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Scheduling delegate's final decisions: NCEs, April 2016
Scheduling of medicines and poisons
Final decisions on matters not referred to an expert advisory committee
1. New Chemical Entities - medicines for human therapeutic use
The proposal is to include elbasvir, a new chemical entity for a human therapeutic medicine, in Schedule 4 of the SUSMP.
The delegate considered an application from the Therapeutic Goods Administration (TGA) for the scheduling of elbasvir, a new chemical entity for a human therapeutic medicine.
The Advisory Committee on Medicines Scheduling was not consulted.
Elbasvir is a second generation HCV NS5A inhibitor.
Elbasvir is indicated for the treatment of Chronic Hepatitis C infection in adults.
Elbasvir is not specifically scheduled and is not captured by any entry in the Standard for the Uniform Scheduling of Medicines and Poisons.
Elbasvir is not classified in New Zealand as a prescription medicine in New Zealand.
The delegate considered the following in regards to this application for scheduling:
- Subsection 52E(1) of the Therapeutic Goods Act 1989
- The Scheduling Policy Framework scheduling factors
- The TGA evaluation report
- The new drug application
The delegate noted that currently there are no issues of concern that require additional control other than by inclusion in Schedule 4.
Delegate's final decision
The delegate has made a final decision to amend the SUSMP to include elbasvir in Schedule 4, with an implementation date of 1 June 2016.
The delegate decided that the relevant matters under subsection 52E(1) of the Therapeutic Goods Act 1989 are (a) the risks and benefits of the use of a substance; (b) the purpose and the extent of use of a substance; and (c) the toxicity of a substance.
The delegate decided that the reasons for the final decision comprise the following:
- It is a new chemical entity with no clinical/marketing experience in Australia.
- Treatment of a serious chronic infection.
- Limited toxicity/safety data available at present, so needs monitoring.
The delegate has decided that the wording for the schedule entry will be as follows:
Schedule 4 - New Entry
Implementation date: 1 June 2016.