Lorlatinib (1) – Lorviqua®

Non-small cell lung carcinoma (NSCLC), ALK+, pre-treated

Characteristics

Start date 01.06.2019 – Marketing authorisation: 06.05.2019
Resolution 22.11.2019
INN Lorlatinib
Brand name Lorviqua®
Pharm. company Pfizer Pharma GmbH
G-BA Procedure ID D-451
ATC code L01ED05 ALK inhibitors (L01ED)
DDD 0.1 g O
Therapeutic area Oncological diseases
Reason for procedure Initial assessment

Studies and Results

  • Clinical trials
    • To demonstrate the additional benefit, the pharmaceutical manufacturer has drawn on data from the international, multicentre, open-label Phase I/II registration trial B7461001.

a) Patients with ALK-positive, advanced NSCLC whose disease has progressed following treatment with alectinib or ceritinib as first-line ALK-TKI therapy, or with crizotinib and at least one other ALK-TKI; for whom further systemic antineoplastic therapy is an option

  • An additional benefit is not proven
  • The pharmaceutical manufacturer does not present any results in the dossier from directly comparative studies or studies suitable for an adjusted indirect comparison. Based on this evidence, it is not possible to infer any additional benefit for the two patient populations.
  • The additional benefit of lorlatinib in the treatment of patients with ALK-positive, advanced NSCLC whose disease has progressed following alectinib or ceritinib as first-line ALK-TKI therapy, or crizotinib and at least one other ALK-TKI; whether or not they are eligible for further systemic antineoplastic therapy, is not proven.

b) Patients with ALK-positive, advanced NSCLC whose disease has progressed following treatment with alectinib or ceritinib as first-line ALK-TKI therapy, or with crizotinib and at least one other ALK-TKI; for whom further antineoplastic systemic therapy is not an option

  • An additional benefit is not proven
  • The pharmaceutical manufacturer does not present any results in the dossier from direct comparative studies or studies suitable for an adjusted indirect comparison. On the basis of this data, it is not possible to infer any additional benefit for the two patient populations.
  • The additional benefit of lorlatinib in the treatment of patients with ALK-positive, advanced NSCLC whose disease has progressed following alectinib or ceritinib as first-line ALK-TKI therapy, or crizotinib and at least one other ALK-TKI; for whom further systemic antineoplastic therapy is an option or for whom further systemic antineoplastic therapy is not an option, it is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Lorlatinib (2) Lorviqua® Pfizer Pharma GmbH Oncological diseases Non-small cell lung cancer (NSCLC), ALK+, first-line 390–1,310 100% additional benefit not proven
Lorlatinib (1) Lorviqua® Pfizer Pharma GmbH Oncological diseases Non-small cell lung carcinoma (NSCLC), ALK+, pre-treated 200–1,310 100% additional benefit not proven


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