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    a. Has all of the relevant evidence been taken into account?
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    c. Are the recommendations sound and a suitable basis for guidance to the NHS?
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    b. Are the summaries of clinical and cost effectiveness reasonable interpretations of the evidence?

2 Information about ibrutinib

Marketing authorisation indication

2.1

Ibrutinib (IMBRUVICA, Johnson & Johnson Innovative Medicine) in combination with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone (R‑CHOP) alternating with rituximab, dexamethasone, cytarabine and cisplatin (R‑DHAP; or rituximab, dexamethasone, cytarabine and oxaliplatin [R‑DHAOx]) without ibrutinib, followed by ibrutinib monotherapy, is indicated 'for the treatment of adult patients with previously untreated mantle cell lymphoma (MCL) who would be eligible for autologous stem cell transplantation (ASCT)'.

Dosage in the marketing authorisation

Price

2.3

The list price of ibrutinib is £5,723.20 per 28-pack of 560-mg tablets (excluding VAT, BNF online, accessed June 2026).

2.4

The company has a commercial arrangement, which would have applied if ibrutinib with R‑CHOP had been recommended.

Sustainability

2.5

Information on the Carbon Reduction Plan for UK carbon emissions for Johnson & Johnson Innovative Medicine will be included here when guidance is published.