For treating advanced systemic mastocytosis (including aggressive systemic mastocytosis, systemic mastocytosis with an associated haematological neoplasm and mast cell leukaemia) in adults.

Pack
30 tablet
Pack
30 tablet
Pack
30 tablet
Pack
30 tablet
Pack
30 tablet

With lenalidomide and dexamethasone is recommended, within its marketing authorisation, as an option for untreated multiple myeloma in adults, when an autologous stem celltransplant is unsuitable.

Pack
1 vial
Pack
1 vial
Pack
1 vial

NICE TA1064: To treat primary advanced or recurrent endometrial cancer with high microsatellite instability or mismatch repair deficiency in adults when systemic therapy is suitable.

Pack
1 vial

With etoposide and either carboplatin or cisplatin is recommended as an option for
untreated extensive-stage small-cell lung cancer in adults if they have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Durvalumab with tremelimumab can be used, within its marketing authorisation, as an option for untreated advanced or unresectable hepatocellular carcinoma (HCC) in adults as per NICE TA1090.

Durvalumab can be used, within its marketing authorisation, as an option to treat limited-stage small-cell lung cancer that has not progressed after platinum-based chemoradiotherapy in adults as per NICE TA1099

Pack
1 vial
Pack
1 vial

Enfortumab vedotin with pembrolizumab can be used, within its marketing authorisation, as an option for untreated unresectable or metastatic urothelial cancer in adults when platinum-based chemotherapy is suitable. NICE TA1097

Pack
1 vial
Pack
1 vial

for the treatment of adult patients with relapsed or refractory diffuse large B‑cell lymphoma (R/R DLBCL), after two or more lines of systemic therapy.

Isatuximab plus bortezomib, lenalidomide and dexamethasone can be used, within its marketing authorisation, as an option for untreated multiple myeloma in adults when an autologous stem cell transplant is unsuitable. NICE TA1098

Pack
1 vial
Pack
1 vial

For treating relapsed or refractory diffuse large B-cell lymphoma and high-grade B-cell lymphoma in adults after 2 or more systemic treatments NICE TA947.

Pack
1 vial

Pembrolizumab with carboplatin and paclitaxel can be used, within its marketing authorisation, as an option for untreated primary advanced or recurrent endometrial cancer in adults as per NICE TA1092.

Pembrolizumab with carboplatin and paclitaxel should be stopped after 2 years, or earlier if there is disease progression or unacceptable toxicity.

Pack
1 vial
Pack
1 vial

Where more than one biologic treatment is suitable, it is the responsibility of the provider to ensure the most cost-effective option is selected.
Biosimilars are available which should be used in line with local contracting agreements.


Originator - Mabthera
Biosmilars - Rixathon; Ruxience ; Truxima

Pack
1 vial
2 vial
Pack
1 vial
2 vial

For treating relapsed and refractory multiple myeloma in adults, only after 3 or more lines of treatment (including an immunomodulatory drug, a proteasome inhibitor and an anti-CD38 antibody) when the myeloma has progressed on the last treatment.

Pack
1 vial
Pack
1 vial

For newly diagnosed FLT3-ITD-positive acute myeloid leukaemia (AML) in adults, when used:
with standard cytarabine and anthracycline chemotherapy as induction treatment, then
with standard cytarabine chemotherapy as consolidation treatment, then alone as maintenance treatment.

Pack
28 tablet
Pack
56 tablet