Secukinumab (7) – Cosentyx®

Enthesitis-related arthritis (ERA)

Characteristics

Start date 15.07.2022 – Marketing authorisation: 20.06.2022
Resolution 05.01.2023
INN Secukinumab
Brand name Cosentyx®
Pharm. company Novartis Pharma GmbH
G-BA Procedure ID D-843
ATC code L04AC10 Interleukin inhibitors (L04AC)
ICD-10 codes (AIS) M08.89Other juvenile arthritis, multiple sites
Alpha-ID codes (AIS) I120123Enthesitis-associated arthritis
DDD 10 mg P
Therapeutic area Musculoskeletal system diseases Juvenile idiopathic arthritis / Enthesitis-related arthritis
Reason for procedure New therapeutic indication
Specialty Bundling

Therapeutic indication of the resolution

Cosentyx, alone or in combination with methotrexate (MTX), is indicated for the treatment of active enthesitis-associated arthritis in patients 6 years of age and older whose disease has inadequate response to, or intolerance of, conventional therapy.

 

Subpopulation Indication Comparator
Patients aged 6 years and over with active enthesitis-associated arthritis, whose disease has disease has responded inadequately to conventional therapy or who cannot tolerate it. Therapy according to physician's choice

Studies and Results

No. of studies
(best subpopulation)
1 (CAIN457F2304) 0 (Data not accepted)
Study design
(best subpopulation)
Data not accepted (Dossier: no data submitted)

  • Clinical trials
    • In the dossier, the pharmaceutical manufacturer refers to the authorisation study CAIN457F2304. This is a withdrawal-design study which, unlike the target population approved for secukinumab, investigates a patient population that has responded to treatment.

Patients aged 6 years and over with active enthesitis-associated arthritis whose condition has responded inadequately to conventional therapy or who are unable to tolerate it

  • For patients aged 6 years and over with active enthesitis-associated arthritis whose condition has responded inadequately to conventional therapy or who cannot tolerate it, the additional benefit of secukinumab compared with the appropriate comparator therapy is not proven.
  • Overall, for the target population under consideration, there is no suitable study available for either a direct or an indirect comparison of secukinumab with the appropriate comparator therapy.
  • On balance, there are no data available that are suitable for a benefit assessment. The additional benefit of secukinumab compared with the appropriate comparator therapy is therefore not proven.
  • Overall assessment
    • On balance, the additional benefit of secukinumab compared with the appropriate comparator therapy is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Secukinumab (9) Cosentyx® Novartis Pharma GmbH Skin diseases Hidradenitis suppurativa (Acne inversa) 4,800–6,400 100% additional benefit not proven
Secukinumab (8) Cosentyx® Novartis Pharma GmbH Skin diseases Juvenile psoriatic arthritis (PA), ≥ 6 years 120–180 100% additional benefit not proven
Secukinumab (7) Cosentyx® Novartis Pharma GmbH Musculoskeletal system diseases Enthesitis-related arthritis (ERA) 240–290 100% additional benefit not proven
Secukinumab (5) Cosentyx® Novartis Pharma GmbH Skin diseases Plaque psoriasis (PP), ≥ 6 to < 18 years 270–2,035 100% Hint for minor additional benefit
Secukinumab (6) Cosentyx® Novartis Pharma GmbH Musculoskeletal system diseases Axial spondyloarthritis 19,500 100% additional benefit not proven
Secukinumab (4) Cosentyx® Novartis Pharma GmbH Skin diseases Psoriatic arthritis (PA) 29,100 35% Indication of minor additional benefit
Secukinumab (3) Cosentyx® Novartis Pharma GmbH Skin diseases Plaque psoriasis (PP) 19,800–137,300 100% Indication of considerable additional benefit
Secukinumab (2) Cosentyx® Novartis Pharma GmbH Musculoskeletal system diseases Psoriatic arthritis (PA), Radiographic axial spondyloarthritis (AS)Psoriatic arthritis (PA), Bekhterev's disease 40,400–141,600 100% additional benefit not proven
Secukinumab (1) Cosentyx® Novartis Pharma GmbH Skin diseases Plaque psoriasis (PP) 32,400–97,100
52,200–234,400
8% Indication of considerable additional benefit repealed subpopulations


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