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Swedish MTP Council made positive recommendations for Prosigna and OncotypeDX
On November 18, 2021, Swedish Medical Technologies Product (MTP) Council published recommendations to the regions regarding gene expression analysis for decision-making on the adjuvant breast cancer treatment. The technologies were evaluated within the Orderly introduction framework, which is a staged process, including horizon scanning, selection of the method for evaluation, the decision on national collaboration, health economic evaluation by the Dental and Pharmaceutical Benefits Agency (TLV), and recommendations by MTP Council to regions about the introduction of the method and criteria for use.
TLV started performing the health economic evaluation in September 2020. Initially, four technologies were included. However, the manufacturer company of EndoPredict (Myriad Genetics) declined to participate in the evaluation. Regarding the MammaPrint by Agendia, the MTP Council cannot currently comment on the product due to insufficient data.
The MTP Council made the following recommendations to the regions:
- Prosigna can be used before the decision on adjuvant chemotherapy in women with breast cancer when there is uncertainty about the benefit of treatment;
- OncotypeDX can be used before the decision on adjuvant chemotherapy in women with breast cancer when there is uncertainty about the benefit of treatment provided that handling of personal data can take place in accordance with current Swedish and EU legislation;
- Currently, refrain from using the EndoPredict and MammaPrint due to lack of requested documentation.
See the full details here.
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