Margetuximab Medicine 10 December 2019 Extended indication Metastatic breast cancer, HER2-positive. Therapeutic value No estimate possible yet Total cost € 21,000,000.00 Registration phase Clinical trials Product Active substance Margetuximab Domain Oncology and Hematology Reason of inclusion New medicine (specialité) Main indication Breast cancer Extended indication Metastatic breast cancer, HER2-positive. Current proprietary name Already available biosimilars / generics Proprietary name Manufacturer MacroGenics Portfolio holder Mechanism of action Receptor antagonist Route of administration Intravenous Therapeutical formulation Intravenous drip Budgetting framework Intermural (MSZ) Centre of expertise Additional remarks Fabrikant: MacroGenics, ERBB 2 receptor antagonisten. Verhoogt de affiniteit voor CD16A-polymorfismen en verlaagt de affiniteit voor FcyRIIB (CD32B), een remmende receptor. Registration Registration route Centralised (EMA) Type of trajectory Unknown Particularity Unknown ATMP Unknown Submission date 2022 Expected Registration 2023 Orphan drug No Registration phase Clinical trials Reimbursement Medicine sluice Additional remarks Therapeutic value Current treatment options Therapeutic value No estimate possible yet This assessment does not indicate any potential inclusion in the package. Substantiation Duration of treatment Frequency of administration 1 times every 3 weeks Dosage per administration 15 mg/kg References NCT02492711 Additional remarks Expected patient volume per year Patient volume 100 - 200 Market share is generally not included unless otherwise stated. Maximum patient volume for sluice References NKR 2018. Additional remarks Er waren 2.060 HER2+ patiënten met mammacarcinoom in 2018. Zo'n 200 patiënten betreft stadium 4 mammacarcinoom. Het gaat echter om een tweede-/derdelijns behandeling. Afhankelijk van de studieresultaten zal een subgroep van de patiënten die in de tweede/derde lijn worden behandeld in aanmerking komen voor dit geneesmiddel. Inschatting 100-200 patiënten. Expected cost per patient per year Cost € < 140,000.00 This amount gives an indication of the total cost. It is the result of the average expected patient volume times the average cost per patient. both per year. References Drugs.com Additional remarks In de VS kost 10 ml 25 mg/ml margetuximab ongeveer $2.200 (€1.950). Er zullen dus ongeveer 4 flacons per injectie gebruikt moeten worden (€7.800). Bij 18 injecties in een jaar zou dit neerkomen op €140.400. Mogelijk zal de prijs in de EU lager uitvallen. Potential total cost per year Total cost € 21,000,000.00 Total cost for sluice Additional remarks Off label use Off label use Unknown Indications off label use References Additional remarks Indication extension Indication extensions Yes Indication extensions Gastric cancer; Oesophageal cancer. References Clinicaltrials.gov, AdisInsight. Additional remarks Lopende fase 3 studies. Other information Additional remarks