On June 2, 2025, the President of the Agency for Health Technology Assessment and Tariff System (AOTMiT) officially recommended the use of Keytruda (pembrolizumab) within the Drug Program B.159, targeting the treatment of cervical cancer patients classified under ICD-10 code C53. This decision marks a significant step in expanding access to advanced immunotherapy for individuals battling this form of cancer.
Comprehensive Evaluation Process
The recommendation followed an extensive evaluation process that included clinical, economic, and healthcare system impact analyses. AOTMiT meticulously reviewed the clinical benefits of pembrolizumab, assessing its efficacy in conjunction with radiochemotherapy based on data from the KEYNOTE-A18 study. The economic analysis considered the drug’s cost-effectiveness and its potential impact on the national healthcare budget.
Stakeholder Feedback and Expert Opinions
During the consultation phase, various stakeholders expressed their views. Organizations like Fundacja OnkoCafe and Stowarzyszenie Eurydyki emphasized the necessity of providing patients with access to modern therapies. However, experts raised concerns about the projected number of eligible patients for pembrolizumab treatment, suggesting that initial estimates might be overstated.
- Stakeholders advocate for increased accessibility to pembrolizumab.
- Experts question the accuracy of patient eligibility projections.
- Discrepancies exist between budget impact analyses and expert estimates.
- Further data segmentation could mitigate uncertainties in clinical and economic interpretations.
The agency addressed these concerns by highlighting the data from the European Medicines Agency (EMA), which supports the clinical benefits of pembrolizumab in advanced stages of cervical cancer. Despite the feedback, AOTMiT maintained that the recommendation remains unaffected by the comments received.
Moving forward, the integration of pembrolizumab into the national treatment guidelines is anticipated to enhance therapeutic outcomes for cervical cancer patients. The decision underscores AOTMiT’s commitment to adopting evidence-based treatments that offer substantial clinical advantages.
This endorsement not only provides a new avenue for effective cancer management but also reflects the collaborative efforts between medical experts, patient advocacy groups, and regulatory bodies. Ensuring that such advanced treatments are accessible will be crucial in improving survival rates and quality of life for patients diagnosed with cervical cancer.
The successful recommendation of Keytruda sets a precedent for future drug evaluations, emphasizing the importance of thorough analysis and stakeholder engagement in healthcare decision-making processes. As AOTMiT continues to assess and incorporate innovative treatments, patients stand to benefit from more personalized and effective cancer therapies.

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