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Tuesday, October 22, 2024 2:26:19 PM
NICE issued its assessment for exa-cel (Casgevy) relatively quickly after the MHRA granted marketing authorization. The MHRA approved exa-cel in November 2023, and by March 2024, NICE had already issued a draft decision regarding its use for sickle cell disease, initially not recommending it for NHS funding due to cost-effectiveness concerns. However, discussions with stakeholders, including Vertex, NHS England, and patient groups, continued through public consultations. By August 2024, NICE issued a final draft guidance recommending exa-cel for beta-thalassemia under the Innovative Medicines Fund, allowing for additional data collection on its cost-effectiveness.
This timeline shows an effort to align appraisal with regulatory approval, ensuring patients can access new treatments swiftly, though the process includes critical reviews of economic and clinical data.
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