1 Recommendations
1.1 Trifluridine–tipiracil is recommended, within its marketing authorisation, as an option for treating metastatic gastric cancer or gastro-oesophageal junction adenocarcinoma in adults who have had 2 or more treatment regimens. It is only recommended if the company provides trifluridine–tipiracil according to the commercial arrangement.
Why the committee made these recommendations
This evaluation uses new cost-effectiveness estimates to update trifluridine–tipiracil for treating metastatic gastric cancer or gastro-oesophageal junction adenocarcinoma after 2 or more therapies (NICE technology appraisal guidance TA669). No new clinical evidence was reviewed.
Standard treatment for metastatic gastric cancer and gastro-oesophageal junction adenocarcinoma, for most people who have had 2 or more treatments, is best supportive care.
The clinical evidence suggests that people having trifluridine–tipiracil live longer compared with best supportive care. When taking into account the severity of the condition and its effect on quality and length of life, the most likely cost-effectiveness estimate is within the range that NICE normally considers an acceptable use of NHS resources. So, trifluridine–tipiracil is recommended.