G-BA decisions from 20 March 2025

Here are the latest G-BA decisions from the G-BA meeting held on 20 March 2025 on the early benefit assessments of Tecentriq, Keytruda, Cresemba, Akantior, Braftovi, Mektovi, Rybelsus/Ozempic and the RWE decision on Fabhalta.

A complete database of all previous G-BA resolutions is in my membership.

  • Tecentriq (atezolizumab)
    • reassessment after expiry of previous resolution: non-small cell lung cancer, PD-L1 expression ≥ 50%, adjuvant therapy after resection and chemotherapy – Hint of considerable additional benefit
    • new indication: non-small cell lung cancer, first-line – Indication of minor additional benefit in one of two subgroups
  • Keytruda (pembrolizumab); reassessment after expiry of previous resolution: Breast cancer, triple-negative, high risk of recurrence, neoadjuvant and adjuvant therapy, monotherapy or combination with chemotherapy – Indication of minor additional benefit in one of two subgroups
  • Cresemba (isavuconazole); new indication:
    • Aspergillosis, patients aged ≥ 1 to ≤ 17 years – Orphan drug, Hint of not-quantifiable additional benefit
    • Mucormycosis, patients aged ≥ 1 to ≤ 17 years – Orphan drug, Hint of not-quantifiable additional benefit
  • Akantior (polihexanide); known active ingredient with new data protection; acanthamoeba keratitis; patients aged ≥ 12 years – Orphan drug, Hint of not-quantifiable additional benefit
  • Braftovi (encorafenib); new indication: advanced non-small cell lung cancer, BRAF V600E mutation, in combination with binimetinib – Additional benefit not proven across all 3 subgroups
  • Mektovi (binimetinib); new indication: advanced non-small cell lung cancer, BRAF V600E mutation, in combination with encorafenib – Additional benefit not proven across all 3 subgroups
  • Rybelsus/Ozempic (semaglutide); type 2 diabetes mellitus – G-BA resolution from 15 April 2021 was revoked (benefit assessment was unlawful)
  • Fabhalta (iptacopan); paroxysmal nocturnal hemoglobinuria) – No RWE data collection; no restriction on prescribing

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