Tofacitinib (7) – Xeljanz®

Ankylosing spondylitis (AS)

Characteristics

Start date 15.12.2021 – Marketing authorisation: 15.11.2021
Resolution 16.06.2022
INN Tofacitinib
Brand name Xeljanz®
Pharm. company Pfizer Pharma GmbH
G-BA Procedure ID D-764
ATC code L04AF01 IMMUNOSUPPRESSANTS (L04A)
DDD 10 mg O
Therapeutic area Musculoskeletal system diseases
Reason for procedure New therapeutic indication

Studies and Results

  • Clinical trials
    • Furthermore, no indirect comparisons were presented to address the questions raised in the benefit assessment.

a1) Adults with active ankylosing spondylitis who have responded inadequately to conventional therapy and who are eligible for treatment with tofacitinib

  • The additional benefit is not proven.
  • In its dossier for the assessment of the additional benefit of tofacitinib, the pharmaceutical manufacturer does not present any direct comparative studies against the appropriate comparator therapy.
  • Furthermore, no indirect comparisons were submitted to address the issues raised in the benefit assessment.
  • On balance, the additional benefit of tofacitinib over the appropriate comparator therapy is not proven for this patient group.
  • Overall assessment
    • On balance, the additional benefit of tofacitinib over the appropriate comparator therapy is not proven for this patient group.

a2) Adults with active ankylosing spondylitis who have responded inadequately to prior treatment with biological anti-rheumatic drugs (bDMARDs) or who are intolerant to such treatment and who are eligible for treatment with tofacitinib

  • An additional benefit is not proven.
  • In its dossier for the assessment of the additional benefit of tofacitinib, the pharmaceutical manufacturer does not present any direct comparative studies against the appropriate comparator therapy.
  • Furthermore, no indirect comparisons were submitted to address the issues raised in the benefit assessment.
  • On balance, the additional benefit of tofacitinib over the appropriate comparator therapy is not proven for this patient group.
  • Overall assessment
    • On balance, the additional benefit of tofacitinib over the appropriate comparator therapy is not proven for this patient group.

Courtesy translation only, please refer to the German original.

Associated procedures

Tofacitinib (7) Xeljanz® Pfizer Pharma GmbH Musculoskeletal system diseases Ankylosing spondylitis (AS) 16,800 100% additional benefit not proven
Tofacitinib (6) Xeljanz® Pfizer Pharma GmbH Musculoskeletal system diseases Polyarticular juvenile idiopathic arthritis, RF+ or RF polyarthritis and dilated oligoarthritis, and juvenile psoriatic arthritis, ≥ 2 years 1,450 100% additional benefit not proven
Tofacitinib (5) Xeljanz® Pfizer Pharma GmbH Musculoskeletal system diseases Rheumatoid arthritis (RA), pretreated patients, monotherapy or combination with methotrexate 27,100–93,500 100% additional benefit not proven
Tofacitinib (3) Xeljanz® Pfizer Pharma GmbH Skin diseases Psoriatic arthritis (PA) 25,900 69% Hint for minor additional benefit
Tofacitinib (4) Xeljanz® Pfizer Pharma GmbH Digestive system diseases Ulcerative colitis 5,300–25,000 100% additional benefit not proven
Tofacitinib (2) Xeljanz® Pfizer Pharma GmbH Musculoskeletal system diseases Rheumatoid arthritis (RA) 0
29,490–63,815
100% additional benefit not proven repealed
Tofacitinib (1) Xeljanz® Pfizer Pharma GmbH Musculoskeletal system diseases Rheumatoid arthritis (RA) 0
87,300–184,470
100% additional benefit not proven repealed


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