SMC recommends Darzalex as second-line treatment for multiple myeloma

SMC approves Darzalex for use as second-line treatment in certain multiple myeloma patients

The Scottish Medicines Consortium (SMC) has recommended Darzalex® (daratumumab) plus bortezomib and dexamethasone as an option for treating relapsed multiple myeloma in people who have had only one previous treatment.

The Janssen Pharmaceutical Companies of Johnson & Johnson has announced that the decision was based on the phase III data which showed patients that received daratumumab, in combination with bortezomib and dexamethasone, had significantly longer progression-free survival (the length of time during and after the treatment of a disease that a patient lives with the disease, but it does not get worse).

The decision follows the National Institute for Health and Care Excellence (NICE) recommendation in March 2019 for the same indication, for use within the Cancer Drugs Fund (CDF).

Myeloma, also known as multiple myeloma, is a blood cancer arising from plasma cells. Latest mortality data from Cancer Research UK show that there were 266 deaths from myeloma in Scotland in 2017. Multiple myeloma is incurable but treatment can often help to control symptoms and improve quality of life. Patients who relapse after treatment with standard therapies have poor prognoses and few treatment options available.

In making its recommendations, the SMC considered evidence from the phase III CASTOR study which showed that the combination extended the 12-month length of time people live before their disease progresses by 60.7% versus 26.9% in the control group.

Clinical experts consulted by the SMC also noted that daratumumab filled an unmet need for patients with relapsed multiple myeloma ‘as this is an incurable disease and patients are likely to require long-term treatment’.

Shelagh McKinley, Head of Patient Advocacy, Myeloma UK, said: “This approval is really good news for patients in Scotland and their families. We know from our research that keeping their myeloma under control is the most important thing for patients. Having access to daratumumab in combination with bortezomib and dexamethasone, and benefiting from the improved remission it delivers, is therefore hugely welcome.”

Jennifer Lee, Director of Health Economics, Market Access and Reimbursement (HEMAR) and Advocacy at Janssen UK, said: “We are delighted that the SMC has recommended daratumumab plus bortezomib and dexamethasone for routine access to myeloma patients in Scotland after only one other treatment has been used and proven ineffective. This recommendation fulfils the previously unmet need for myeloma patients in Scotland that have already had one prior treatment.”