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Table 1 CDR for rare diseases

From: Health technology assessment of drugs for rare diseases: insights, trends, and reasons for negative recommendations from the CADTH common drug review

Date of submission

Drug brand name

Drug non-proprietary name

Manufacturer

Pharmacological category

Disease

Prevelance of disease (/100,000)

CDEC reimbursement recommendation

19/02/2004

Replagal

agalsidase alfa

Transkaryotic Therapies Inc.

Biologic/Enzyme replacement therapy

Fabry Disease

0.22a

Do not list

24/02/2004

Fabrazyme

agalsidase beta

Genzyme Canada Inc.

Biologic/Enzyme replacement therapy

Fabry Disease

0.22a

Do not list

14/07/2004

Remodulin

Treprostinil sodium

Northern Theraputics Inc.

Chemical/Vasodilating Agents

Pulmonary arterial hypertension

3.3a

Do not list

24/11/2004

Zavesca

miglustat

Actelion Pharmaceuticals Canada Inc.

Chemical/Substrate reduction therapy, Enzyme Inhibitor; Glucosylceramide Synthase Inhibitor

Gaucher disease

1a

Do not list

10/12/2004

Fabrazyme

agalsidase beta

Genzyme Canada Inc.

Biologic/Enzyme replacement therapy

Fabry Disease

0.22a

Do not list

03/02/2005

Aldurazyme

laronidase

Genzyme Canada Inc.

Biologic/Enzyme replacement therapy

Mucopolysaccharidosis I

8a

Do not list

25/01/2006

Somavert

pegvisomant

Pfizer Canada Inc.

Biologic/Growth hormone receptor antagonist

Acromegaly

5.5a

Do not list

24/02/2006

Remodulin

Treprostinil sodium

Northern Theraputics Inc.

Chemical/Vasodilating Agents

Pulmonary arterial hypertension

3.3a

List with criteria/condition

20/07/2006

Sutent

sunitinib

Pfizer Canada Inc.

Chemical/Antineoplastic Agent, Tyrosine Kinase Inhibitor; Antineoplastic Agent, Vascular Endothelial Growth Factor (VEGF) Inhibitor

Gastrointestinal stromal tumour

13a

List with clinical criteria and/or conditions

10/10/2006

Myozyme

alglucosidase

Genzyme Canada Inc.

Biologic/Enzyme replacement therapy

Glycogen storage disease type II

0.8a

List with clinical criteria and/or conditions

20/02/2007

Somatuline

lanreotide acetate

Ipsen Limited

Chemical/Somatostatin Analog

Acromegaly

5.5a

List in a similar manner to other drugs in class

22/06/2007

Thelin

Sitaxsentan sodium

Encysive Canada Inc.

Chemical/Endothelin receptor antagonist

Pulmonary arterial hypertension

3.3a

Do not list

13/07/2007

Elaprase

idursulfase

Shire Human Genetic Therapies (Canada) Inc.

Biologic/Enzyme replacement therapy

Mucopolysarccharidosis II

6.7a

Do not list

29/08/2007

Xyrem

sodium oxybate

Valeant Canada Ltd.

Chemical/Central Nervous System Depressant

Narcolepsy

25a

Withdrawn

05/05/2008

Thelin

Sitaxsentan sodium

Encysive Canada Inc.

Chemical/Endothelin receptor antagonist

Pulmonary arterial hypertension

3.3a

Do not list

09/07/2008

Xyrem

sodium oxybate

Valeant Canada Ltd.

Chemical/Central Nervous System Depressant

Narcolepsy

25a

Do not list

09/07/2008

Volibris

Ambrisentan

GlaxoSmithKline

Chemical/Endothelin receptor antagonist

Pulmonary arterial hypertension

3.3a

List with clinical criteria and/or conditions

29/08/2008

Orencia

Abatacept

Bristol-Myers Squibb Canada

Biologic/Selective T Cell Costimulation Modulator

Juvenile idiopathic arthritis (JIA)

44.7b

List with criteria/condition

12/06/2009

Omnitrope

somatropin (rDNA origin)

Sandoz Canada Inc.

Biologic/Growth hormone

Growth hormone deficiency in children and adults

37c

List in a similar manner to other drugs in class

12/06/2009

Xeomin

clostridium botulinum neurotoxin type A, free of complexing proteins

Merz Pharmaceuticals GmbH

Biologic/Neuromuscular Blocker Agent, Toxin; Ophthalmic Agent, Toxin

Blepharospasm

16.43d

List in a similar manner to other drugs in class

12/06/2009

Xeomin

clostridium botulinum neurotoxin type A, free of complexing proteins

Merz Pharmaceuticals GmbH

Biologic/Neuromuscular Blocker Agent, Toxin; Ophthalmic Agent, Toxin

Cervical dystonia

16.43d

List in a similar manner to other drugs in class

18/09/2009

Soliris

eculizumab

Alexion Pharmaceuticals Inc.

Biologic/Monoclonal Antibody; Monoclonal Antibody, Complement Inhibitor

Paroxysmal nocturnal hemoglobinuria

0.2a

Do not list

29/09/2009

Nplate

Romiplostim

Amgen Canada Inc.

Biologic/Colony Stimulating Factor; Hematopoietic Agent; Thrombopoietic Agent

Immune thrombocytopenic purpura

25a

Do not list

05/02/2010

Adcirca

Tadalafil

Eli Lilly Canada Inc.

Chemical/Enzyme inhibitor

Pulmonary arterial hypertension

3.3a

List with criteria/condition

07/07/2010

Ilaris

canakinumab

Novartis Pharmaceuticals Canada Inc.

Biologic/Interleukin-1 Beta Inhibitor; Interleukin-1 Inhibitor; Monoclonal Antibody

Cryopyrin-Associated Periodic Syndrome (CAPS)

0.3e

Do not list

08/07/2010

Kuvan

sapropterin dihydrochloride

BioMarin Pharmaceutical (Canada) Inc.

Chemical/Enzyme Cofactor, activates residual PAH enzyme

Phenylketonuria

10a

Do not list

28/10/2010

Vpriv

velaglucerase alfa

Shire Human Genetic Therapies (Canada) Inc.

Biologic/Enzyme replacement therapy

Gaucher disease

1a

List with clinical criteria and/or conditions

02/12/2010

Cayston

aztreonam

Gilead Sciences Canada Inc.

Chemical/Antibiotic

Cystic fibrosis

7.4a

List with clinical criteria and/or conditions

26/04/2011

Revolade

Eltrombopag olamine

GlaxoSmithKline

Chemical/Colony Stimulating Factor; Hematopoietic Agent; Thrombopoietic Agent

Immune thrombocytopenic purpura

25a

Do not list

01/06/2011

Kuvan

sapropterin dihydrochloride

BioMarin Pharmaceutical (Canada) Inc.

Chemical/Enzyme Cofactor, activates residual PAH enzyme

Phenylketonuria

10a

NR

20/09/2011

Banzel

Rufinamide

Eisai Limited

Chemical/Anticonvulsant, Triazole Derivative

Lennox-Gastaut Syndrome

15a

List with clinical criteria and/or conditions

24/01/2012

Mozobil

plerixafor injection

Genzyme Canada Inc.

Chemical/Hematopoietic Agent; Hematopoietic Stem Cell Mobilizer

Non-Hodgkin’s lymphoma and multiple myeloma

11.9a

Do not list

30/01/2012

Actemra

tocilizumab

Hoffmann-La Roche Ltd.

Biologic/Antirheumatic, Disease Modifying; Interleukin-6 Receptor Antagonist

Juvenile idiopathic arthritis

44.7b

List

24/02/2012

Rituxan

Rituximab

Hoffmann-La Roche Ltd.

Biologic/Antineoplastic Agent, Anti-CD20; Antineoplastic Agent, Monoclonal Antibody; Antirheumatic, Miscellaneous; Immunosuppressant Agent; Monoclonal Antibody

Granulomatosis with Polyangiitis

9a

List with clinical criteria and/or conditions

27/09/2012

Kalydeco

ivacaftor tablets

Vertex Pharmaceuticals (Canada) Inc.

Chemical/Cystic Fibrosis Transmembrane Conductance Regulator Potentiator

Cystic fibrosis

7.4a

List with criteria/condition

05/10/2012

Esbriet

pirfenidone

InterMune Canada Inc.

Chemical/Anti-inflammatory Agent; Antifibrotic Agent

Idiopathic pulmonary fibrosis (IPF)

42.7f

Do not list

07/01/2013

Soliris

eculizumab

Alexion Pharmaceuticals Inc.

Biologic/Monoclonal Antibody; Monoclonal Antibody, Complement Inhibitor

Atypical Hemolytic Uremic Syndrome

0.85a

Do not list

04/02/2013

Humira

adalimumab

AbbVie Corporation

Biologic/Antirheumatic, Disease Modifying; Gastrointestinal Agent, Miscellaneous; Monoclonal Antibody; Tumor Necrosis Factor (TNF) Blocking Agent

Juvenile idiopathic arthritis (JIA)

44.7b

List with clinical criteria and/or conditions

08/03/2013

Afinitor

Everolimus

Novartis Pharmaceuticals Canada Inc.

Chemical/Antineoplastic Agent, mTOR Kinase Inhibitor; Immunosuppressant Agent; mTOR Kinase Inhibitor

Tuberous sclerosis

8.8a

Do not list

27/05/2013

Genotropin GHD-A

somatropin

Pfizer Canada Inc.

Biologic/Growth Hormone

Growth hormone deficiency

37c

List with clinical criteria and/or conditions

27/05/2013

Genotropin GHD-P

somatropin

Pfizer Canada Inc.

Biologic/Growth Hormone

Growth hormone deficiency

37c

List with clinical criteria and/or conditions

27/05/2013

Genotropin TS

somatropin

Pfizer Canada Inc.

Biologic/Growth Hormone

Turner syndrome

50g

List with criteria/condition

06/06/2013

Jetrea

ocriplasmin

Alcon Canada Inc.

Biologic/Ophthalmic Agent; Vitreolytic

Vitreomacular adhesion

40h

List with criteria/condition

29/07/2013

Actemra

tocilizumab

Hoffmann-La Roche Ltd.

Biologic/Antirheumatic, Disease Modifying; Interleukin-6 Receptor Antagonist

Juvenile idiopathic arthritis (JIA)

44.7b

List with criteria/condition

30/09/2013

Adempas

Ricoiguat

Bayer Inc.

Chemical/Soluble Guanylate Cyclase (sGC) Stimulator

Pulmonary arterial hypertension

3.3a

List with criteria/condition

16/12/2013

Opsumit

Macitentan

Actelion Pharmaceuticals Canada Inc.

Chemical/Endothelin Receptor Antagonist; Vasodilator

Pulmonary arterial hypertension

3.3a

List with criteria/condition

27/02/2014

Signifor

pasireotide

Novartis Pharmaceuticals Canada Inc.

Chemical/Somatostatin Analog

Cushing's Disease

4a

Do not list

04/03/2014

Firazyr

icatibant

Shire Human Genetic Therapies (Canada) Inc.

Chemical/Selective Bradykinin B2 Receptor Antagonist

Hereditary angioedema

1a

List with clinical criteria and/or conditions

19/03/2014

Afinitor

Everolimus

Novartis Pharmaceuticals Canada Inc.

Chemical./Antineoplastic Agent, mTOR Kinase Inhibitor; Immunosuppressant Agent; mTOR Kinase Inhibitor

Tuberous Sclerosis

8.8a

Do not list

01/05/2014

Kalydeco

ivacaftor

Vertex Pharmaceuticals (Canada) Inc,

Chemical/Cystic Fibrosis Transmembrane Conductance Regulator Potentiator

Cystic fibrosis

7.4a

List with criteria/condition

08/07/2014

Juxtapid

lomitapide

Aegerion Pharmaceuticals (Canada) Ltd.

Chemical/Antilipemic Agent, Microsomal Triglyceride Transfer Protein (MTP) Inhibitor

Homozygous Familial Hypercholesterolemia

0.6i

Do not list

05/08/2014

Vimizim

elosulfase alfa

BioMarin Pharmaceutical (Canada) Inc.

Biologic/Enzyme replacement therapy

Mucopolysaccharidosis IV

0.3j

Do not list

29/08/2014

Esbriet

pirfenidone

Hoffmann-La Roche Ltd.

Chemical/Anti-inflammatory Agent; Antifibrotic Agent

Idiopathic pulmonary fibrosis (IPF)

42.7f

List with criteria/condition

15/09/2014

Elelyso

Taliglucerase alfa

Pfizer Canada Inc.

Biologic/Enzyme replacement therapy

Gaucher disease

1a

Do not list

30/10/2014

Diacomit

Stiripentol

Biocodex

Chemical/Anticonvulsant

Dravet Syndrome

2.5a

List with criteria/condition

09/02/2015

Soliris

eculizumab

Alexion Pharmaceuticals Inc.

Biologic/Monoclonal Antibody; Monoclonal Antibody, Complement Inhibitor

Atypical Hemolytic Uremic Syndrome

0.85a

Do not list

23/04/2015

Ofev

Nintedanib

Boehringer Ingelheim (Canada) Ltd.

Chemical/Tyrosine Kinase Inhibitor

Idiopathic pulmonary fibrosis (IPF)

42.7f

List with criteria/condition

08/05/2015

Kalydeco

Ivacaftor

Vertex Pharmaceuticals (Canada) Inc.

Chemical/Cystic Fibrosis Transmembrane Conductance Regulator Potentiator

Cystic fibrosis

7.4a

List with criteria/condition

25/06/2015

Adempas

Riociguat

Bayer Inc.

Chemical/Soluble Guanylate Cyclase (sGC) Stimulator

Pulmonary arterial hypertension

3.3a

List with criteria/condition

20/07/2015

Strensiq

Asfotase alfa

Alexion Pharmaceuticals Inc.

Biologic/Enzyme replacement therapy

Hypophophatasia

1k

Ongoing

20/08/2015

Naglazyme

Galsulfase

BioMarin Pharmaceutical (Canada) Inc.

Biologic/Enzyme replacement therapy

Mucopolysaccharidosis VI

0.3j

Ongoing

24/11/2015

Ilaris

canakinumab

Novartis Pharmaceuticals Canada Inc.

Biologic/Interleukin-1 Beta Inhibitor; Interleukin-1 Inhibitor; Monoclonal Antibody

Juvenile idiopathic arthritis

44.7b

Ongoing

27/11/2015

Orkambi

lumacaftor/ivacaftor

Vertex Pharmaceuticals (Canada) Inc.

Chemical/CFTR combinations

Cystic fibrosis

7.4a

Ongoing

  1. Sources of prevalence estimates
  2. aOrphanet Report Series - Prevalence of rare diseases: Bibliographic data - July 2015 - Number 2. http://www.orpha.net/orphacom/cahiers/docs/GB/Prevalence_of_rare_diseases_by_decreasing_prevalence_or_cases.pdf. Last accessed January, 2016
  3. bThierry S, Fautrel B, Lemelle I, Guillemin F. Prevalence and incidence of juvenile idiopathic arthritis: a systematic review. Joint Bone Spine. 2014 Mar;81(2):112–7. doi: 10.1016/j.jbspin.2013.09.003. Epub 2013 Nov 6
  4. cStochholm K, Gravholt CH, Laursen T, Jorgensen JO, Laurberg P, Andersen M. Incidence of GH deficiency - a nationwide study. Eur J Endocrinol. 2006 Jul. 155(1):61-71
  5. dSteeves TD, Day L, Dykeman J, Jette N, Pringsheim T. The prevalence of primary dystonia: a systematic review and meta-analysis. Mov Disord. 2012 Dec;27(14):1789–96. doi: 10.1002/mds.25244. Epub 2012 Oct 31
  6. eKümmerle-Deschner JB. [Cryopyrin-associated periodic syndrome] [Article in German]. Z Rheumatol. 2012 Apr;71(3):199–208. doi: 10.1007/s00393-011-0856-9
  7. fGanesh Raghu, Derek Weycker, John Edelsberg, Williamson Z. Bradford, Gerry Oster. Incidence and Prevalence of Idiopathic Pulmonary Fibrosis. Am J Respir Crit Care Med Vol 174. pp 810–816, 2006
  8. gClaus Højbjerg Gravholt, Kirstine Stochholm. The epidemiology of Turner syndrome. International Congress Series. Volume 1298, October 2006, Pages 139–145
  9. hOcriplasmin (Jetrea) (125 mcg intravitreal injection) CADTH Common Drug Review Clinical Review Report. January 2014. Available https://www.cadth.ca/sites/default/files/cdr/clinical/SR0337_Jetrea_CL_Report_e.pdf
  10. ilomitapide (Juxtapid) (oral capsules) CADTH Common Drug Review Clinical Review Report. July 2015. Available https://www.cadth.ca/sites/default/files/cdr/clinical/SR0386_Juxtapid_CL_Report_e.pdf
  11. jLowry, R.B., Applegarth, D.A., Toone, J.R. et al. An update on the frequency of mucopolysaccharide syndromes in British Columbia. Hum Genet (1990) 85: 389. doi:10.1007/BF00206770
  12. kFraser D. Hypophosphatasia. Am J Med, 1957; 730–746