March 2007 PBAC Outcomes - 1st time decisions not to recommend

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Drug and Form Drug Use and Type Listing Requested by Sponsor PBAC Recommendation
Carmustine implant with polifeprosan 20 
7.7 mg (Gliadel®)
Orphan Australia Pty Ltd 
Major submission
Anti cancer drug Extension of restricted benefit listing to include the treatment of recurrent glioblastoma multiforme in patients for whom surgical resection is indicated. The PBAC rejected the submission because of uncertain clinical effectiveness.
Sponsor’s comment The sponsor will be considering its position regarding any future course of action.
Dasatinib, tablets, 70 mg , 50 mg, 20 mg (Sprycel®
Bristol-Myers Squibb Pharmaceutical Australia Pty Ltd 
Major submission
Anti cancer drug Listing under the section 100 Special Authority Program for the treatment of acute lymphoblastic leukaemia in adult patients expressing the Philadelphia chromosome or transcript, bcr-abl tyrosine kinase, who are resistant or intolerant to imatinib mesylate. The PBAC rejected the submission because of uncertain cost-effectiveness.
Sponsor’s comment The sponsor looks forward to working with the PBAC to resolve the issues that have been identified.
Escitalopram, tablets, 10 mg and 20 mg, and 10 mg/mL oral solution (Lexapro®)
Lundbeck Australia Pty Ltd
Major submission
Anti depressant Restricted benefit listing for social anxiety disorder (social phobia) and generalised anxiety disorder. The PBAC rejected the submission because of uncertain cost-effectiveness.
Sponsor’s comment The sponsor looks forward to working with the PBAC to resolve the issues that have been identified.
Etanercept injection set containing 4 vials pwd for inj 25 mg and 50 mg and 4 pre-filled syringes solvent 1 mL (Enbrel®
Wyeth Australia Pty Limited 
Major submission
Psoriasis, Rheumatoid arthritis Ankylosing spondylitis and psoriatic arthritis Extension of listing for treatment of chronic severe plaque psoriasis. The PBAC rejected the submission because of uncertainty about the clinical evidence and a high and uncertain cost effectiveness ratio.
Sponsor’s comment Wyeth looks forward to working with the PBAC to address the issues raised by the Committee.
Interferon beta-1b injection set of 1 vial pwd for inj 8,000,000 i.u. (250 mcg) and solvent (Betaferon®)
Schering Pty Limited 
Major submission
Treatment of multiple sclerosis Amendment of authority required criteria to allow patients diagnosed using the McDonald Criteria to access treatment rather than the current Poser Criteria. The PBAC rejected the submission because of uncertain clinical benefit and uncertain cost effectiveness.
Sponsor’s comment Bayer Schering Pharma will discuss this decision with the PBAC in order to clarify and address the issues raised.
Lanthanum carbonate, chewable tablets, 500 mg, 750 mg and 1000 mg (Fosrenol®
Orphan Australia Pty Ltd
Major submission
Management of phosphate levels in renal disease Authority required listing The PBAC rejected the submission because of a high and uncertain cost-effectiveness ratio that primarily resulted from a lack of data to conclusively link treatment with patient relevant outcomes.
Sponsor’s comment The sponsor will be considering its position regarding any future course of action.
Venlafaxine hydrochloride, capsules, 37.5 mg, 75 mg and 150 mg (Efexor-XR®
Wyeth Australia Pty Ltd 
Minor submission
Anti depressant Listing of a new pack size of 14 capsules per pack with no repeats as per the current pack size. The PBAC rejected the submission because there is already a mechanism available (ie there is no compulsion to prescribe the maximum quantity) which allows for prescribing of less than the maximum quantity of 28 capsules.
Sponsor’s comment No comment