Alectinib for non-small cell lung cancer, October 2020

Page last updated: 15 March 2021

Drug utilisation sub-committee (DUSC)

October 2020

Abstract

Purpose

To compare predicted and actual utilisation of alectinib in stage IIIB (locally advanced) or stage IV (metastatic) non-small cell lung cancer.

Date of listing on the Pharmaceutical Benefits Scheme (PBS)

Alectinib was PBS listed on 1 January 2018.

Data Source / methodology

Data extracted from the PBS data maintained by Department of Health, processed by Services Australia was used for all analyses.

Key Findings

  • There were 254 and 322 patients treated with alectinib during the first and second year of listing respectively, which was higher than estimated.
  • There were 1,715 and 2,546 alectinib prescriptions dispensed during the first and second year of listing respectively, which was higher than estimated.
  • The most common age group in patients beginning alectinib treatment were those aged between 60- 64 years old with 53.1% of initiating patients being female.
  • The mean duration of alectinib treatment accounting for breaks in treatment was 13.78 months (95% confidence interval 11.75-15.80 months). The treatment time for alectinib was longer than predicted.
  • Most patients have generally initiated on alectinib as first-line anaplastic lymphoma kinase positive non-small cell lung cancer treatment.

Full Report