Extended indication

Paediatric Patients With Homozygous Familial Hypercholesterolaemia (HoFH)

Therapeutic value

Possible benefit in ease of use

Total cost

7,740,000.00

Registration phase

Clinical trials

Product

Active substance

Lomitapide

Domain

Cardiovascular diseases

Reason of inclusion

Indication extension

Main indication

Lipid-lowering medications

Extended indication

Paediatric Patients With Homozygous Familial Hypercholesterolaemia (HoFH)

Proprietary name

Lojuxta

Manufacturer

Amryt

Therapeutical formulation

Capsule

Budgetting framework

Extramural (GVS)

Registration

Registration route

Centralised (EMA)

ATMP

No

Submission date

2024

Expected Registration

2025

Orphan drug

Yes

Registration phase

Clinical trials

Therapeutic value

Current treatment options

Evinacumab

Therapeutic value

Possible benefit in ease of use

Substantiation

Lomitapide heeft orale toediening (tabletten). Voor kinderen met HoFH met naaldenangst of die ver weg wonen van expertise centrum kan orale toediening een voordeel zijn ten opzichte van evinacumab dat 1 keer per maand intraveneus wordt toegediend.

Frequency of administration

1 times a day

Dosage per administration

20 - 60mg

References
NCT04681170
Additional remarks
Age 5-10 years Lomitapide dosing will commence with 2mg at week 1 for 8 Weeks,then increase to 5mg Week 8±3 days, 10 mg at Week 12±3 days to the maximum allowable dose of 20 mg by Week 16±3 days or the MTD by Week 20±3 days based upon acceptable safety and tolerability criteria in addition to LDL C values
Intervention: Drug: Lomitapide
Age 11-15years Lomitapide dosing will commence with 2mg at week 1 for 4 Weeks, then increase to 5mg Week 4±3 days, 10 mg at Week 8±3 days,20mgs at week, 12±3 days to the maximum allowable dose of 40 mg by Week 16±3 days or the MTD by Week 20±3 days based upon acceptable safety and tolerability criteria in addition to LDL C values
Intervention: Drug: Lomitapide
16 to ≤17 years, Lomitapide dosing will commence with 5mg at week 1 for 4 Weeks, then increase to 10mg Week 4±3 days,20 mg at Week 8±3 days,40mgs at week, 12±3 days to the maximum allowable dose of 60 mg by Week 16±3 days or the MTD by Week 20±3 days based upon acceptable safety and tolerability criteria in addition to LDL C values
Intervention: Drug: Lomitapide

Expected patient volume per year

Patient volume

< 10

Market share is generally not included unless otherwise stated.

References
Record Evinacumab met indicatie: Evkeeza is indicated as an adjunct to diet and other low-density lipoprotein-cholesterol (LDL-C) lowering therapies for the treatment of adult and adolescent patients aged 12 years and older with homozygous familial hypercholesterolaemia (HoFH).
Additional remarks
Homozygote FH is een zeldzame aandoening. Er zijn ongeveer 50 patiënten in Nederland. Niet alle patiënten komen in aanmerking voor deze behandeling gezien zij uit zullen komen met andere behandelingen. Geschat aantal in Nederland is 10 patiënten.

Expected cost per patient per year

Cost

< 774,000.00

References
medicijnkosten.nl
Additional remarks
Voor de volwassen patiënten is er een financieel arrangement afgesloten.
Lojuxta capsule 20mg
Lomitapide Amryt pharmaceuticals dac

€ 776,86 per stuk vergoed. Bij een maximale dosis betekent dit dat de kosten jaarlijks €774.000 per patiënt zijn.

Potential total cost per year

Total cost

7,740,000.00

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.

Off label use

There is currently nothing known about off label use.

Indication extension

There is currently nothing known about indication extensions.

Other information

There is currently no futher information available.