The National Institute for Health and Care Excellence (NICE) have published final appraisal documents recommending the use of Pfizer's lung cancer treatment dacomitinib, brand name Vizimpro▼.
NICE state that dacomitinib is recommended as an option for untreated locally advanced or metastatic epidermal growth factor receptor (EGFR) mutation-positive non-small-cell lung cancer (NSCLC) in adults.
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Why the NICE made these recommendations
Locally advanced or metastatic EGFR mutation-positive NSCLC is usually first treated with afatinib, erlotinib or gefitinib.
Evidence from a randomised controlled trial shows that people who take dacomitinib live longer than people who take gefitinib. They also live longer before their disease gets worse.
An indirect comparison suggests there is no difference between dacomitinib and afatinib in terms of how long people live or how long it is before their disease gets worse.
There is some uncertainty about the assumptions used in the cost effectiveness modelling. But the most plausible cost-effectiveness estimate is within what NICE normally considers an acceptable use of NHS resources. So dacomitinib is recommended.
About Vizimpro (source EMA)
Vizimpro is a cancer medicine used to treat adults with non small cell lung cancer (NSCLC) when the disease is advanced or has spread.
Vizimpro is used on its own and only in patients with certain mutations (changes) in the gene for a protein called epidermal growth factor receptor (EGFR).
The active substance in Vizimpro, dacomitinib, belongs to a group of cancer medicine called tyrosine kinase inhibitor. It blocks the activity of EGFR, which normally controls growth and division of cells. In lung cancer cells, EGFR is often overactive, causing uncontrolled growth of cancer cells. By blocking EGFR, dacomitinib helps to reduce the growth and spread of the cancer.
Vizimpro was first made available in the EU in 2019. It is manufactured by Pfizer.
European Medicines Agency website page for Vizimpro
Links available in full article
© NICE 
Dacomitinib for untreated EGFR-positive non-small-cell lung cancer (ID1346). In development [GID-TA10350]. Expected publication date: 28 August 2019.
Available from: See Link below. All rights reserved. Subject to Notice of rights
NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.
The information provided by NICE was accurate at the time this article was issued.
NICE information on Vizimpro
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