Formulary

9.1.7 Drugs used in other blood disorders

First Line
Second Line
Specialist
Hospital Only
Etranacogene dezaparvovec
  • Solution for infusion vials 100 tera genome copies/10ml

Notes

  1. NICE TA989: Etranacogene dezaparvovec (Hemgenix) is recommended with managed access as an option for treating moderately severe or severe haemophilia B (congenital factor IX [FIX] deficiency) in adults without anti-FIX antibodies, only if the conditions in the managed access agreement for etranacogene dezaparvovec are followed (July 2024).
Exagamglogene autotemcel
  • Dispersion for infusion vials 4million-13million cells/ml

Notes

  1. NICE TA1003: Exagamglogene autotemcel (exa-cel) (Casgevy) is recommended with managed access as an option for treating transfusion-dependent beta-thalassaemia in people 12 years and over:
    1. when a haematopoietic stem cell transplant (HSCT) is suitable, but a human leukocyte antigen-matched related haematopoietic stem cell donor is not available
    2. only if the conditions in the managed access agreement for exa-cel are followed (September 2024).
  2. NICE TA1044: Exagamglogene autotemcel (exa-cel) (Casgevy) is recommended with managed access as an option for treating sickle cell disease (SCD) in people 12 years and over:
    1. who have:
      1. recurrent vaso-occlusive crises (VOCs) and
      2. a βSS, βS+ or βS0 genotype and
    2. when haematopoietic stem cell transplant (HSCT) is suitable, but a human leukocyte antigen-matched related haematopoietic stem cell donor is not available.
    3. It is only recommended for people who have had at least 2 VOCs per year during the 2 previous years and if the conditions in the managed access agreement for exa-cel are followed (February 2025).