Nonacog beta pegol (1) – Refixia®

Hemophilia B, ≥ 12 years

Characteristics

Start date 01.11.2017 – Marketing authorisation: 02.06.2017
Resolution 19.04.2018
INN Nonacog beta pegol
Brand name Refixia®
Pharm. company Novo Nordisk Pharma GmbH
G-BA Procedure ID D-322
ATC code B02BD36 Blood coagulation factors (B02BD)
ICD-10 codes (AIS) D67Hereditary factor IX deficiency
Alpha-ID codes (AIS) I27821Hemophilia B
DDD 800 U P
Therapeutic area Hematopoietic diseases Hemophilia (Hemophilia A /Hemophilia B)
Reason for procedure Initial assessment

Therapeutic indication of the resolution

Treatment and prophylaxis of bleeding in patients 12 years and above with haemophilia B (congenital factor IX deficiency).

Subpopulation Indication Comparator
Patients aged 12 years and older with haemophilia B (congenital factor IX deficiency) for the treatment and prophylaxis of bleeding. Recombinant or human plasma-derived coagulation factor IX preparations

Studies and Results

No. of studies
(best subpopulation)
2 (NN7999-3747, NN7999-3775)
Study design
(best subpopulation)
Single-arm + no comparison
Meta analysis
(best subpopulation)
no

  • Clinical trials
    • The marketing authorisation studies NN7999-3747 and NN7999-3775 described in the dossier are open-label, multicentre, uncontrolled studies designed to investigate the efficacy and safety of Nonacog beta pegol in previously treated male patients aged 13 to 70 years with moderate or severe haemophilia B.

Treatment and prophylaxis of bleeding in patients aged 12 years and over with haemophilia B (congenital factor IX deficiency)

  • For the treatment and prophylaxis of bleeding in patients aged 12 years and over with haemophilia B (congenital factor IX deficiency), the additional benefit compared with the appropriate comparator therapy is not proven.
  • The additional benefit compared with the appropriate comparator therapy is therefore not proven.
  • The pharmaceutical manufacturer has not submitted any relevant data for the assessment of the additional benefit of nonacog beta pegol.
  • The G-BA considers that, taken as a whole, the results presented are not sufficient to allow patient-relevant effects to be inferred regarding the additional benefit of Nonacog beta pegol compared with the appropriate comparator therapy.
  • Conclusion
    • The pharmaceutical manufacturer has not provided any relevant data for the assessment of the additional benefit of Nonacog beta pegol.
    • The G-BA considers that, taken as a whole, the results presented are not suitable for deriving patient-relevant effects regarding the additional benefit of Nonacog beta pegol compared with the appropriate comparator therapy.
    • The additional benefit compared with the appropriate comparator therapy is therefore not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Nonacog beta pegol (2) Refixia® Novo Nordisk Pharma GmbH Hematopoietic diseases Hemophilia B, < 12 years 100–110 100% additional benefit not proven
Nonacog beta pegol (1) Refixia® Novo Nordisk Pharma GmbH Hematopoietic diseases Hemophilia B, ≥ 12 years 500–570 100% additional benefit not proven


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