Suggested remit: To appraise the clinical and cost effectiveness of pegzilarginase within its marketing authorisation as an add-on treatment for arginase-1 deficiency.

Status:
In progress
Technology type:
Medicine
Decision:
Selected
Reason for decision:
Anticipate the topic will be of importance to patients, carers, professionals, commissioners and the health of the public to ensure clinical benefit is realised, inequalities in use addressed, and help them make the best use of NHS resources
Further information:
The topic routing was discussed at the Topic Selection Oversight Panel (TSOP) in April 2023. The panel concluded that the topic was suitable for Highly Specialised Technologies. Please see project documents for further details. The evaluation is expected to begin with an invitation to participate in September 2023, with a first committee meeting in May 2024.
Process:
HST Standard
ID number:
4029

Provisional Schedule

Committee meeting: 3:
23 October 2025

Project Team

Project lead
Thomas Feist

Email enquiries

If you have any queries please email [email protected]

Stakeholders

Companies sponsors
Immedica
Others
Department of Health and Social Care
 
NHS England
Patient carer groups
Gene People
 
Metabolic Support UK
Professional groups
Royal College of Physicians
Comparator companies
Eurocept International (confidentiality agreement not signed, not participating)
 
Immedica (confidentiality agreement not signed, not participating)
General commentators
All Wales Therapeutics and Toxicology Centre
 
British National Formulary
 
Department of Health - Northern Ireland
 
Healthcare Improvement Scotland
 
Medicines and Healthcare products Regulatory Agency
 
NHS Wales Joint Commissioning Committee
 
Scottish Medicines Consortium
 
Welsh Government
Relevant research groups
National Institute for Health Research

Timeline

Key events during the development of the guidance:

Date Update
26 June 2025 - 17 July 2025 Draft guidance
22 May 2025 Committee meeting: 2
06 September 2024 - 27 September 2024 Evaluation consultation
15 August 2024 Committee meeting: 1
15 August 2024 Declaration of interests
17 January 2024 Invitation to participate
21 September 2023 Please note that following on from a request received from the company, the timelines for this appraisal have been revised and the appraisal is now anticipated to begin in early-January 2024. These timings are based on a request from the company to reschedule the initial date set by NICE, in order to facilitate a suitably comprehensive and robust submission.
07 September 2023 Awaiting development. Status change linked to Topic Selection Decision being set to Selected
07 September 2023 Topic selection
07 September 2023 Topic selection
07 September 2023 In progress
17 March 2023 (10:00) Scoping workshop
17 January 2023 - 14 February 2023 Consultation on suggested remit, draft scope and provisional stakeholder list of consultees and commentators
17 January 2023 In progress

For further information on our processes and methods, please see our CHTE processes and methods manual