NICE TO REASSESS DATA FOR

SWITCHING ANTI-TNF TREATMENTS

FOLLOWING SUCCESSFUL APPEAL

12/06/07: NRAS

Statement from the National Rheumatoid Arthritis Society

NICE TO REASSESS DATA FOR SWITCHING ANTI-TNF TREATMENTS FOLLOWING SUCCESSFUL APPEAL

National Rheumatoid Arthritis Society welcomes the upholding of Appeal against NICE Final Appraisal Document.

The National Rheumatoid Arthritis Society (NRAS) welcomes the decision by the National Institute for Clinical Excellence (NICE), made today, to reassess the data which would allow patients with rheumatoid arthritis to switch from one Anti-TNF drug to another on the grounds of efficacy. The decision of NICE to reassess the data comes following a successful campaign by NRAS and five other organisations who appealed against the NICE Final Appraisal Document published earlier this year.

NICE had previously ruled that patients should not be allowed to switch from one Anti-TNF (Adalimumab, Etanercept and Infliximab for the treatment of rheumatoid arthritis) to another on the grounds of inefficacy despite the fact that many rheumatoid arthritis sufferers in the UK find this to be beneficial. Over time some patients find that whichever Anti-TNF they have been taking becomes less effective and have found benefit from being able to switch to another Anti-TNF. This practice is common among Consultant Rheumatologists managing patients with RA and has been under threat since NICE's decision earlier in the year.

The Appraisal Committee will now reassess the evidence for the cost-effectiveness of a second Anti-TNFa and the current guidance, which allows switching, will stand. This is a relief for many of the 400,000 people who are living with rheumatoid arthritis in the UK.

Ailsa Bosworth, NRAS Chief Executive comments:-

“This news is most welcome and we would like to thank the Appeal Panel for taking all our arguments into careful consideration before arriving at this sensible and fair decision.

NRAS would like to thank the many hundreds of its members and supporters for signing the petition which was submitted to NICE as part of our Appeal.”