Apremilast (3) – Otezla®

Moderate to severe plaque psoriasis; 6 to < 18 years of age

Characteristics

Start date 15.11.2024 – Marketing authorisation: 21.10.2024
Resolution 15.05.2025
INN Apremilast
Brand name Otezla®
Pharm. company Amgen GmbH
G-BA Procedure ID D-1124
ATC code L04AA32 Selective immunosuppressants (L04AA)
ICD-10 codes (AIS) L40.0Nummular psoriasis
Alpha-ID codes (AIS) I109655Plaque psoriasis
Therapeutic area Skin diseases Plaque psoriasis (PP)
Reason for procedure New therapeutic indication
Specialty Patent/data protection expired

Therapeutic indication of the resolution

Otezla is indicated for the treatment of moderate to severe plaque psoriasis in children and adolescents aged 6 to < 18 years and with a body weight of at least 20 kg for whom systemic therapy is an option.

Subpopulation Indication Comparator
Children and adolescents aged 6 to < 18 years and with a body weight of at least 20 kg with moderate to severe plaque psoriasis for whom systemic therapy is an option Adalimumab or etanercept or secukinumab or ustekinumab

Studies and Results

No. of studies
(best subpopulation)
0 (Data not accepted)
Study design
(best subpopulation)
Data not accepted (Dossier: no data submitted)

  • Clinical trials
    • The pharmaceutical manufacturer has submitted the SPROUT trial, on which the marketing authorisation is based, in which apremilast was compared with placebo in children and adolescents over a period of 16 weeks.

Children and adolescents aged 6 to < 18 years and weighing at least 20 kg with moderate to severe plaque psoriasis for whom systemic therapy is an option

  • For children and adolescents aged 6 to < 18 years and weighing at least 20 kg with moderate to severe plaque psoriasis for whom systemic therapy is an option, the additional benefit compared with the appropriate comparator therapy is not proven.
  • The pharmaceutical manufacturer has not identified any comparative studies against the appropriate comparator therapy for the assessment of the additional benefit of apremilast.
  • Due to the lack of comparison with the appropriate comparator therapy, the study is not suitable for assessing additional benefit.
  • On balance, the G-BA therefore concludes that for children and adolescents aged 6 to < 18 years and weighing at least 20 kg with moderate to severe plaque psoriasis for whom systemic therapy is an option, The additional benefit of apremilast compared with the appropriate comparator therapy is not proven.
  • Overall assessment
    • On balance, the G-BA therefore concludes that for children and adolescents aged 6 to < 18 years and weighing at least 20 kg with moderate to severe plaque psoriasis, for whom systemic therapy is an option, The additional benefit of apremilast compared with the appropriate comparator therapy is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Apremilast (3) Otezla® Amgen GmbH Skin diseases Moderate to severe plaque psoriasis; 6 to < 18 years of age 360–430 100% additional benefit not proven
Apremilast (2) Otezla® Amgen GmbH Other diseases Behçet's disease 750–2,200 100% additional benefit not proven
Apremilast (1) Otezla® Celgene GmbH Skin diseases Plaque psoriasis (PP); Psoriatic arthritis (PA) 50,800–140,500 100% additional benefit not proven


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