PharmClass

The Ministry of Health’s Drug Advisory Committee has not recommended capivasertib in combination with fulvestrant for inclusion on the MOH List of Subsidised Drugs for HR-positive, HER2-negative locally advanced or metastatic breast cancer with one or more PIK3CA/AKT1/PTEN-alteration following disease recurrence or progression on or after an endocrine-based regimen with or without a cyclin-dependant kinase 4/6 inhibitor (CDK4/6i). The decision was based on the uncertain extent of clinical benefit compared with fulvestrant monotherapy, unfavourable cost effectiveness compared with alternative treatments, and the unacceptable price-volume agreement proposed by the company.

Clinical indication, subsidy class and MediShield Life claim limit for capivasertib are provided in the Annex.

The Ministry of Health’s Drug Advisory Committee has not recommended inavolisib, in combination with palbociclib and fulvestrant, for inclusion on the MOH List of Subsidised Drugs for PIK3CA-mutated, HR-positive, HER2-negative, locally advanced or metastatic breast cancer, following recurrence on or within 12 months of completing adjuvant endocrine therapy. The decision was based on the unfavourable cost effectiveness compared with palbociclib plus fulvestrant at the proposed price, and the unacceptable price-volume agreement proposed by the company.

Clinical indication, subsidy class and MediShield Life claim limit for inavolisib are provided in the Annex.

Based on the available evidence, the Ministry of Health’s Drug Advisory Committee has recommended:

• Abemaciclib 50 mg, 100 mg and 150 mg tablets;
• Abiraterone acetate 250 mg tablets;
• Afatinib 20 mg, 30 mg and 40 mg tablets;
• Alectinib 150 mg capsule;
• Anagrelide 0.5 mg capsule;
• Atezolizumab 840 mg/14 mL and 1200 mg/20 mL concentrate for solution for infusion;
• Avelumab 200 mg/10 mL concentrate for solution for infusion;
• Axitinib 1 mg and 5 mg tablets;
• Azacitidine 100 mg injection;
• Bendamustine 25 mg and 100 mg concentrate for infusion;
• Bicalutamide 50 mg tablet;
• Bortezomib 3.5 mg injection;
• Brentuximab vedotin 50 mg powder for concentrate for solution for infusion;
• Brigatinib 30 mg, 90 mg and 180 mg tablets;
• Cabozantinib 20 mg, 40 mg and 60 mg tablets;
• Ceritinib 150 mg capsule;
• Cetuximab 100 mg/20 mL solution for infusion;
• Cisplatin 100 mg/100 mL concentrate for infusion;
• Cyproterone 50 mg tablet;
• Dabrafenib 50 mg and 75 mg capsules;
• Dasatinib 20 mg, 50 mg and 70 mg tablets;
• Durvalumab 120 mg/2.4 mL and 500 mg/10 mL concentrate for solution for infusion;
• Epirubicin 50 mg/25 mL injection;
• Eribulin mesylate 1 mg/2 mL solution for injection;
• Erlotinib 100 mg and 150 mg tablets;
• Exemestane 25 mg tablet;
• Fludarabine phosphate 50 mg injection;
• Fulvestrant 250 mg/5 mL solution for injection;
• Gefitinib 250 mg tablet;
• Gilteritinib fumarate 40 mg tablet;
• Goserelin 3.6 mg and 10.8 mg depot injections;
• Imatinib 100 mg and 400 mg tablets;
• Ipilimumab 50 mg/10 mL concentrate for solution for infusion;
• Lapatinib 250 mg tablets;
• Lenalidomide 5 mg, 10 mg, 15 mg and 25 mg capsules;
• Leuprorelin acetate 3.75 mg and 11.25 mg depot injection;
• Lorlatinib 25 mg and 100 mg tablets;
• Megestrol 40 mg and 160 mg capsules;
• Midostaurin 25 mg capsule;
• Nilotinib 50 mg, 150 mg and 200 mg capsules;
• Nivolumab 40 mg/4 mL and 100 mg/10 mL concentrate for solution for infusion;
• Obinutuzumab 1000 mg/40 mL concentrate for solution for infusion;
• Olaparib 100 mg and 150 mg tablets;
• Oxaliplatin 200 mg/40 mL concentrate for infusion;
• Paclitaxel-albumin bound nanoparticles 100 mg injectable suspension;
• Palbociclib 75 mg, 100 mg and 125 mg capsules/tablets;
• Pazopanib 200 mg and 400 mg tablets;
• Pegylated liposomal doxorubicin 20 mg concentrate for infusion;
• Pembrolizumab 100 mg/4 mL solution for infusion;
• Pemetrexed 100 mg and 500 mg injections;
• Ponatinib 15 mg tablet;
• Ribociclib 200 mg tablet;
• Ruxolitinib 5 mg, 15 mg and 20 mg tablets;
• Somatropin 5 mg/1.5 mL and 10 mg/1.5 mL prefilled pens and solution for injection;
• Somatropin 4 mg and 5.3 mg/mL powder and solvent for solution for injection;
• Somatropin 5.83 mg/mL and 8 mg/mL solution for injection;
• Sunitinib 12.5 mg capsules;
• Trametinib 0.5 mg and 2 mg tablets; and
• Vinorelbine 50 mg/5 mL injection

for inclusion on the MOH Standard Drug List (SDL) or Medication Assistance Fund (MAF) in line with their registered indications or specific clinical criteria for treating cancer, in view of clinical need, and acceptable clinical and cost effectiveness.

Drugs that have not been recommended for subsidy are listed in the Annex.

For all drugs, the clinical indications, subsidy class, subsidy implementation dates (if applicable), and MediShield Life claim limits are provided in the Annex.