Obinutuzumab (6) – Gazyvaro®

Follicular lymphoma (FL), first-line

Characteristics

Start date 15.05.2021 – Marketing authorisation: 18.09.2017
Resolution 04.11.2021
INN Obinutuzumab
Brand name Gazyvaro®
Pharm. company Roche Pharma AG
G-BA Procedure ID D-674
ATC code L01FA03 CD20 inhibitors (L01FA)
ICD-10 codes (AIS) C82.0Follicular lymphoma grade I, C82.1Follicular lymphoma grade II, C82.2Follicular lymphoma grade III, unspecified, C82.3Follicular lymphoma grade IIIa, C82.7, C82.9Follicular lymphoma, unspecified
Alpha-ID codes (AIS) I116042Follicular lymphoma grade 1, I116043Follicular lymphoma grade 2, I116044Follicular lymphoma grade 3, I116045Follicular lymphoma grade 3a, I116049Other types of follicular lymphoma, I17968Follicular lymphoma
ORPHAcodes (AIS) 545Follicular lymphoma grade 1, 545Follicular lymphoma grade 2, 545Follicular lymphoma grade 3, 545Follicular lymphoma grade 3a, 545Other types of follicular lymphoma, 545Follicular lymphoma
DDD 48 mg P
Therapeutic area Oncological diseases Follicular lymphoma (FL) Orphan (turnover limit)
Reason for procedure Reassessment: Orphan turnover exceeded
Original resolution: Obinutuzumab (3) (05.04.2018)
Specialty Bundling

Therapeutic indication of the resolution

Gazyvaro in combination with chemotherapy, followed by Gazyvaro maintenance therapy in patients achieving a response, is indicated for the treatment of patients with previously untreated advanced follicular lymphoma (FL).

Subpopulation Indication Comparator
Gazyvaro in combination with chemotherapy, followed by Gazyvaro maintenance therapy in patients with a response to therapy is used in patients with non-pretreated pretreated advanced follicular lymphoma (FL). - Rituximab in combination with cyclophosphamide, vincristine and prednisolone (CVP) or - Rituximab in combination with bendamustine followed by rituximab maintenance therapy for patients who have responded to induction therapy

Studies and Results

No. of studies
(best subpopulation)
1 (GALLIUM)
Study design
(best subpopulation)
H2H vs. non-ACT + no ITC
Meta analysis
(best subpopulation)
no

  • Clinical trials
    • To demonstrate additional benefit, the pharmaceutical manufacturer has presented the results of the randomised, controlled, open-label, multicentre Phase III GALLIUM trial in the dossier.

Patients with previously untreated advanced follicular lymphoma (FL)

  • The additional benefit is not proven.
  • The conclusion is therefore that additional benefit is not proven.
  • The presentation of the study data in the dossier proved, in each instance, to be of serious extent inadequate and incomplete in terms of content, with the result that this precludes a proper assessment of the additional benefit.
  • The dossier did not contain analyses for all the endpoints recorded for any of the data sets, particularly not for the most recent one.
  • Furthermore, the analyses of health-related quality of life were inadequate.
  • Moreover, the results presented on common adverse events were incomplete.
  • Even the analyses submitted subsequently with the written statement were not suitable for enabling a proper assessment of the additional benefit due to their inadequate processing.
  • Overall assessment
    • Consequently, the G-BA has determined, in accordance with Chapter 5, Section 18, sentence 4 of the G-BA’s Rules of Procedure (VerfO), that additional benefit is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Obinutuzumab (6) Gazyvaro® Roche Pharma AG Oncological diseases Follicular lymphoma (FL), first-line 1,300–1,500 100% additional benefit not proven Orphan (turnover limit)
Obinutuzumab (4) Gazyvaro® Roche Pharma AG Oncological diseases Chronic lymphocytic leukemia (CLL) 820–1,480 100% additional benefit not proven Orphan (turnover limit)
Obinutuzumab (5) Gazyvaro® Roche Pharma AG Oncological diseases Follicular lymphoma (FL) 790–940 100% additional benefit not proven Orphan (turnover limit)
Obinutuzumab (3) Gazyvaro® Roche Pharma AG Oncological diseases Follicular lymphoma (FL), first-line 0
1,300–1,500
100% non-quantifiable additional benefit Orphan repealed
Obinutuzumab (2) Gazyvaro® Roche Pharma AG Oncological diseases Follicular lymphoma (FL) 0
790–940
100% non-quantifiable additional benefit Orphan repealed
Obinutuzumab (1) Gazyvaro® Roche Pharma AG Oncological diseases Chronic lymphocytic leukemia (CLL) 0
818–1,477
100% non-quantifiable additional benefit Orphan repealed


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