The Independent Institute for Quality and Efficiency in Health Care (IQWiG) has initiated a comprehensive dossier assessment of Fedratinib, a medication intended for patients with myelofibrosis who have undergone pretreatment with ruxolitinib. This evaluation was commissioned on February 27, 2025, by the Federal Joint Committee (G-BA), signaling a critical step in determining the drug’s standing within the German healthcare system.
Commission’s Focus and Methodology
Under the guidelines of §35a (para. 1, sentence 11) of the Social Code Book V, IQWiG is tasked with assessing the newly added medical benefits of orphan drugs like Fedratinib. The institute’s approach emphasizes evaluating patient population data and the associated costs presented in the pharmaceutical company’s dossier. This method ensures that the drug’s economic and clinical value is thoroughly examined to support informed decision-making by healthcare authorities.
Project Status and Implications
As of May 28, 2025, the commission work on Fedratinib’s assessment is underway. This follows the completion of a related project, G21-10, which also focused on Fedratinib and has now concluded. The ongoing evaluation is expected to influence future treatment protocols for cancer patients suffering from myelofibrosis, potentially expanding their therapeutic options.
• IQWiG’s assessment will directly impact the drug’s reimbursement and availability in Germany.
• The focus on economic factors alongside clinical benefits underscores the institute’s commitment to sustainable healthcare.
• Outcomes of this project may set precedents for future evaluations of orphan drugs within the healthcare system.
The initiation of this assessment marks a pivotal moment for patients awaiting new treatment avenues. By rigorously analyzing both the medical and economic aspects of Fedratinib, IQWiG ensures that any advancements in therapy align with the principles of quality and efficiency. Stakeholders can anticipate that the findings will play a significant role in shaping the accessibility and implementation of Fedratinib in the standard care regimen for myelofibrosis.

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