Reason for request

Inclusion on the list of medicines reimbursed by National Health Insurance and approved for hospital use in the extension of indication: "PREZISTA®, -co-administered with 100 mg ritonavir is indicated in association with other anti-retroviral medicinal products for the treatment of human immunodeficiency virus (HIV-1) infection in pre-treated adult patients (amendment to Marketing Authorisation dated 24 November 2008), including highly pre-treated adult patients".

-


Clinical Benefit

Substantial

The actual benefit of this medicinal product is substantial.


Clinical Added Value

minor
PREZISTA 300 mg, in the extension of indication to moderately pre-treated patients :
on the basis of data available (TITAN study), the characteristics of PREZISTA (darunavir) co-administered with a low dose of ritonavir, as compared to KALETRA (lopinavir/ritonavir) are as follows :
- superior virological efficacy, although the quantity of effect was modest,
- similar immunological efficacy,
- a comparable lipid and digestive safety profile.
As a result, PREZISTA (darunavir), co-administered with a low dose of ritonavir, provides a minor improvement in actual benefit (level IV) in terms of virological efficacy compared to KALETRA in the moderately pre-treated patient population.
Comments without ASMR value

PREZISTA 300 mg, In highly pre-treated patients :
Week 96 and 144 follow-up data for the POWER 1, POWER 2 and POWER 3 studies confirm the data at 48 weeks which led to the initial Marketing Authorisation being granted. These data do not change the IAM assessment compared to the previous opinion given by the Committee (see CT opinion dated 7 July 2008).


Contact Us

Évaluation des médicaments

See also