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  • Question on Document

    Has all of the relevant evidence been taken into account?
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    Are the summaries of clinical and cost effectiveness reasonable interpretations of the evidence?
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    Are the recommendations sound and a suitable basis for guidance to the NHS?
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    Are there any aspects of the recommendations that need particular consideration to ensure we avoid unlawful discrimination against any group of people on the grounds of age, disability, gender reassignment, pregnancy and maternity, race, religion or belief, sex or sexual orientation?

2 Information about histamine dihydrochloride with interleukin‑2

Marketing authorisation indication

2.1

Histamine dihydrochloride (Brancaster Pharma) is indicated for 'adult patients with acute myeloid leukaemia in first remission concomitantly treated with interleukin‑2 (IL-2). The efficacy of Histamine dihydrochloride 0.5 mg/0.5 mL solution for injection has not been fully demonstrated in patients older than age 60'.

Dosage in the marketing authorisation

Price

2.3

Histamine dihydrochloride costs £1,200 for 14 vials (equivalent to 1 week of treatment; company submission).

2.4

Interleukin‑2 (aldesleukin) costs £636 per 18 million unit vial (BNF online accessed March 2026).

2.5

Costs may vary in different settings because of negotiated procurement discounts.

Sustainability

2.6

Information on the Carbon Reduction Plan for UK carbon emissions for Brancaster Pharma will be included here when guidance is published.