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Table 2 EBAs included in the analysis set and respective primary endpoints

From: Inconsistent approaches of the G-BA regarding acceptance of primary study endpoints as being relevant to patients - an analysis of three disease areas: oncological, metabolic, and infectious diseases

Medicine

Indication

Primary endpoint (PEP)

Therapeutic expert panel present at oral hearing

Oncological diseases

 Abiraterone acetate

Prostate carcinoma

OS

BDU, DGHO, DVPZ

 Abiraterone acetatea

Prostate carcinoma

OS, rPFS

DGHO

 Afatinibc

Non-small cell lung cancer

PFS

DGHO, DKG (Working Group on Thoracic Oncology of the AIO)

 Aflibercept

Metastatic colorectal cancer

OS

DGVS

 Axitinib

Renal cell carcinoma

PFS

DGHO

 Bosutinib

Chronic myeloid leukaemia

MCR

DGHO

 Brentuximab vedotin

Hodgkin-Lymphoma, anaplastic large cell lymphoma

ORR

DGHO

 Cabazitaxel

Prostate carcinoma

OS

DGHO, DKG

 Cabozantinib

Thyroid gland neoplasia

PFS

DGE (thyroid gland section), DGHO, DGN

 Crizotinib

Non-small cell lung cancer

PFS, ORR

DGHO, POA, representatives from leading oncology centres

 Decitabine

Myeloid leukaemia

OS

DGHO

 Enzalutamide

Prostate carcinoma

OS

DGHO, DGU

 Enzalutamidea

Prostate carcinoma

OS, rPFS

DGHO

 Eribulin

Breast cancer

OS

DGHO

 Eribulinac

Breast cancer

OS, rPFS

DGHO

 Ibrutinib

Chronic lymphocytic leukaemia, relapsed or refractory mantle cell lymphoma (MCL)

ORR

DGHO

 Idelalisib

Chronic lymphocytic leukaemia, follicular lymphoma

PFS

DGHO, GLSG, representative from the University Hospital Gießen

 Ipilimumab

Melanoma

OS

DGHO

 Lenvatinib

Thyroid gland neoplasia

PFS

DGHO

 Nintedanib

Non-small cell lung cancer

PFS

DGHO, DKG (Working Group on Thoracic Oncology of the AIO), representative from the LungenClinic Grosshansdorf

 Nivolumab

Melanoma

OS, PFS

ADO, DGHO

 Obinutuzumab

Chronic lymphocytic leukaemia

PFS

DGHO

 Olaparib

Ovarian cancer

PFS

DGHO

 Pertuzumab

Breast cancer

PFS, ORR

AGO, DGHO

 Pomalidomide

Multiple myeloma

PFS

DGHO, representatives from the University Hospitals of Heidelberg, Tübingen and Würzburg

 Radium-223-dichloride

Prostate carcinoma

OS

DGHO

 Ramucirumab

Stomach cancer

OS

DGHO, DGVS

 Regorafenib

Colorectal cancer

OS

DGHO

 Ruxolitinibd

Chronic myeloproliferative diseases

≥35 % reduction in spleen volume

DGHO

 Ruxolitiniba

Polycythaemia vera

Haematocrit control without phlebotomy and ≥35 % reduction in spleen volume

DGHO

 Siltuximab

Multicentric Castleman’s disease

Durable tumour & symptomatic response (complete and partial response)

DGHO

 Sipuleucel-T

Prostate carcinoma

OS

DGHO, representative from the University Hospital Tübingen, Department of Urology

 Trastuzumab emtansine

Breast cancer

OS, PFS

AGO, DGHO

 Vandetanibb

Thyroid gland neoplasia

PFS

DGHO

 Vemurafenibc

Melanoma

OS, PFS

ADO, DGHO

 Vismodegib

Basal cell cancer

ORR

DGHO, DGMKG, German Society of Dermatology

Metabolic diseases

 Albiglutide

Diabetes mellitus type 2

HbA1c

DDG, Diabetes Research Group HZM, representative from the University Hospital Carl Gustav Carus (Dresden)

 Dulaglutide

Diabetes mellitus type 2

HbA1c

BVND, DDG, Diabetes Research Group HZM

 Eliglustat

Gaucher disease type 1

Stable health status (decrease in spleen and liver volume, Hb, thrombocytes) and %-change in spleen volume

ASIM, DGVS, representative from the Charité University Medicine Berlin

 Elosulfase alfa

Mucopolysaccharidose type IVA (Morquio A syndrome)

6MWT

ZSE Wiesbaden

 Insulin degludeca

Diabetes mellitus type 1

HbA1c

DDG

 Ivacaftor

Cystic fibrosis

FEV1%

-

 Ivacaftora

Cystic fibrosis

FEV1%

-

 Linagliptinb

Diabetes mellitus type 2

HbA1c

BVND, DDG, Diabetes Research Group HZM

 Pasireotide

Pituitary gland dysfunction

mUFC ≤ ULN

-

 Pasireotidea

Acromegaly

Biochemical control

-

 Saxagliptin

Diabetes mellitus type 2

HbA1c

DDG, Working Group on Pharmacoepidemiology, Diabetes Research Group HZM, Diabetes Centre Bad Lauterberg

 Saxagliptin/metformin

Diabetes mellitus type 2

HbA1c

BVND

 Sitagliptin

Diabetes mellitus type 2

HbA1c

DDG, Working Group on Pharmacoepidemiology, Diabetes Research Group HZM, Diabetes Centre Bad Lauterberg

 Sitagliptin/metformin

Diabetes mellitus type 2

HbA1c

DDG, Diabetes Centre Bad Lauterberg, Diabetes Research Group HZM, Working Group on Pharmacoepidemiology

 Vildagliptinb

Diabetes mellitus type 2

HbA1c

BVND, DDG

Infectious diseases

 Boceprevir

Chronic hepatitis C

SVR

bng, DGVS, German Liver Foundation

 Daclatasvir

Chronic hepatitis C

SVR

bng, dagnä, DGIM, DGVS

 Dasabuvir

Chronic hepatitis C

SVR

bng, dagnä, DGIM, DGVS

 Dolutegravir

HIV infection

VR

dagnä, DAIG

 Dolutegravir/abacavir/lamivudine

HIV infection

VR

-

 Elvitegravir/cobicistat/emtricitabin/tenofovir-disoproxil

HIV infection

VR

dagnä, DAIG

 Emtricitabine/rilpivirine/tenofovirdisoproxil

HIV infection

VR

dagnä, DAIG

 Fidaxomicin

Clostridium infection

Overall cure

DGHO, DGVS

 Ledipasvir/sofosbuvir

Chronic hepatitis C

SVR

bng, dagnä, DGIM, DGVS

 Ombitasvir/paritaprevir/ritonavir

Chronic hepatitis C

SVR

bng, dagnä, DGIM, DGVS

 Rilpivirine

HIV infection

VR

DAIG, dagnä

 Simeprevir

Chronic hepatitis C

SVR

bng, dagnä, DGI, DGIM, DGVS

 Sofosbuvir

Chronic hepatitis C

SVR

bng, dagnä, DGIM

 Telaprevir

Hepatitis C

SVR

bng, DGVS, German Liver Foundation

  1. aNew therapeutic indication, bRe-assessment for the same indication, cRe-assessment after expiration of G-BA appraisal, dRuxolitinib is an orphan drug, but has undergone a regular EBA process after having reached sales of >€50 million per year
  2. 6MWT 6-minute walking test, ADO Working Group on Dermatological Oncology, AGO Working Group on Gynaecologic Oncology, AIO Working Group on Internal Oncology, ASIM Working Group on Congenital Metabolic Disorders in Internal Medicine, BDU Professional Association of German Urologists, bng Federal Association of Registered Gastroenterologists, BVND Federal Association of Registered Diabetologists, dagnä German Working Group of Registered Doctors in the Care of HIV-infected Persons, DAIG German AIDS Society, DDG German Diabetes Society, DGE German Society of Endocrinology, DGHO German Society of Hematology and Medical Oncology, DGI German Society of Infectious Diseases, DGIM German Society of Internal Medicine, DGMKG German Society of Oral and Maxillofacial Surgery, DGN German Society of Nuclear Medicine, DGU German Society of Urology, DGVS German Society of Gastroenterology, Digestive and Metabolic Diseases, DKG German Cancer Society, DVPZ Umbrella Organisation of Prostate Centres in Germany, EBA Early benefit assessment, FEV1 Forced expiratory volume in 1 second, GLSG German Low Grade Lymphoma Study Group, Hb Haemoglobin, HbA1c Glycated haemoglobin, HIV Human immunodeficiency virus, HZM Helmholtz Centre Munich, POA Working Group on Pulmonary Oncology, MCR Major cytogenic response, mUFC Median urinary free cortisol, ORR Objective response rate, OS Overall survival, PFS Progression-free survival, rPFS Radiographic progression-free survival, SVR Sustained viral response, ULN Upper limit of normal, VR Viral response, ZSE Centre for Rare Diseases