 mg) in an un-boosted pharmacokinetic regimen; Truvada® (emtricitabine 200 mg / …PSD · Jul 2016
6.24 The submission presented a cost-minimisation analysis based on drug cost only. No differences were assumed in the utilisation of other healthcare resources.PSD · Jul 2016
Clinical claim
6.19 The submission described Descovy® as non-inferior in terms of comparative effectiveness and “favourable” in terms of comparative safety over Truvada® on the basis of renal and bone related toxicity.PSD · Jul 2016
6.20 The PBAC considered that the claim of non-inferior comparative effectiveness was reasonable.PSD · Jul 2016
Cost-effectiveness
Cost-minimisation analysis based on drug cost only; no incremental cost-effectiveness ratio calculated.
Economic model disputed
Decision context
PopulationHIV-1 positive treatment-naïve patients and treatment-experienced virologically suppressed patients on Truvada-based regimens, in combination with other antiretroviral agents.
Submission history
| Decided | Outcome | Comparator | ICER | Evidence |
|---|---|---|---|---|
| Jul 2016 | Deferred | Truvada | — | RCT |
Similar precedents
Emtricitabine + Tenofovir Alafenamide95%Tenofovir Alafenamide, Emtricitabine, And Rilpivirine84%Tenofovir Alafenamide / Emtricitabine / Rilpivirine83%Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide83%Tenofovir Disoproxil Fumarate With Emtricitabine83%Bictegravir + Emtricitabine + Tenofovir Alafenamide82%Tenofovir Disoproxil Fumarate With Emtricitabine And Rilpivirine Hydrochloride79%Tenofovir Disoproxil Fumarate / Emtricitabine78%