Cancer Drugs Approved for Reimbursement

 

The demand for the introduction of new cancer drugs is growing internationally and Ireland is no different.  These drugs tend to be expensive and their introduction presents a particular challenge during difficult budgetary circumstances.  Several new cancer drugs have been introduced in Ireland and it is hoped that these drugs will improve outcomes for patients.

Since 2012 the HSE has put a robust assessment process in place for new medicines, including cancer medicines. The intention of this process is to ensure that the HSE can provide access to as many new and existing medicines as possible, at sustainable prices and from within the resources which government and taxpayers have provided. The NCCP Technology Review Committee makes recommendations on reimbursement to the HSE Drug Committee.

Information regarding previous treatment in NCCP SACT regimens containing PD-1 / PD-L1 Inhibitors.

More information on the assessment process for new cancer drugs

As each new drug is approved for use, a regimen is made available to ensure national consistency for clinicians in the use of the drug.

The following drugs are approved for reimbursement:

Last updated 04/12/2024

Drug Effective date for reimbursement Funding stream Approved Indications
Abemaciclib June 2024  Community Schemes (PCRS) Abemaciclib in combination with endocrine therapy for the adjuvant treatment of adult patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, node-positive early breast cancer at high risk of recurrence.
Abiraterone June 2012 PCRS  Abiraterone is indicated in combination with prednisone or prednisolone for the treatment of metastatic castration resistant prostate cancer in adult men whose disease has progressed on or after a docetaxel-based chemotherapy regimen.
Abiraterone May 2015 PCRS Treatment of metastatic castration resistant prostate cancer in adult men who are asymptomatic or mildly symptomatic after failure of androgen deprivation therapy in whom chemotherapy is not yet clinically indicated.
Acalabrutinib (tablets) July 2023 PCRS

As monotherapy for the treatment of previously untreated CLL in the presence of 17p deletion or TP53 mutation in adult patients unsuitable for chemoimmunotherapy.

As monotherapy for the treatment of adult patients with CLL who have received at least one prior therapy.
Afatinib January 2014 PCRS Afatinib as monotherapy is indicated for the treatment of EGFR TKI-naïve adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with activating EGFR mutation(s).

Alectinib

November 2017 PCRS Treatment of adult patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib.

Alectinib

June 2019 PCRS As monotherapy is indicated for the first-line treatment of adult patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC).

Apalutamide

April 2023 PCRS For the treatment of patients with metastatic hormone sensitive prostate cancer (mHSPC) in combination with androgen deprivation therapy.

Apalutamide

August 2021 PCRS Treatment of adult men with non-metastatic castration resistant prostate cancer (nmCRPC) who are at high risk of developing metastatic disease.

Asciminib

November 2023 PCRS Treatment of adult patients with Philadelphia chromosome positive chronic myeloid leukaemia (Ph+ CML) in the chronic phase (CP), who have previously been treated with two or more tyrosine kinase inhibitors (TKIs).

Atezolizumab

March 2024 ODMS As monotherapy for adjuvant treatment following complete resection and platinum-based chemotherapy for adult patients with NSCLC with a high risk of recurrence whose tumours have PD-L1 expression on ≥ 50% of tumour cells (TC) and who do not have EGFR mutant or ALK-positive NSCLC.

Atezolizumab

March 2024 ODMS In combination with bevacizumab for the treatment of adult patients with advanced or unresectable hepatocellular carcinoma (HCC) who have not received prior systemic therapy.
Atezolizumab March 2022 ODMS

Atezolizumab  in combination with carboplatin and etoposide is indicated for first-line treatment of adult patients with extensive-stage small cell lung cancer (ES-SCLC).

Atezolizumab March 2022 ODMS

In combination with nab-PACLitaxel for the treatment of adult patients with unresectable locally advanced or metastatic triple-negative breast cancer (TNBC) whose tumours have PD-L1 expression ≥1% and who have not received prior chemotherapy for metastatic disease.

Atezolizumab July 2021 ODMS

Treatment of adult patients with locally advanced or metastatic urothelial carcinoma (UC) who are considered cisplatin ineligible and whose tumours have a PD-L1 expression ≥5%.

Atezolizumab October 2021 ODMS

As monotherapy for the first-line treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumours have a PDL1 expression ≥ 50% tumour cells (TC) or ≥ 10% tumour-infiltrating immune cells (IC) and who do not have EGFR mutant or ALK-positive NSCLC.

Atezolizumab March 2021 ODMS

Treatment of adult patients with locally advanced or metastatic urothelial carcinoma (UC) after prior platinum-containing chemotherapy.

Atezolizumab March 2019 ODMS

Treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy.

Avelumab

May 2019 ODMS Treatment of adult patients with metastatic Merkel cell carcinoma who have received 1 or more lines of chemotherapy for metastatic disease.
Avelumab September 2022 ODMS

First-line maintenance treatment of adult patients with locally advanced or metastatic urothelial carcinoma (UC) who are progression-free following platinum based chemotherapy.

Axicabtagene ciloleucel

April 2022 ODMS For the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) and primary mediastinal large B-cell lymphoma (PMBCL), after two or more lines of systemic therapy.
Axitinib March 2013 PCRS Treatment of adult patients with advanced RCC after failure, on a previous line of therapy, i.e. treatment with SUNItinib, or a cytokine.
azaCITIDine (Oral) December 2023 PCRS Maintenance treatment in adult patients with acute myeloid leukaemia (AML) who achieved complete remission (CR) or complete remission with incomplete blood count recovery (CRi) following induction therapy with or without consolidation treatment and who are not candidates for, including those who choose not to proceed to, haematopoietic stem cell transplantation (HSCT).
Blinatumomab May 2022 ODMS For the treatment of paediatric patients aged 1 years or older with high-risk first relapsed Philadelphia chromosome negative CD19 positive B-precursor acute lymphoblastic leukaemia (ALL) as part of consolidation therapy.
Blinatumomab February 2021 ODMS As monotherapy for the treatment of adults with Philadelphia chromosome negative CD19 positive B-precursor ALL in first or second complete remission with minimal residual disease (MRD) greater than or equal to 0.1%.
Blinatumomab May 2019 ODMS Treatment of adult patients with relapsed or refractory B cell precursor (BCP) Philadelphia chromosome negative acute lymphoblastic leukaemia (ALL) who have received no prior salvage treatment for relapsed/refractory (R/R) disease and are considered eligible for transplant (i.e. as a bridge-to-transplant).
Blinatumomab May 2019

ODMS As monotherapy for the treatment of paediatric patients aged 1 year or older with Philadelphia chromosome negative CD19 positive B-cell precursor ALL which is refractory or in relapse after receiving at least two prior therapies or in relapse after receiving prior allogeneic hematopoietic stem cell transplantation.
Bosutinib January 2014 PCRS Treatment of adult patients with chronic phase, accelerated phase, and blast phase Ph+CML previously treated with one or more TKI(s) and for whom imatinib, nilotinib and dasatinib are not considered appropriate treatment options.
Brentuximab vedotin December 2022 ODMS Treatment of adult patients with CD30+ cutaneous T-cell lymphoma (CTCL) after at least 1 prior systemic therapy.
Brentuximab vedotin December 2022 ODMS Treatment of adult patients with CD30+ Hodgkins Lymphoma (HL) at increased risk of relapse or progression following an autologous haematopoietic stem cell transplant (ASCT).
Brentuximab vedotin December 2022 ODMS In combination with cyclophosphamide, doxorubicin and prednisone (CHP) is indicated for adult patients with previously untreated systemic anaplastic large cell lymphoma (sALCL).
Brentuximab vedotin August 2014 ODMS

The treatment of adults with

  •  Relapsed or refractory CD30 positive Hodgkin Lymphoma who have
    • failed at least one autologous stem cell transplant (ASCT) or
    •  at least two prior therapies when ASCT or multi-agent chemotherapy is not a treatment option.
  • Relapsed or refractory systemic anaplastic large cell lymphoma.
Brentuximab vedotin and Bendamustine October 2019 ODMS

Treatment of adult patients with relapsed or refractory CD30+ Hodgkin lymphoma (HL).

Brentuximab vedotin and etoposide, CISplatin, cytarabine  (ESHAP) September 2019 ODMS

Treatment of adult patients with relapsed/refractory CD30+ Hodgkin’s lymphoma.

Brentuximab vedotin, and CARBOplatin, etoposide, ifosfamide (ICE) September 2019 ODMS

Treatment of adult patients with relapsed/refractory CD30+ Hodgkin’s lymphoma.

Brigatinib October 2020 PCRS Monotherapy for the treatment of adult patients with anaplastic lymphoma kinase (ALK) positive advanced non small cell lung cancer (NSCLC) previously not treated with an ALK inhibitor.
Brigatinib June 2019 PCRS For the treatment of adult patients with anaplastic lymphoma kinase (ALK) positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib.
Cabazitaxel March 2013 ODMS Treatment of mHRPC previously treated with docetaxel containing regimen.
Cabozantinib January 2019 PCRS Treatment of advanced renal cell carcinoma (RCC) in adults following prior VEGF targeted therapy.
Carfilzomib October 2020 ODMS In combination with dexamethasone for the treatment of adult patients with multiple myeloma who have received at least one prior therapy.
Carfilzomib September 2018 ODMS Carfilzomib,  lenalidomide and dexamethasone therapy is indicated  for the treatment of adult patients with multiple myeloma who have received at least one prior therapy.
Cemiplimab October 2024 ODMS As monotherapy for the treatment of adult patients with metastatic or locally advanced cutaneous squamous cell carcinoma (mCSCC or laCSCC) who are not candidates for curative surgery or curative radiation.
Ceritinib December 2016 PCRS Treatment of adult patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC) previously treated with crizotinib.
Chlormethine July 2024 PCRS For the topical treatment of mycosis fungoides-type cutaneous T-cell lymphoma (MF-type CTCL) in adult patients.
Cobimetinib April 2018 PCRS Cobimetinib in combination with vemurafenib is indicated for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation.
Crizotinib June 2014 PCRS For the treatment of adults with previously treated anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC).
Dabrafenib September 2014 PCRS Treatment of adult patients with unresectable or metastatic melanoma with the BRAF V600 mutation.
Dacomitinib November 2019 PCRS Monotherapy, for the first-line treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR)-activating mutations.
Daratumumab June 2024 ODMS In combination with lenalidomide and dexamethasone (Rd) for the treatment of adult patients with newly diagnosed multiple myeloma who are ineligible for autologous stem cell transplant.
Daratumumab June 2024 ODMS In combination with bortezomib, cyclophosphamide and dexamethasone (D-VCd) for the treatment of adult patients with newly diagnosed systemic light chain (AL) amyloidosis.

Daratumumab

June 2022 ODMS Daratumumab in combination with bortezomib, thalidomide and dexamethasone for the treatment of adults with newly diagnosed multiple myeloma who are eligible for autologous stem cell transplant.

Daratumumab

October 2020 ODMS Daratumumab in combination with bortezomib and dexamethasone in adult patients with multiple myeloma who have received at least one prior therapy.

Daratumumab

April 2018 ODMS As monotherapy for the treatment of adult patients with relapsed and refractory multiple myeloma whose prior therapy included a proteasome inhibitor and an immunomodulatory agent and who have demonstrated disease progression on the last therapy.

Darolutamide

March 2022 PCRS Treatment of adult men with non-metastatic castration-resistant prostate cancer (nmCRPC) who are at high risk of developing metastatic disease.
Decitabine January 2014 ODMS Treatment of adult patients aged 65 years and above with newly diagnosed de novo or secondary AML, according to the WHO classification, who are not candidates for standard induction chemotherapy.

Durvalumab

Durvalumab 10mg/kg Monotherapy

Durvalumab 1500mg Monotherapy

February 2021 ODMS As monotherapy for the treatment of locally advanced, unresectable non-small cell lung cancer (NSCLC) in adults whose tumours express PD-L1 ≥1% on tumour cells and whose disease has not progressed following platinum-based chemo-radiation therapy (CRT).
Encorafenib and Binimetinib May 2019 PCRS Treatment of adult patients with advanced (unresectable or metastatic) melanoma with a BRAF V600 mutation.
Enfortumab vedotin Monotherapy December 2023 ODMS For the treatment of adult patients with locally advanced or metastatic urothelial carcinoma (UC) who have previously received a platinum-containing chemotherapy and a programmed death receptor 1 (PD-1) or programmed death ligand 1 inhibitor (PD-L1).
Entrectinib October 2024 ODMS

As monotherapy for the treatment of adult patient with solid tumours expressing a neurotrophic tyrosine receptor kinase (NTRK) gene fusion,

  • who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, and
  • who have not received a prior NTRK inhibitor
  • who have no satisfactory treatment options
Entrectinib June 2022 PCRS As monotherapy for the treatment of adult patients with ROS1-positive, advanced non-small cell lung cancer (NSCLC) not previously treated with ROS1 inhibitors.
Enzalutamide January 2016 PCRS Treatment of metastatic castration resistant prostate cancer in adult men who are asymptomatic or mildly symptomatic after failure of androgen deprivation therapy (ADT) in whom chemotherapy is not yet clinically indicated.
Enzalutamide August 2014 PCRS The treatment of adults with metastatic castration-resistant prostate cancer whose disease has progressed on or after docetaxel.
eriBULin January 2014 ODMS Treatment of LABC or MBC which has progressed after at least two chemotherapeutic regimens for advanced disease. Prior therapy should have included an anthracycline and a taxane unless patients were not suitable for these treatments.
Fedratinib December 2022 PCRS

For the treatment of disease-related splenomegaly or symptoms in adult patients with:

primary myelofibrosis (PMF)

post polycythaemia vera myelofibrosis (PVMF) or 

post essential thrombocythaemia myelofibrosis (ET MF) who are Janus Associated Kinase (JAK) inhibitor naïve or have been treated with ruxolitinib.

Gemtuzumab ozogamicin

November 2020 ODMS As combination therapy with DAUNOrubicin and cytarabine for the treatment of patients age 15 years and above with previously untreated, de novo CD33 positive Acute Myeloid Leukemia (AML), except acute promyelocytic leukaemia.
Ibrutinib August 2016 PCRS

As a single agent for the treatment of adult patients with chronic lymphocytic leukaemia (CLL) who have received at least one prior therapy.

Ibrutinib August 2016 PCRS

As a single agent for the treatment of adult patients with chronic lymphocytic leukaemia (CLL) in first line in the presence of 17p deletion or TP53 mutation in patients unsuitable for chemo-immunotherapy.

Ibrutinib August 2016 PCRS

As a single agent for the treatment of adult patients with Waldenström’s macroglobulinaemia (WM) who have received at least one prior therapy, or in first line treatment for patients unsuitable for chemo-immunotherapy.

Ibrutinib August 2016 PCRS

As a single agent for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL).

Idelalisib

Idelalisib with Ofatumumab

January 2017 PCRS

Monotherapy for the treatment of adult patients with follicular lymphoma (FL) that is refractory to two prior lines of treatment.

In combination with riTUXimab for the treatment of adult patients with chronic lymphocytic leukaemia (CLL):

  • who have received at least one prior therapy
    or
  • as first line treatment in the presence of 17p deletion or TP53 mutation in patients who are not eligible for any other therapies

In combination with Ofatumumab for the treatment of adult patients with chronic lymphocytic leukaemia (CLL):

  • who have received at least one prior therapy
    or
  • as first line treatment in the presence of 17p deletion or TP53 mutation in patients who are not eligible for any other therapies
Inotuzumab May 2019 ODMS Monotherapy for the treatment of adults with relapsed or refractory CD22- positive B cell precursor acute lymphoblastic leukaemia (ALL). Adult patients with Philadelphia chromosome positive (Ph+ ) relapsed or refractory B cell precursor ALL should have failed treatment with at least 1 tyrosine kinase inhibitor (TKI).
Ipilimumab May 2012 ODMS Treatment of adults with advanced (unresectable or metastatic) malignant melanoma.
Ixazomib December 2018 PCRS

Ixazomib in combination with lenalidomide and dexamethasone for the treatment of adult patients with multiple myeloma who have received at least one prior therapy.

Larotrectinib May 2023 PCRS

For the treatment of adult patients with solid tumours that display a Neurotrophic Tyrosine Receptor Kinase (NTRK) gene fusion,

  • who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity, and
  • who have no satisfactory treatment options
Larotrectinib May 2023 PCRS

For the treatment of paediatric patients with solid tumours that display a Neurotrophic Tyrosine Receptor Kinase (NTRK) gene fusion,

  • who have a disease that is locally advanced, metastatic or where surgical resection is likely to result in severe morbidity,
  • and who have no satisfactory treatment options
Lenvatinib May 2021 PCRS

As monotherapy for the treatment of adult patients with advanced or unresectable hepatocellular carcinoma (HCC) who have received no prior systemic therapy.

Lenvatinib January 2016 PCRS Treatment of adult patients with progressive, locally advanced or metastatic, differentiated (papillary/follicular/Hürthle cell) thyroid carcinoma (DTC), refractory to radioactive iodine.
Lorlatinib October 2019 PCRS

As monotherapy for the treatment of adult patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC), following disease progression on

(i)   alectinib or ceritinib as the first ALK-targeted treatment

or

(ii) crizotinib and at least one other ALK-targeted treatment

Lorlatinib September 2022 PCRS As monotherapy for the treatment of adult patients with ALK-positive advanced NSCLC previously not treated with an ALK inhibitor.
Lutetium (177Lu) oxodotreotide (Lutathera®) February 2021 ODMS Treatment of unresectable or metastatic, progressive, well differentiated (G1 and G2), somatostatin receptor positive- gastroenteropancreatic neuroendocrine tumours (GEP- NETs) in adults.
Midostaurin October 2021 PCRS

Midostaurin is indicated in combination with standard daunorubicin and cytarabine induction and high dose cytarabine consolidation chemotherapy, and for patients in complete response followed by midostaurin single agent maintenance therapy, for adult patients with newly diagnosed acute myeloid leukaemia (AML) who are FLT3 mutation positive.

Mifamurtide March 2013 ODMS Treatment of high-grade resectable non-metastatic osteosarcoma after macroscopically complete surgical resection, in children, adolescents and young adults.
Mogamulizumab May 2023 ODMS As monotherapy for the treatment of adult patients with mycosis fungoides (MF) or Sézary syndrome (SS) who have received at least one prior systemic therapy.
Momelotinib September 2024  PCRS

For the treatment of disease-related splenomegaly or symptoms in adult patients with :

Moderate to severe anaemia who have primary myleofibrosis, 

Post polycythaemia vera myelofibrosis or

Post essential thrombocythaemia myelofibrosis and who are Janus Kinase (JAK) inhibitor naïve or have been treated with ruxolitinib.

nab-PAClitaxel February 2016 ODMS nab-PACLitaxel in combination with gemcitabine is indicated for the first-line treatment of adult patients with metastatic adenocarcinoma of the pancreas.
Neratinib March 2022 PCRS Extended adjuvant treatment of adults with early-stage hormone receptor-positive,HER2-overexpressed/amplified breast cancer and who completed adjuvant trastuzumab-based therapy less than one year ago.
Nintedanib Therapy February 2017 PCRS In combination with docetaxel for the treatment of adult patients with locally advanced, metastatic of stage IIIB or IV, or locally recurrent NSCLC of adenocarcinoma tumour histology after first-line chemotherapy.
Niraparib and Abiraterone acetate (Akeega®) November 2023 PCRS Niraparib in combination with abiraterone acetate (Akeega®) and predniSONE/prednisoLONE for the treatment of adults with metastatic castration resistant prostate cancer (mCRPC) and BRCA1/2 mutations (germline and/or somatic) in whom chemotherapy is not clinically indicated.
Niraparib (tablets) March 2024 PCRS As monotherapy for the maintenance treatment of adult patients with platinum sensitive relapsed high grade serous epithelial ovarian, fallopian tube or primary peritoneal cancer, who are in response (complete response or partial response) to platinum-based chemotherapy.
Niraparib (tablets) March 2024 PCRS As monotherapy for the maintenance treatment of adult patients with advanced epithelial (FIGO Stages III and IV) high-grade ovarian, fallopian tube or primary peritoneal cancer who are in response (complete or partial) following completion of first-line platinum-based chemotherapy.
Niraparib (capsules) April 2023 PCRS As  monotherapy for the maintenance treatment of adult patients with advanced epithelial (FIGO Stages III and IV) high-grade ovarian, fallopian tube or primary peritoneal cancer who are in response (complete or partial) following completion of first-line platinum-based chemotherapy.
Niraparib (capsules) March 2021 PCRS As monotherapy for the maintenance treatment of adult patients with platinum sensitive relapsed high grade serous epithelial ovarian, fallopian tube or primary peritoneal cancer, who are in response (complete response or partial response) to platinum-based chemotherapy.

Nivolumab 240mg

 Nivolumab 480mg
December 2024 ODMS As monotherapy for the adjuvant treatment of adults with muscle invasive urothelial carcinoma (MIUC) with tumour cell PD-L1 expression ≥ 1%, who are at high risk of recurrence after undergoing radical resection of MIUC, providing patients are unsuitable for adjuvant treatment with platinum based chemotherapy.
Nivolumab May 2024 ODMS In combination with platinum-based chemotherapy is indicated for the neoadjuvant treatment of resectable NSCLC at high risk of recurrence in adult patients whose tumours have PD-L1 expression ≥1%.

Nivolumab 240mg

Nivolumab 480g

September 2023 ODMS For the adjuvant treatment of oesophageal or gastro-oesophageal junction cancer who have residual pathologic disease following prior neoadjuvant chemoradiotherapy.
Nivolumab July 2023 ODMS In combination with fluoropyrimidine and platinum-based combination chemotherapy for the first-line treatment of adult patients with unresectable advanced, recurrent or metastatic oesophageal squamous cell carcinoma (OSCC) with tumour cell programmed death ligand 1 (PD-L1) expression ≥1%.

Nivolumab 240mg

Nivolumab 480mg

February 2021 ODMS As monotherapy for the adjuvant treatment of adults with melanoma with involvement of lymph nodes or metastatic disease who have undergone complete resection.

Nivolumab 280mg

Nivolumab 480g

May 2018 ODMS

As monotherapy for the treatment of squamous cell cancer of the head and neck in adults progressing on or after platinum-based therapy.

Nivolumab 240mg

Nivolumab 480mg

September 2018 ODMS

As monotherapy for the treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) after prior chemotherapy in adults.

 

Nivolumab 240mg 

Nivolumab 480mg

 October 2017  ODMS

As monotherapy for the treatment of advanced (unresectable or metastatic) melanoma in adults.

As monotherapy for the treatment of advanced renal cell carcinoma (RCC) after prior therapy in adults.

As monotherapy is indicated for the treatment of adult patients with relapsed or refractory classical Hodgkin lymphoma (cHL) after autologous stem cell transplant (ASCT) and treatment with brentuximab vedotin.

Nivolumab Ipilimumab June 2023 ODMS

In combination with ipilimumab for the treatment of adult patients with mismatch repair deficient or microsatellite instability-high metastatic colorectal cancer (MSI-H mCRC) after prior fluoropyrimidine-based combination chemotherapy.

Nivolumab Ipilimumab April 2023 ODMS

Nivolumab combination with ipilimumab for the first-line treatment of adult patients with unresectable malignant pleural mesothelioma.

Nivolumab Ipilimumab March 2022 ODMS

Nivolumab and ipilimumab plus PEMEtrexed and CISplatin therapy for the first-line treatment of metastatic non-squamous non-small cell lung
cancer (NSCLC) in adults whose tumours have no sensitising EGFR mutation or ALK translocation.

Nivolumab Ipilimumab March 2022 ODMS

Nivolumab and ipilimumab plus PEMEtrexed and CARBOplatin therapy for the first-line treatment of metastatic non-squamous non-small cell lung
cancer (NSCLC) in adults whose tumours have no sensitising EGFR mutation or ALK translocation.

Nivolumab Ipilimumab March 2022 ODMS

Nivolumab and ipilimumab plus CARBOplatin and PACLitaxel therapy for the first-line treatment of metastatic squamous non-small cell lung cancer (NSCLC) in adults whose tumours have no sensitising EGFR mutation or ALK translocation.

Nivolumab Ipilimumab February 2021 ODMS

Nivolumab in combination with ipilimumab for the first-line treatment of adult patients with intermediate-/poor-risk advanced renal cell carcinoma.

Nivolumab Ipilimumab October 2017 ODMS

Nivolumab in combination with ipilimumab is indicated for the treatment of advanced (unresectable or metastatic) melanoma in adults.

Obinutuzumab August 2015 ODMS In combination with chlorambucil for the treatment of adult patients with previously untreated chronic lymphocytic leukaemia (CLL) and with comorbidities making them unsuitable for full-dose fludarabine based therapy.
Obinutuzumab November 2017 ODMS

Obinutuzumab in combination with bendamustine is indicated for the treatment of patients with follicular lymphoma (FL) who did not respond or who progressed during or up to 6 months after treatment with rituximab or a rituximab-containing regimen.

Obinutuzumab November 2017 ODMS

Obinutuzumab maintenance therapy is indicated in patients with follicular lymphoma (FL) who have responded to induction treatment with obinutuzumab and bendamustine or have stable disease.

Obinutuzumab May 2019 ODMS

Obinutuzumab, in combination with chemotherapy, followed by maintenance treatment in patients achieving a response, for previously untreated advanced follicular lymphoma (FL).

Olaparib Tablets September 2023 ODMS

In combination with bevacizumab for the maintenance treatment of adult patients with advanced (FIGO stages III and IV) high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer who are in response (complete or partial) following first-line platinum-based chemotherapy in combination with bevacizumab and whose cancer is associated with homologous recombination deficiency (HRD) positive status defined by either a BRCA1/2 mutation and/or genomic instability.

Olaparib Tablets March 2023 PCRS

As monotherapy for the treatment of adult patients with metastatic castration-resistant prostate cancer and BRCA1/2-mutations (germline and/or somatic) who have progressed following prior therapy that included a new hormonal agent.

Olaparib Tablets December 2020 PCRS

Maintenance treatment of adult patients with advanced (FIGO stages III and IV) BRCA1/2‐mutated (germline and/or somatic)

high grade  epithelial ovarian cancer
fallopian tube cancer
primary peritoneal cancer
who are in response (complete response or partial response) following completion of first‐line platinum based chemotherapy.

Olaparib Tablets November 2017 PCRS

As monotherapy for the maintenance treatment of adult patients with platinum sensitive relapsed BRCA-mutated ovarian cancer (including fallopian tube or primary peritoneal) who are in response (complete response or partial response) to platinum-based chemotherapy.

Osimertinib March 2024 PCRS

As monotherapy for adjuvant treatment after complete tumour resection in adult patients with stage IB-IIIA Non-Small Cell Lung Cancer (NSCLC) whose tumour has epidermal growth factor receptor (EGFR) exon 19 deletions (Ex19del) or exon 21 (L858R) substitution mutations.

Osimertinib July 2020 PCRS

Treatment of adult patients with locally advanced or metastatic epidermal growth factor receptor (EGFR) T790M mutation-positive non-small cell lung cancer (NSCLC).

Osimertinib October 2020 PCRS

First-line treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor (EGFR) mutations.

Palbociclib June 2018 PCRS

Treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer in combination with an aromatase inhibitor.

Treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer in combination with fulvestrant in women who have received prior endocrine therapy.

Pembrolizumab 200mg Monotherapy

Pembrolizumab 400mg Monotherapy
December 2024 ODMS

For the adjuvant treatment of patients with RCC at increased risk of recurrence following nephrectomy, or following nephrectomy and resection of metastatic lesions.

Pembrolizumab 200mg Monotherapy

Pembrolizumab 400mg Monotherapy
December 2024 ODMS

For the adjuvant treatment of adults and adolescent (≥ 12 years of age) with stage IIB or IIC melanoma following complete resection.

Pembrolizumab 200mg Monotherapy

Pembrolizumab 400mg Monotherapy

June 2016

 

 ODMS

As monotherapy for the treatment of adults with unresectable or advanced melanoma.

For the treatment of ipilimumab-refractory patients with unresectable or advanced metastatic melanoma.

Pembrolizumab 200mg Monotherapy

Pembrolizumab 400mg Monotherapy

April 2018

 

ODMS

 

First-line treatment of metastatic non-small cell lung carcinoma (NSCLC) in adults whose tumours express PD-L1 with a ≥50% tumour proportion score (TPS) with no EGFR or ALK positive tumour mutations.

Pembrolizumab 200mg Monotherapy

Pembrolizumab 400mg Monotherapy

November 2018

 

ODMS

 

As monotherapy for the treatment of adult patients with relapsed or refractory classical Hodgkin lymphoma (cHL) who are transplant-ineligible and have failed brentuximab vedotin.

Pembrolizumab

June 2024

ODMS

In combination with chemotherapy as neoadjuvant treatment, and then continued as monotherapy as adjuvant treatment after surgery, is indicated for the treatment of adults with locally advanced, or early stage triple negative breast cancer at high risk of recurrence.

Pembrolizumab

June 2023

ODMS

Pembrolizumab in combination with platinum and fluoropyrimidine-based chemotherapy, for the first line treatment of patients with locally advanced unresectable or metastatic carcinoma of the oesophagus or HER-2 negative gastro-oesophageal junction adenocarcinoma in adults whose tumours express PD-L1 with CPS≥10.

Pembrolizumab 200mg

Pembrolizumab 400mg

 April 2023

ODMS

 First-line treatment of metastatic microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) colorectal cancer in adults.

Pembrolizumab 200mg Monotherapy

Pembrolizumab 400mg Monotherapy

 February 2022

ODMS

 As monotherapy for the treatment of adult patients with relapsed or refractory (R/R) classical Hodgkin lymphoma (cHL) who have failed autologous stem cell transplant (ASCT) or following at least two prior therapies when ASCT is not a treatment option.

Pembrolizumab 200mg

December 2021

ODMS

As monotherapy for the first-line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma (HNSCC) in adults whose tumours express PD-L1 with a CPS ≥ 1.

Pembrolizumab 400mg

December 2021

ODMS

As monotherapy for the first-line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma (HNSCC) in adults whose tumours express PD-L1 with a CPS ≥ 1.

Pembrolizumab

December 2021

ODMS

Pembrolizumab is indicated, in combination with CARBOplatin and 5-fluorouracil, for the first-line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma (HNSCC) in adults whose tumours express PD-L1 with a CPS ≥ 1.

Pembrolizumab

December 2021

ODMS

Pembrolizumab is indicated, in combination with CISplatin and 5-fluorouracil, for the first-line treatment of metastatic or unresectable recurrent head and neck squamous cell carcinoma (HNSCC) in adults whose tumours express PD-L1 with a CPS ≥ 1.

Pembrolizumab 200mg

Pembrolizumab 400mg

 May 2021

ODMS

 As monotherapy for the adjuvant treatment of adults with stage III melanoma and lymph node involvement who have undergone complete resection.

Pembrolizumab

February 2021

ODMS

In combination with pemetrexed and carboplatin chemotherapy, is indicated for the first-line treatment of metastatic non-squamous NSCLC in adults whose tumours have no EGFR or ALK positive mutations.

Pembrolizumab

February 2021

ODMS

In combination with pemetrexed and cisplatin chemotherapy, is indicated for the first-line treatment of metastatic non-squamous NSCLC in adults whose tumours have no EGFR or ALK positive mutations.

Pembrolizumab 200mg

Pembrolizumab 400mg

 

February 2021

ODMS

As monotherapy is indicated for the treatment of locally advanced or metastatic urothelial carcinoma in adults who have received prior platinum-containing chemotherapy.

Pembrolizumab 200mg

Pembrolizumab 400mg

February 2021

ODMS

As monotherapy is indicated for the treatment of locally advanced or metastatic urothelial carcinoma in adults who are not eligible for cisplatin-containing chemotherapy whose tumours express PD-L1 with a combined positive score (CPS) ≥10.

Pembrolizumab

February 2021

ODMS

In combination with carboplatin and paclitaxel for the first-line treatment of patients with metastatic squamous Non-Small Cell Lung Cancer (NSCLC).

Pertuzumab February 2014 ODMS Treatment of adult patients with HER2- positive MBC or  locally recurrent unresectable breast cancer, who have not received previous anti- HER2 therapy or chemotherapy for their metastatic disease.
Pertuzumab July 2020 ODMS Pertuzumab in combination with trastuzumab and chemotherapy for the neoadjuvant treatment of adult patients with HER2-positive, locally advanced, inflammatory, or early stage breast cancer at high risk of recurrence.
Pertuzumab/ trastuzumab (Phesgo®) December 2022 ODMS Use in combination with chemotherapy as: neo-adjuvant treatment of patients with HER2-positive, locally advanced, inflammatory, or early stage breast cancer at high risk of recurrence.
Pertuzumab/ trastuzumab (Phesgo®) December 2022 ODMS Use in combination with docetaxel for treatment of patients with HER2-positive metastatic breast cancer who have not received prior anti-HER2 therapy or chemotherapy for metastatic disease.
Pixantrone August 2015 ODMS Monotherapy for the treatment of adult patients with multiply relapsed or refractory aggressive Non-Hodgkin B-cell Lymphomas (NHL).
Polatuzumab Vedotin August 2024 ODMS In combination with riTUXimab, cycloPHOSphamide, DOXOrubicin and prednisoLONE for the treatment of adult patients with previously untreated diffuse large B-cell lymphoma (DLBCL).
Polatuzumab Vedotin December 2021 ODMS In combination with bendamustine and riTUXimab for the treatment of adult patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) who are not candidates for haematopoietic stem cell transplant.
Pomalidomide February 2016 PCRS In combination with dexamethasone in the treatment of adult patients with relapsed and refractory multiple myeloma who have received at least two prior treatment regimens, including both lenalidomide and bortezomib, and have demonstrated disease progression on the last therapy.
Pomalidomide December 2022 PCRS Pomalidomide in combination with bortezomib and dexamethasone for the treatment of adult patients with multiple myeloma who have received at least one prior treatment including lenalidomide.
Ponatinib December 2016 PCRS

Treatment of adult patients with chronic phase, accelerated phase, or blast phase chronic myeloid leukaemia (CML) who are resistant to dasatinib or nilotinib; who are intolerant to dasatinib or nilotinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation.

Treatment of adult patients with Philadelphia chromosome positive acute lymphoblastic leukaemia (Ph+ ALL) who are resistant to dasatinib; who are intolerant to dasatinib and for whom subsequent treatment with imatinib is not clinically appropriate; or who have the T315I mutation.

Radium 223 May 2015 ODMS Treatment of adults with castration-resistant prostate cancer, symptomatic bone metastases and no known visceral metastases.
Regorafenib April 2015 PCRS Treatment of adult patients with metastatic colorectal cancer (mCRC) who have been previously treated with, or are not considered candidates for, available therapies. These include fluoropyrimidine-based chemotherapy, an anti-VEGF therapy and an anti-EGFR therapy
Treatment of adult patients Unresectable or metastatic gastrointestinal stromal tumours (GIST) who progressed on or are intolerant to prior treatment with imatinib and sunitinib.
Relugolix January 2024 PCRS Treatment of adult patients with advanced hormone-sensitive prostate cancer (HSPC).
Ribociclib September 2020 PCRS

Treatment of women with hormone receptor (HR) positive, human epidermal growth factor receptor 2 (HER2) negative locally advanced or metastatic breast cancer in combination with an aromatase inhibitor or fulvestrant as initial endocrine based therapy or in women who have received prior endocrine therapy.

In pre or perimenopausal women, the endocrine therapy should be combined with a luteinising hormone releasing hormone (LHRH) agonist

 Ribociclib February 2019 PCRS

Treatment of postmenopausal women with hormone receptor (HR) positive, human epidermal growth factor receptor 2 (HER2) negative locally advanced or metastatic breast cancer as initial endocrine-based therapy in combination with an aromatase inhibitor.

Ruxolitinib February 2014 PCRS

The treatment of disease-related splenomegaly or symptoms in adult patients with:

  • Primary myelofibrosis (chronic idiopathic myelofibrosis)
  • Post polycythaemia vera myelofibrosis
  • Post essential thrombocythaemia myelofibrosis
 Sacituzumab Govitecan September 2024  ODMS

As monotherapy for the treatment of adult patients with unresectable or metastatic triple-negative breast cancer (mTNBC) who have received two or more prior systemic therapies, including at least one of them for advanced disease.

Siltuximab August 2015 ODMS Treatment of adult patients with Multicentric Castleman’s disease (MCD) who are human immunodeficiency virus (HIV) negative and human herpes virus 8 (HHV-8) negative.
Talazoparib May 2021 PCRS Talazoparib is indicated as monotherapy for the treatment of adult patients with germline BRCA1/2-mutations, who have HER2-negative locally advanced or metastatic breast cancer. Patients should have been previously treated with an anthracycline and/or a taxane in the (neo)adjuvant, locally advanced or metastatic setting unless patients were not suitable for these treatments. Patients with hormone receptor (HR)-positive breast cancer should have been treated with a prior endocrine-based therapy or be considered unsuitable for endocrine-based therapy.
Tepotinib August 2024 PCRS As monotherapy for the treatment of adult patients with advanced non-small cell lung cancer (NSCLC) harbouring alterations leading to mesenchymal-epithelial transition factor gene exon 14 (METex14) skipping, who require systemic therapy following prior treatment with immunotherapy and/or platinum-based chemotherapy.
Teysuno February 2013 PCRS Treatment of advanced gastric cancer when given in combination with cisplatin.
Tisagenlecleucel July 2021 ODMS Treatment of paediatric and young adult patients up to 25 years of age with B-cell acute lymphoblastic leukaemia (ALL) that is refractory, in relapse post-transplant or in second or later relapse.
Tisagenlecleucel July 2021 ODMS Treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after two or more lines of systemic therapy.
Tivozanib October 2019 PCRS Tivozanib for the first line treatment of adult patients with advanced renal cell carcinoma (RCC) and for adult patients who are VEGFR and mTOR pathway inhibitor-naïve following disease progression after one prior treatment with cytokine therapy for advanced RCC.
Trametinib April 2018 PCRS Trametinib in combination with dabrafenib is indicated for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation.
Trametinib December 2021 PCRS Trametinib in combination with dabrafenib is indicated for the adjuvant treatment of adult patients with Stage III melanoma with a BRAF V600 mutation, following complete resection.

Trastuzumab Deruxtecan

August 2024 ODMS As monotherapy for the treatment of adult patients with unresectable or metastatic HER2-positive breast cancer who have received one or more prior anti-HER2-based regimens.[HD1] 
Trastuzumab Emtansine August 2015 ODMS

Treatment of adult patients with HER2-positive, unresectable locally advanced or metastatic breast cancer who previously received trastuzumab and a taxane, separately or in combination.

Patients should have either:

  • Received prior therapy for locally advanced or metastatic disease, or
  • Developed disease recurrence during or within six months of completing adjuvant therapy
Trastuzumab Emtansine December 2021 ODMS

As a single agent, is indicated for the adjuvant treatment of adult patients with HER2-positive early breast cancer who have residual invasive disease, in the breast and/or lymph nodes, after neoadjuvant taxane-based and HER2-targeted therapy.

Trifluridine and Tipracil (Lonsurf®) Therapy February 2017 PCRS

Treatment of adult patients with metastatic colorectal cancer (CRC) who have been previously treated with, or are not considered candidates for, available therapies including fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapies, anti-VEGF agents, and anti-EGFR agents.

Vandetanib June 2014 PCRS The treatment of aggressive and symptomatic medullary thyroid cancer (MTC) in patients with unresectable locally advanced or metastatic disease.
Vemurafenib March 2013 PCRS Treatment of adult patients with BRAF V600 mutation-positive unresectable or metastatic melanoma.
Venetoclax March 2022 PCRS In combination with obinutuzumab for the treatment of adult patients with previously untreated chronic lymphocytic leukaemia (CLL).
Venetoclax June 2024 PCRS In combination with azaCITIDine agent for patients with newly diagnosed AML who are ineligible for intensive chemotherapy.
Venetoclax July 2020 PCRS  In combination with rituximab is indicated for the treatment of adult patients with chronic lymphocytic leukaemia (CLL) who have received at least one prior therapy.
Venetoclax December 2018 PCRS

Treatment of chronic lymphocytic leukaemia (CLL) in the presence of 17p deletion or TP53 mutation in adult patients who are unsuitable for or have failed a B-cell receptor pathway inhibitor.

Treatment of CLL in the absence of 17p deletion or TP53 mutation in adult patients who have failed both chemoimmunotherapy and a B-cell receptor pathway inhibitor.

Vismodegib November 2017 PCRS

Treatment of adult patients with Symptomatic metastatic basal cell carcinoma (MBCC).

Treatment of adult patients with Local advanced basal cell carcinoma inappropriate for surgery or radiotherapy.

Vxyeos liposomal® (DAUNOrubicin and cytarabine)

Induction Therapy

Consolidation Therapy

04 February 2021 ODMS

For the treatment of adults with newly diagnosed, therapy-related acute myeloid leukaemia (t-AML) or AML with myelodysplasia-related changes (AML-MRC).

 Zanubrutinib

 September 2023  PCRS

As monotherapy

  • for the treatment of adult patients with chronic lymphocytic leukaemia (CLL) who are treatment naïve and have del(17p) and/or TP53-mutated positive disease
  • for the treatment of adult patients with chronic lymphocytic leukaemia with relapsed and/or refractory disease following at least one line of prior therapy

Zanubrutinib

May 2022 PCRS

For the treatment of for adult patients with Waldenström’s macroglobulinemia (WM) who have received at least one prior therapy, or as first-line treatment for patients unsuitable for chemo-immunotherapy.