NICE - Endorsed Technology Appraisals 2022/2023

It is important to note that the advice contained within the guidance does not override or replace the individual responsibility of health professionals to make appropriate decisions in the circumstances of their individual patients, in consultation with the patient and/or guardian or carer. This would, for example, include situations where individual patients have other conditions or complications that need to be taken into account in determining whether the NICE guidance is fully appropriate in their case.

Technology Appraisals Endorsement Process

The Department has reviewed its process for the endorsement, implementation, monitoring and assurance of NICE Technology Appraisals in Northern Ireland.  The new arrangements are detailed in following circulars, which is effective from 18th December 2013;

NICE Technology Appraisals – Process for Endorsement, Implementation, Monitoring and Assurance in Northern Ireland – HSC (SQSD) 02/13.

For information, details of the previous arrangement can be found on the following circular;

NICE Technology Appraisals and Clinical Guidelines – New Process for Endorsement, Implementation, Monitoring and Assurance in Northern Ireland – HSC (SQSD) 04/11

2022/2023

The following technology appraisals have been endorsed during 2021/22. Information on technology appraisals endorsed in previous years can be found on the homepage. 

March 2023

TA874 - Polatuzumab vedotin in combination for untreated diffuse large B-cell lymphoma

TA873 - Cannabidiol for treating seizures caused by tuberous sclerosis complex

TA872 - Axicabtagene ciloleucel for treating diffuse large B-cell lymphoma and primary mediastinal large B-cell lymphoma after 2 or more systemic therapies

‘Note this guidance updates and replaces NICE Technology Appraisal TA559, endorsed by the DoH in April 2019.’

TA871 - Eptinezumab for preventing migraine

TA870 - Ixazomib with lenalidomide and dexamethasone for treating relapsed or refractory multiple myeloma

'Note this guidance updates and replaces NICE Technology Appraisal TA505, endorsed by the DoH in February 2019.'

TA868 - Vutrisiran for treating hereditary transthyretin-related amyloidosis

TA866 - Regorafenib for previously treated metastatic colorectal cancer

TA865 - Nivolumab with fluoropyrimidine- and platinum-based chemotherapy for untreated unresectable advanced, recurrent, or metastatic oesophageal squamous cell carcinoma

February 2023

TA864 - Nintedanib for treating idiopathic pulmonary fibrosis when forced vital capacity is above 80% predicted

‘Note this guidance partially replaces NICE Technology Appraisal TA379, endorsed by the DoH in February 2016.’

TA863 - Somatrogon for treating growth disturbance in children and young people aged 3 years and over

TA862 - Trastuzumab deruxtecan for treating HER2-positive unresectable or metastatic breast cancer after 1 or more anti-HER2 treatments

TA861 - Upadacitinib for treating active non-radiographic axial spondyloarthritis

TA860 - Maribavir for treating refractory cytomegalovirus infection after transplant

TA858 - Lenvatinib with pembrolizumab for untreated advanced renal cell carcinoma

TA857 - Nivolumab with platinum- and fluoropyrimidine-based chemotherapy for untreated HER2-negative advanced gastric, gastro-oesophageal junction or oesophageal adenocarcinoma

January 2023

TA856 - Upadacitinib for treating moderately to severely active ulcerative colitis

TA855 - Mobocertinib for treating EGFR exon 20 insertion mutation-positive advanced non-small-cell lung cancer after platinum-based chemotherapy

TA854 - Esketamine nasal spray for treatment-resistant depression

TA853 - Avatrombopag for treating primary chronic immune thrombocytopenia

TA852 - Trifluridine–tipiracil for treating metastatic gastric cancer or gastro-oesophageal junction adenocarcinoma after 2 or more treatments

‘Note this guidance updates and replaces NICE Technology Appraisal TA669, which was endorsed by the DoH in February 2021.’

TA851 - Pembrolizumab for neoadjuvant and adjuvant treatment of triple-negative early or locally advanced breast cancer

TA850 - Amivantamab for treating EGFR exon 20 insertion mutation-positive advanced non-small-cell lung cancer after platinum-based chemotherapy

TA849 - Cabozantinib for previously treated advanced hepatocellular carcinoma

December 2022

TA816 - Alpelisib with fulvestrant for treating hormone receptor-positive, HER2-negative, PIK3CA-mutated advanced breast cancer

TA787 - Venetoclax with low dose cytarabine for untreated acute myeloid leukaemia when intensive chemotherapy is unsuitable

November 2022

TA837 - Pembrolizumab for adjuvant treatment of resected stage 2B or 2C melanoma

TA836 - Palbociclib with fulvestrant for treating hormone receptor-positive, HER2-negative advanced breast cancer after endocrine therapy

‘Note this guidance updates and replaces NICE Technology Appraisal TA619, which was endorsed by the DoH in February 2020.’

TA835 - Fostamatinib for treating refractory chronic immune thrombocytopenia

‘Note this guidance updates and replaces NICE Technology Appraisal TA759, which was endorsed by the DoH in February 2022.’

TA833 - Zanubrutinib for treating Waldenstrom’s macroglobulinaemia

TA832 - Relugolix–estradiol–norethisterone acetate for treating moderate to severe symptoms of uterine fibroids

TA830 - Pembrolizumab for adjuvant treatment of renal cell carcinoma 

October 2022

TA831 - Olaparib for previously treated BRCA mutation-positive hormone-relapsed metastatic prostate cancer

‘Note this guidance has been updated and replaced by TA887 - Olaparib for previously treated BRCA mutation-positive hormone-relapsed metastatic prostate cancer, endorsed by the DoH in June 2023.’

TA829 - Upadacitinib for treating active ankylosing spondylitis

TA828 - Ozanimod for treating moderately to severely active ulcerative colitis

TA827 - Oral azacitidine for maintenance treatment of acute myeloid leukaemia after induction therapy

TA825 - Avacopan for treating severe active granulomatosis with polyangiitis or microscopic polyangiitis

TA824 - Dexamethasone intravitreal implant for treating diabetic macular oedema - Note this guidance updates and replaces NICE Technology Appraisal TA349, which was endorsed by the DoH in August 2015.

TA823 - Atezolizumab for adjuvant treatment of resected non-small-cell lung cancer

TA800 - Faricimab for treating wet age-related macular degeneration

TA799 - Faricimab for treating diabetic macular oedema

September 2022

TA821 - Avalglucosidase alfa for treating Pompe disease

TA820 - Brolucizumab for treating diabetic macular oedema

TA818 - Nivolumab with ipilimumab for untreated unresectable malignant pleural mesothelioma

TA817 - Nivolumab for adjuvant treatment of invasive urothelial cancer at high risk of recurrence

TA815 - Guselkumab for treating active psoriatic arthritis after inadequate response to DMARDs

'Note this guidance updates and replaces NICE Technology Appraisal TA711, which was endorsed by the DoH in July 2021'

TA814 - Abrocitinib, tralokinumab or upadacitinib for treating moderate to severe atopic dermatitis

TA813 - Asciminib for treating chronic myeloid leukaemia after 2 or more tyrosine kinase inhibitors

August 2022

TA819 - Sacituzumab govitecan for treating unresectable triple-negative advanced breast cancer after 2 or more therapies

TA812 - Pralsetinib for treating RET fusion-positive advanced non-small-cell lung cancer

TA810 - Abemaciclib with endocrine therapy for adjuvant treatment of hormone receptor-positive, HER2-negative, node-positive early breast cancer at high risk of recurrence

TA809 - Imlifidase for desensitisation treatment before kidney transplant in people with chronic kidney disease

TA808 - Fenfluramine for treating seizures associated with Dravet syndrome

TA807 - Roxadustat for treating symptomatic anaemia in chronic kidney disease

TA805 - Icosapent ethyl with statin therapy for reducing the risk of cardiovascular events in people with raised triglycerides

TA803 - Risankizumab for treating active psoriatic arthritis after inadequate response to DMARDs

July 2022

TA804 - Teduglutide for treating short bowel syndrome

TA802 - Cemiplimab for treating advanced cutaneous squamous cell carcinoma

‘Note this guidance updates and replaces NICE Technology Appraisal TA592, which was endorsed by the DoH in September 2019’

TA801 - Pembrolizumab plus chemotherapy for untreated, triple-negative, locally recurrent unresectable or metastatic breast cancer

TA798 - Durvalumab for maintenance treatment of unresectable non-small-cell lung cancer after platinum-based chemoradiation

‘Note this guidance updates and replaces NICE Technology Appraisal TA578, which was endorsed by the DoH in May 2019’

TA796 - Venetoclax for treating chronic lymphocytic leukaemia

‘Note this guidance updates and replaces NICE Technology Appraisal TA487, which was endorsed by the DoH in February 2019’

TA795 - Ibrutinib for treating Waldenstrom’s macroglobulinaemia

‘Note this guidance updates and replaces NICE Technology Appraisal TA491, which was endorsed by the DoH in February 2019’

TA794 - Diroximel fumarate for treating relapsing–remitting multiple sclerosis

June 2022

TA792 - Filgotinib for treating moderately to severely active ulcerative colitis

TA791 - Romosozumab for treating severe osteoporosis

TA789 - Tepotinib for treating advanced non-small-cell lung cancer with MET gene alterations

TA788 - Avelumab for maintenance treatment of locally advanced or metastatic urothelial cancer after platinum-based chemotherapy

May 2022

TA786 - Tucatinib with trastuzumab and capecitabine for treating HER2-positive advanced breast cancer after 2 or more anti-HER2 therapies

TA784 - Niraparib for maintenance treatment of relapsed, platinum-sensitive ovarian, fallopian tube and peritoneal cancer

‘Note this guidance updates and replaces NICE Technology Appraisal TA528, which was endorsed by the DoH in January 2019’.

April 2022

TA783 - Daratumumab monotherapy for treating relapsed and refractory multiple myeloma

‘Note this guidance updates and replaces NICE Technology Appraisal TA510, which was endorsed by the DoH in February 2019’.

TA781 - Sotorasib for previously treated KRAS G12C mutation-positive advanced non-small-cell lung cancer

TA780 - Nivolumab with ipilimumab for untreated advanced renal cell carcinoma Note this guidance updates and replaces NICE Technology Appraisal TA581, which was endorsed by the DoH in June 2019

TA779 - Dostarlimab for previously treated advanced or recurrent endometrial cancer with high microsatellite instability or mismatch repair deficiency

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