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Case study cdr p cpa re kuvan for cord november 2015
1. Case Study of
Common Drug Review &
pan-Canadian Pharmaceutical Alliance
and the first drug for PKU:
restrictive criteria = no access
John Adams
President & CEO
Canadian PKU and Allied Disorders Inc. (CanPKU)
November 20, 2015
CORD Expert Patients conference
2.
3. PKU 101
PKU stands for Phenylketonuria:
• a rare, genetic disorder
• brain-threatening
• intellectual disabilities, seizures & other neurologic problems
• incidence in Canada: 1:12,000
• every newborn in Canada is tested for PKU since 1960s
• only treatment since 1950s:
- vegan diet without natural protein
- synthetic protein (formulas & low-protein foods)
- lifetime treatment, only since 2000
CanPKU Role:
• improve lives of people living with PKU and their families
• founded 2008: peer support, knowledge transfer, advocacy
4. Why do we need a drug for PKU?
PKU diet is very restrictive
and hard to manage
Francjan van Spronsen, MD,
PhD, chair of scientific
advisory committee of the
European Society for PKU
- Presenting Oct. 24, 2015
5. Government Reimbursement
for first drug for PKU
Overview:
2010: Health Canada approves
Drug company applies to CDR
Drug company asks for reconsideration on seeing confidential
draft report
CEDC says Do Not List – special note!
2011: Provinces submit request for advice to clarify special note
CEDC does not change recommendation or special note
2012: ON, SK and BC negotiate with drug company; BC in lead
2013: ON & SK list drug with strict criteria: BC drops out
2014-15: SK & ON refuse eight applications
2015: ON for pCPA says drug must go back to CDR
6.
7. Access to Kuvan™ today
Private
• private insurance
• clinical trials
• compassionate access by drug company
Governments
• Listed in ON & SK: zero patients
• Listed in QC: eight patients
• Health Canada: two patients (aboriginals)
• Alberta: two patients (disabled)
9. pCPA Current Position
1. No change in access criteria and no
province will negotiate individually
2. Drug company must submit new clinical
information to CDR – fourth trip to CEDC
since 2010
3. Only if a positive CDR/CDEC
recommendation, then pCPA will
negotiate