Olaparib for maintenance treatment of relapsed, platinum-sensitive ovarian, fallopian tube and peritoneal cancer
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1.1 Olaparib is not recommended, within its marketing authorisation, for maintenance treatment of relapsed, platinum-sensitive high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer that is in response to platinum-based chemotherapy in adults.
1.2 This recommendation relates to the tablet formulation of olaparib. It is not intended to affect treatment with olaparib that was started in the NHS before this guidance was published. People having treatment outside this recommendation may continue without change to the funding arrangements in place for them before this guidance was published, until they and their NHS clinician consider it appropriate to stop.
Why the committee made these recommendations
Clinical trials show that olaparib extends the time until cancer progresses compared with routine surveillance. However, the cost-effectiveness estimates are substantially above the range normally considered cost effective. Olaparib does not meet NICE's end-of-life or Cancer Drugs Fund criteria. Therefore, it is not recommended.