Posaconazole Geneesmiddel 12 juni 2019 Uitgebreide indicatie Posaconazole AHCL is indicated for treatment of the following fungal infections in adults: - Invasive aspergillosis in patients with disease that is refractory to amphotericin B or itraconazole or in patients who are intolerant of these medicinal products; - Fusariosis in patients with disease that is refractory to amphotericin B or in patients who are intolerant of amphotericin B; - Chromoblastomycosis and mycetoma in patients with disease that is refractory to itraconazole or in patients who are intolerant of itraconazole; - Coccidioidomycosis in patients with disease that is refractory to amphotericin B, itraconazole or fluconazole or in patients who are intolerant of these medicinal products. - Oropharyngeal candidiasis: as first-line therapy in patients who have severe disease or are immunocompromised, in whom response to topical therapy is expected to be poor. Refractoriness is defined as progression of infection or failure to improve after a minimum of 7 days of prior therapeutic doses of effective antifungal therapy. Posaconazole AHCL is also indicated for prophylaxis of invasive fungal infections in the following patients: - Patients receiving remission-induction chemotherapy for acute myelogenous leukemia (AML) or myelodysplastic syndromes (MDS) expected to result in prolonged neutropenia and who are at high risk of developing invasive fungal infections; - Hematopoietic stem cell transplant (HSCT) recipients who are undergoing high-dose immunosuppressive therapy for graft versus host disease and who are at high risk of developing invasive fungal infections. Therapeutische waarde Mogelijke gelijke waarde Totale kosten Registratiefase Positieve CHMP-opinie Product Werkzame stof Posaconazole Domein Infectieziekten Reden van opname Generiek middel G Hoofdindicatie Infectieziekten, overig Uitgebreide indicatie Posaconazole AHCL is indicated for treatment of the following fungal infections in adults: - Invasive aspergillosis in patients with disease that is refractory to amphotericin B or itraconazole or in patients who are intolerant of these medicinal products; - Fusariosis in patients with disease that is refractory to amphotericin B or in patients who are intolerant of amphotericin B; - Chromoblastomycosis and mycetoma in patients with disease that is refractory to itraconazole or in patients who are intolerant of itraconazole; - Coccidioidomycosis in patients with disease that is refractory to amphotericin B, itraconazole or fluconazole or in patients who are intolerant of these medicinal products. - Oropharyngeal candidiasis: as first-line therapy in patients who have severe disease or are immunocompromised, in whom response to topical therapy is expected to be poor. Refractoriness is defined as progression of infection or failure to improve after a minimum of 7 days of prior therapeutic doses of effective antifungal therapy. Posaconazole AHCL is also indicated for prophylaxis of invasive fungal infections in the following patients: - Patients receiving remission-induction chemotherapy for acute myelogenous leukemia (AML) or myelodysplastic syndromes (MDS) expected to result in prolonged neutropenia and who are at high risk of developing invasive fungal infections; - Hematopoietic stem cell transplant (HSCT) recipients who are undergoing high-dose immunosuppressive therapy for graft versus host disease and who are at high risk of developing invasive fungal infections. Huidig specialité Noxafil (MSD) Reeds beschikbare biosimilars/generieken Merknaam Posaconazole AHCL Fabrikant Accord Healthcare Portfoliohouder Werkingsmechanisme Antimycoticum Toedieningsweg Onbekend Toedieningsvorm Onbekend Bekostigingskader Onbekend Expertisecentrum Aanvullende opmerkingen Dit betreft 1 van de 2 generieken voor posaconazole die is opgenomen in de Horizonscan. Registratie Registratieroute Centraal (EMA) Type traject Onbekend Bijzonderheid Onbekend ATMP Onbekend Indieningsdatum Verwachte registratie Juli 2019 Weesgeneesmiddel Nee Registratiefase Positieve CHMP-opinie Vergoeding Geneesmiddelensluis Aanvullende opmerkingen SPC Noxafil verloopt op 19-12-2019. Positieve CHMP-opinie mei 2019. Therapeutische waarde Huidige behandelopties Therapeutische waarde Mogelijke gelijke waarde Deze inschatting doet geen uitspraak over de mogelijke opname in het pakket. Onderbouwing Behandelduur Toedieningsfrequentie Dosis per toediening Bronnen Aanvullende opmerkingen Verwacht patiëntvolume per jaar Patiëntvolume Marktaandeel wordt in de regel niet meegenomen tenzij anders vermeld. Maximaal patiëntvolume voor sluis Bronnen Aanvullende opmerkingen Verwachte kosten per patiënt per jaar Kosten Bronnen Aanvullende opmerkingen Mogelijke totale kosten per jaar Totale kosten Totale kosten voor sluis Aanvullende opmerkingen Off-label gebruik Indicatieuitbreidingen Onbekend Indicaties off-label gebruik Bronnen Aanvullende opmerkingen Indicatieuitbreiding Indicatieuitbreidingen Onbekend Indicatieuitbreidingen Bronnen Aanvullende opmerkingen Overige informatie Aanvullende opmerkingen