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Prescription medicines: new or extended uses, or new combinations of registered medicines, 2017
Over time, the approved therapeutic uses of prescription medicines registered on the Australian Register of Therapeutic Goods (ARTG) can change.
Changes commonly include 'new uses' and 'extended uses'. A new use is where an existing medicine is approved for an additional therapeutic use. An extended use is where an existing medicine is approved to treat a broader range of patients, e.g. wider age range.These types of changes are called 'extension of indications'. A 'new combination' is where two or more previously registered medicines are combined into a single product.
The decision to approve an 'extension of indications' or 'new combination' for registered prescription medicines follows a comprehensive review by TGA scientists and clinicians on the safety and efficacy of the proposed use of the product.
Throughout the year we will be publishing information relating to new or extended uses of registered prescription medicines on the TGA website.
The trade name, sponsor and active ingredient for each medicine reflects the information entered into the ARTG when the new or extended use was first approved. This webpage provides a summary of the new or extended indications. For a full list of registered indications for each product please refer to the Product Information database.
2017 summary
The Prescription medicines and biologicals: TGA annual summary 2017 publication provides details of all NCEs registered in 2017, as well as new or extended uses for existing medicines, priority determinations and orphan drug designations, biologicals, generic prescription medicines, biosimilar prescription medicines and Australian Public Assessment Reports (AusPARs).
Registration of new or extended uses of registered medicines, 2017
Once an application has been accepted for evaluation by TGA, the approval time is defined as the number of TGA working days between commencement of evaluation and registration decision. This timeframe is underpinned by legislation (see Therapeutic Goods Regulations 1990) and excludes public holidays, weekends, the time allocated to the sponsor to respond to requests for information, 'mutual clock stop' periods agreed with the sponsor, or other review activities.
All products were approved within the statutory 255 working day period.
Orphan drug: sponsors receive a fee waiver to help bring medicines for a small population to market
2017: Dec Nov Oct Sep Aug Jul Jun May Apr Mar Feb Jan
December 2017
STIVARGA 
Evaluation commenced: 28 February 2017
Registration decision: 18 December 2017
Entry onto ARTG: 21 December 2017
Approval time: 179 working days
regorafenib
Bayer Australia Ltd
Stivarga is now also indicated for the treatment of patients with hepatocellular carcinoma (HCC) who have been previously treated with sorafenib.
XALKORI 
Evaluation commenced: 3 January 2017
Registration decision: 12 December 2017
Entry onto ARTG: 13 December 2017
Approval time: 214 working days
crizotinib
Pfizer Australia Pty Ltd
Xalkori is now also indicated for the treatment of patients with ROS1-positive advanced non-small cell lung cancer (NSCLC).
MAVENCLAD
Evaluation commenced: 31 January 2017
Registration decision: 5 December 2017
Entry onto ARTG: 11 December 2017
Approval time: 176 working days
cladribine
Merck Serono Australia Pty Ltd
Mavenclad is now also indicated for the treatment of relapsing-remitting multiple sclerosis (RRMS) to reduce the frequency of clinical relapses and to delay the progression of physical disability. Following completion of the 2 treatment courses, no further treatment is required in years 3 and 4. Re-initiation of therapy after year 4 has not been studied.
ABILIFY MAINTENA
Evaluation commenced: 31 March 2017
Registration decision: 5 December 2017
Entry onto ARTG: 5 December 2017
Approval time: 130 working days
aripiprazole as monohydrate
Lundbeck Australia Pty Ltd
Abilify Maintena is now also indicated for maintenance treatment to prevent the recurrence of manic or mixed episodes of bipolar I disorder in adult patients as monotherapy.
GAZYVA
Evaluation commenced: 30 November 2016
Registration decision: 16 November 2017
Entry onto ARTG: 5 December 2017
Approval time: 219 working days
obinutuzumab
Roche Products Pty Ltd
Gazyva, in combination with chemotherapy followed by Gazyva maintenance, is now also indicated for the treatment of patients with previously untreated advanced follicular lymphoma.
November 2017
TASIGNA
Evaluation commenced: 30 November 2016
Registration decision: 16 November 2017
Entry onto ARTG: 24 November 2017
Approval time: 198 working days
nilotinib
Novartis Pharmaceuticals Australia Pty Ltd
Tasigna is indicated for the treatment of adult patients with:
- newly diagnosed Philadelphia chromosome positive chronic myeloid leukaemia (CML) in chronic phase;
- chronic phase and accelerated phase Philadelphia chromosome positive CML that is resistant to or intolerant of prior therapy including imatinib.
AVASTIN
Evaluation commenced: 30 November 2016
Registration decision: 16 November 2017
Entry onto ARTG: 23 November 2017
Approval time: 223 working days
bevacizumab
Roche Products Pty Limited
Avastin, in combination with carboplatin and paclitaxel or in combination with carboplatin and gemcitabine, is now also indicated for the treatment of platinum-sensitive epithelial ovarian cancer, fallopian tube, or primary peritoneal cancer.
ACTEMRA
Evaluation commenced: 3 January 2017
Registration decision: 14 November 2017
Entry onto ARTG: 16 November 2017
Approval time: 194 working days
tocilizumab (rch)
Roche Products Pty Limited
Actemra is now also indicated for the treatment of giant cell arteritis (GCA) in adult patients.
October 2017
SOLIQUA
Evaluation commenced: 30 November 2016
Registration decision: 23 October 2017
Entry onto ARTG: 27 October 2017
Approval time: 178 working days
insulin glargine (rbe) and lixisenatide
Sanofi-Aventis Australia Pty Ltd
Soliqua is indicated in combination with metformin for the treatment of adults with type 2 diabetes mellitus to improve glycaemic control when this has not been provided by metformin alone or metformin combined with another oral glucose lowering medicinal product or with basal insulin.
ELIGARD
Evaluation commenced: 30 September 2016
Registration decision: 6 October 2017
Entry onto ARTG: 12 October 2017
Approval time: 221 working days
leuprorelin
Tolmar Australia Pty Ltd
Eligard is now also indicated for the treatment of high-risk localised and locally advanced hormone-dependent prostate cancer in combination with radiotherapy.
September 2017
PRALUENT
Evaluation commenced: 31 August 2016
Registration decision: 12 September 2017
Entry onto ARTG: 26 September 2017
Approval time: 218 working days
alirocumab (rch)
Sanofi Aventis Australia Pty Ltd
Praluent is indicated as an adjunct to diet and exercise to reduce LDL-cholesterol (LDL-C) in adults with one or more of: heterozygous familial hypercholesterolaemia, clinical atherosclerotic cardiovascular disease, or hypercholesterolemia with high or very high cardiovascular risk.
- In combination with a statin, or statin with other lipid-lowering therapies in patients unable to reach LDL-C goals with maximum tolerated dose of a statin or,
- In combination with other lipid lowering therapies in patients who are statin intolerant or for whom a statin is contraindicated who are unable to reach LDL-C goals.
KEYTRUDA
Evaluation commenced: 31 October 2016
Registration decision: 1 September 2017
Entry onto ARTG: 7 September 2017
Approval time: 195 working days
pembrolizumab (rch)
Merck Sharp & Dohme (Australia) Pty Limited
Keytruda as monotherapy is now also indicated for the treatment of adult patients with relapsed or refractory classical Hodgkin Lymphoma (cHL): 1. following autologous stem cell transplant (ASCT) or 2. following at least two prior therapies when ASCT or multi-agent chemotherapy is not a treatment option.
ULTIBRO BREEZHALER 110/50
Evaluation commenced: 31 October 2016
Registration decision: 4 September 2017
Entry onto ARTG: 6 September 2017
Approval time: 193 working days
indacaterol (as maleate) / glycopyrronium (as bromide)
Novartis Pharmaceuticals Australia Pty Ltd
Ultibro Breezhaler 110/50 is now also indicated for the reduction of exacerbations of chronic obstructive pulmonary disease (COPD) in patients with a history of exacerbations.
August 2017
FRAXIPARINE
Evaluation commenced: 30 September 2016
Registration decision: 28 August 2017
Entry onto ARTG: 31 August 2017
Approval time: 188 working days
nadroparin calcium
Aspen Pharmacare Australia Pty Ltd
Fraxiparine is now also indicated for the prophylaxis of venous thromboembolism in high-risk medical patients who are immobilised due to acute illness or hospitalised in an intensive care unit.
ALOXI
Evaluation commenced: 31 October 2016
Registration decision: 14 August 2017
Entry onto ARTG: 22 August 2017
Approval time: 161 working days
palonosetron as hydrochloride
Mundipharma Pty Ltd
Aloxi is now also indicated for prevention of post-operative nausea and vomiting (PONV) for up to 24 hours following surgery.
LUCENTIS
Evaluation commenced: 30 November 2016
Registration decision: 14 August 2017
Entry onto ARTG: 22 August 2017
Approval time: 154 working days
ranibizumab (rbe)
Novartis Pharmaceuticals Australia Pty Ltd
Lucentis is now also indicated in adults for the treatment of visual impairment due to choroidal neovascularisation.
July 2017
BLINCYTO
Evaluation commenced: 31 August 2016
Registration decision: 19 July 2017
Entry onto ARTG: 28 July 2017
Approval time: 199 working days
blinatumomab
Amgen Australia Pty Ltd
Blincyto is now also indicated for the treatment of paediatric patients with Philadelphia chromosome-negative relapsed or refractory B-cell precursor acute lymphoblastic leukaemia (ALL).
LENVIMA
Evaluation commenced: 31 August 2016
Registration decision: 26 July 2017
Entry onto ARTG: 27 July 2017
Approval time: 181 working days
lenvatinib
Eisai Australia Pty Limited
Lenvima is now also indicated in combination with everolimus for the treatment of adult patients with advanced renal cell carcinoma whose disease has progressed following one prior vascular endothelial growth factor targeted therapy.
OPDIVO
Evaluation commenced: 2 September 2016
Registration decision: 7 July 2017
Entry onto ARTG: 11 July 2017
Approval time: 189 working days
nivolumab
Bristol-Myers Squibb Australia Pty Ltd
Opdivo as monotherapy is now also indicated for the treatment of recurrent or metastatic squamous cell cancer of the head and neck in adults progressing on or after platinum based therapy.
TRAJENTAMET
Evaluation commenced: 29 July 2016
Registration decision: 28 June 2017
Entry onto ARTG: 6 July 2017
Approval time: 188 working days
linagliptin / metformin hydrochloride
Boehringer Ingelheim Pty Ltd
Trajentamet is now also indicated in combination with a sodium-dependent glucose co-transporter-2 (SGLT2) inhibitor (i.e. triple combination therapy) as an adjunct to diet and exercise in patients inadequately controlled on their maximum tolerated dose of metformin and an SGLT2 inhibitor.
TRAJENTA
Evaluation commenced: 29 July 2016
Registration decision: 28 June 2017
Entry onto ARTG: 6 July 2017
Approval time: 188 working days
linagliptin
Boehringer Ingelheim Pty Ltd
Trajenta is now also indicated in adult patients with type 2 diabetes mellitus to improve glycaemic control in conjunction with diet and exercise, as add on to metformin plus a sodium-dependent glucose co-transporter-2 (SGLT2) inhibitor.
MENVEO
Evaluation commenced: 14 February 2017
Registration decision: 3 July 2017
Entry onto ARTG: 5 July 2017
Approval time: 85 working days
meningococcal (Groups A, C, W-135 and Y) oligosaccharide CRM197 conjugate vaccines
GlaxoSmithKline Australia Pty Ltd
Menveo is now also indicated for active immunisation of infants and children (from 2 months of age), adolescents and adults to prevent invasive disease caused by Neisseria meningitidis serogroups A, C, W135 and Y.
June 2017
OZURDEX
Evaluation commenced: 29 April 2016
Registration decision: 6 June 2017
Entry onto ARTG: 16 June 2017
Approval time: 235 working days
dexamethasone
Allergan Australia Pty Ltd
Ozurdex is now also indicated for the treatment of macular oedema due to Branch Retinal Vein Occlusion (BRVO) or Central Retinal Vein Occlusion (CRVO), and also indicated for non-infectious uveitis affecting the posterior segment of the eye.
XELJANZ
Evaluation commenced: 6 June 2016
Registration decision: 1 June 2017
Entry onto ARTG: 6 June 2017
Approval time: 193 working days
tofacitinib (as citrate)
Pfizer Australia
Xeljanz is now also indicated for the treatment of moderate to severe active rheumatoid arthritis in adults who have had an inadequate response or are intolerant to methotrexate. Xeljanz can be used alone or in combination with nonbiological DMARDs, including methotrexate.
CEREZYME 
Evaluation commenced: 10 June 2016
Registration decision: 25 May 2017
Entry onto ARTG: 6 June 2017
Approval time: 185 working days
imiglucerase-rch
Sanofi-Aventis Australia Pty Ltd
Cerezyme is now also indicated for long-term enzyme replacement therapy for patients with a confirmed diagnosis of non-neuronopathic (Type 1) or chronic neuronopathic (Type 3) Gaucher disease who exhibit clinically significant non-neurological manifestations of the disease.
May 2017
OPDIVO
Evaluation commenced: 31 May 2016
Registration decision: 26 May 2017
Entry onto ARTG: 30 May 2017
Approval time: 203 working days
nivolumab
Bristol-Myers Squibb Aust Pty Ltd
Opdivo, as monotherapy, is now also indicated for the treatment of adult patients with relapsed or refractory classical Hodgkin lymphoma (cHL) after autologous stem cell transplant and treatment with brentuximab vedotin.
ATOZET/ZETEZE
Evaluation commenced: 29 February 2016
Registration decision: 19 May 2017
Entry onto ARTG: 24 May 2017
Approval time: 192 working days
ezetimibe and atorvastatin
Merck Sharp & Dohme (Australia) Pty Limited
Atozet/Zeteze is now also indicated in patients with coronary heart disease (CHD) and a history of acute coronary syndrome (ACS) taking their maximum tolerated dose of atorvastatin and in need of additional lowering of low-density lipoprotein cholesterol (LDL-C) in the expectation of a modest further reduction in the risk of cardiovascular events following at least one year of therapy.
April 2017
JARDIAMET
Evaluation commenced: 29 April 2016
Registration decision: 26 April 2017
Entry onto ARTG: 28 April 2017
Approval time: 214 working days
empagliflozin / metformin hydrochloride
Boehringer Ingelheim Pty Ltd
Empagliflozin is now also indicated in adults with type 2 diabetes mellitus and established cardiovascular disease to reduce the risk of cardiovascular death. To prevent cardiovascular deaths, empagliflozin should be used in conjunction with other measures to reduce cardiovascular risk in line with the current standard of care.
VIEKIRA PAK-RBV
Evaluation commenced: 29 February 2016
Registration decision: 21 March 2017
Entry onto ARTG: 21 April 2017
Approval time: 230 working days
paritaprevir/ritonavir/ombitasvir & dasabuvir & ribavirin
AbbVie Pty Ltd
For the treatment of genotype 1 chronic hepatitis C infection, including patients with compensated cirrhosis. Duration of therapy and addition of ribavirin are dependent on patient population.
VIEKIRA PAK
Evaluation commenced: 29 February 2016
Registration decision: 21 March 2017
Entry onto ARTG: 21 April 2017
Approval time: 230 working days
paritaprevir/ritonavir/ombitasvir & dasabuvir
AbbVie Pty Ltd
For the treatment of genotype 1 chronic hepatitis C infection, including patients with compensated cirrhosis. Duration of therapy and addition of ribavirin are dependent on patient population.
March 2017
JINARC
Evaluation commenced: 29 February 2016
Registration decision: 10 March 2017
Entry onto ARTG: 24 March 2017
Approval time: 225 working days
tolvaptan
Otsuka Australia Pharmaceutical Pty Ltd
To slow the progression of cyst development and renal insufficiency of autosomal dominant polycystic kidney disease (ADPKD) in adults with chronic kidney disease (CKD) stage 1 to 3 at initiation of treatment with evidence of rapidly progressing disease.
KEYTRUDA
Evaluation commenced: 30 June 2016
Registration decision: 20 March 2017
Entry onto ARTG: 21 March 2017
Approval time: 163 working days
pembrolizumab (rch)
Merck Sharp & Dohme (Australia) Pty Limited
For the treatment of patients with recurrent or metastatic head and neck squamous cell carcinoma (HNSCC) with disease progression on or after platinum-containing chemotherapy. This indication is approved based on overall response rate and duration of response. Improvements in overall survival, progression-free survival or health-related quality of life have not been established.
PEDEA 
Evaluation commenced: 31 March 2016
Registration decision: 8 March 2017
Entry onto ARTG: 14 March 2017
Approval time: 197 working days
ibuprofen
Emerge Health Pty Ltd
For the treatment of haemodynamically significant patent ductus arteriosus in preterm newborn infants less than 34 weeks of gestational age.
EPIDUO FORTE
Evaluation commenced: 31 March 2016
Registration decision: 2 March 2017
Entry onto ARTG: 10 March 2017
Approval time: 193 working days
adapalene / benzoyl peroxide
Galderma Australia Pty Ltd
For the cutaneous treatment of acne vulgaris, when comedones, numerous papules and pustules are present in patients 12 years of age and older and the condition has not responded to first line treatment.
KEYTRUDA
Evaluation commenced: 30 September 2016
Registration decision: 3 March 2017
Entry onto ARTG: 7 March 2017
Approval time: 106 working days
pembrolizumab
Merck Sharp & Dohme (Australia) Pty Limited
For the treatment of patients with advanced non-small cell lung carcinoma (NSCLC) whose tumours express programmed death-ligand 1 (PD-L1) with a ≥1% tumour proportion score (TPS) as determined by a validated test and who have received platinum-containing chemotherapy. Patients with epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumour aberrations should have received prior therapy for these aberrations prior to receiving Keytruda.
KEYTRUDA
Evaluation commenced: 1 April 2016
Registration decision: 3 March 2017
Entry onto ARTG: 3 March 2017
Approval time: 212 working days
pembrolizumab
Merck Sharp & Dohme (Australia) Pty Limited
For the first-line treatment of patients with metastatic non-small cell lung carcinoma (NSCLC) whose tumours express programmed death-ligand 1 (PD-L1) with a ≥50% tumour proportion score (TPS) as determined by a validated test, with no epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) genomic tumour aberrations.
STELARA
Evaluation commenced: 31 March 2016
Registration decision: 27 February 2017
Entry onto ARTG: 1 March 2017
Approval time: 189 working days
ustekinumab
Janssen-Cilag Pty Ltd
For the treatment of adult patients with moderately to severely active Crohn's disease who have had an inadequate response, lost response, were intolerant to conventional therapy or a TNF alpha antagonist or have medical contraindications to such therapies.
February 2017
VEMLIDY
Evaluation commenced: 29 April 2016
Registration decision: 21 February 2017
Entry onto ARTG: 22 February 2017
Approval time: 185 working days
tenofovir alafenamide (as fumarate)
Gilead Sciences Pty Ltd
For the treatment of chronic hepatitis B in adults.
ZYDELIG
Evaluation commenced: 30 September 2015
Registration decision: 1 February 2017
Entry onto ARTG: 10 February 2017
Approval time: 206 working days
idelalisib
Gilead Sciences Pty Ltd
For use, in combination with ofatumumab, for the treatment of adult patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) upon relapse in patients for whom chemo-immunotherapy is not considered suitable.
CIMZIA
Evaluation commenced: 30 June 2015
Registration decision: 7 November 2016
Entry onto ARTG: 9 February 2017
Approval time: 225 working days
certolizumab pegol (rbe)
UCB Australia Pty Ltd
For use in combination with methotrexate (MTX) for the treatment of severe, active and progressive rheumatoid arthritis in adults not previously treated with MTX or other disease-modifying antirheumatic drugs (DMARDs).
January 2017
VYTORIN
Evaluation commenced: 31 July 2015
Registration decision: 17 January 2017
Entry onto ARTG: 20 January 2017
Approval time: 191 working days
ezetimibe/simvastatin
Merck Sharp & Dohme (Australia) Pty Limited
For use in patients with coronary heart disease (CHD) and a history of acute coronary syndrome (ACS) taking their maximum tolerated dose of simvastatin and in need of additional lowering of LDL-C in the expectation of a modest further reduction in the risk of cardiovascular events following at least one year of therapy.
EZETROL
Evaluation commenced: 31 July 2015
Registration decision: 17 January 2017
Entry onto ARTG: 20 January 2017
Approval time: 191 working days
ezetimibe
Merck Sharp & Dohme (Australia) Pty Limited
For administration in combination with the maximum tolerated dose of a statin with proven cardiovascular benefit in patients with coronary heart disease (CHD) and a history of acute coronary syndrome (ACS) in need of additional lowering of LDL-C in the expectation of a modest further reduction in the risk of cardiovascular events following at least one year of therapy.
AFINITOR
Evaluation commenced: 24 December 2015
Registration decision: 13 January 2017
Entry onto ARTG: 20 January 2017
Approval time: 224 working days
everolimus
Novartis Pharmaceuticals Aust Pty Ltd
For the treatment of progressive, unresectable or metastatic, well-differentiated, non-functional neuroendocrine tumours (NET) of gastrointestinal or lung origin in adults.
JARDIANCE
Evaluation commenced: 29 February 2016
Registration decision: 6 January 2017
Entry onto ARTG: 18 January 2017
Approval time: 193 working days
empagliflozin
Boehringer Ingelheim Pty Ltd
To reduce the risk of cardiovascular death in patients with type 2 diabetes mellitus and established cardiovascular disease.
AMOXICLAV JUNO and JUNOXICLAV
Evaluation commenced: 29 February 2016
Registration decision: 13 January 2017
Entry onto ARTG: 18 January 2017
Approval time: 175 working days
amoxicillin sodium and clavulanic acid
Juno Pharmaceuticals Pty Ltd
As an antibiotic alternative to narrow- and broad-spectrum antibiotics for the treatment of infections.
VasoKINOX
Evaluation commenced: 31 March 2015
Registration decision: 18 March 2016
Entry onto ARTG: 16 January 2017
Approval time: 197 working days
nitric oxide
Biotech Regulatory Solutions
In conjunction with ventilator support and other appropriate active substances to selectively decrease pulmonary arterial pressure in patients with perioperative pulmonary hypertension in conjunction with heart surgery.
ACZONE
Evaluation commenced: 23 December 2015
Registration decision: 4 January 2017
Entry onto ARTG: 10 January 2017
Approval time: 214 working days
dapsone
Allergan Australia Pty Ltd
For the topical treatment of acne vulgaris in patients 12 years of age and older.
Prescription medicines registrations database from 2018 onwards
Visit our Prescription medicines registrations database to see registrations for new or extended uses, or new combinations of registered medicines, by year from 2018 onwards.
Prescription medicines registrations