Drugs, Health Technologies, Health Systems

Reimbursement Recommendation

Tafasitamab (Minjuvi)

Indication: Tafasitamab in combination with lenalidomide for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma not otherwise specified, including diffuse large B-cell lymphoma arising from low grade lymphoma, who are not eligible for autologous stem cell transplant

Sponsor: Incyte Biosciences Canada Corporation

Final recommendation: Do not reimburse

Summary

What Is the Reimbursement Recommendation for Minjuvi?

Canada’s Drug Agency (CDA-AMC) recommends that Minjuvi not be reimbursed by public drug plans for adult patients with relapsed or refractory (r/r) diffuse large B-cell lymphoma (DLBCL) not otherwise specified (including DLBCL arising from low grade lymphoma), excluding primary refractory disease, who are not eligible for autologous stem cell transplant (ASCT), and have an Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 2 or less.

Why Did CDA-AMC Not Recommend Reimbursement?

CDA-AMC previously reviewed Minjuvi plus lenalidomide in 2022 for the treatment of adult patients with r/r DLBCL not otherwise specified, including DLBCL arising from low grade lymphoma, who are not eligible for ASCT, and issued a recommendation of not to reimburse. This is a resubmission based on a post hoc defined subpopulation of the L-MIND study which excluded patients with primary refractory disease and those with unconfirmed DLBCL histology. The resubmission included additional longer follow-up and health-related quality of life (HRQoL) data to address the gaps identified in the previous recommendation.

The pan-Canadian Oncology Drug Review Expert Review Committee (pERC) determined that it is uncertain whether Minjuvi demonstrates acceptable clinical value versus appropriate comparators in adult patients with r/r DLBCL not otherwise specified (including DLBCL arising from low grade lymphoma), excluding primary refractory disease, who are not eligible for ASCT, and have an ECOG PS score of 2 or less. Appropriate comparators refer to polatuzumab vedotin-bendamustine-rituximab (pola-BR), rituximab-gemcitabine-oxaliplatin (R-GemOx), glofitamab-gemcitabine-oxaliplatin (glofit-GemOx), epcoritamab, and glofitamab.

Evidence from a subpopulation of patients enrolled in the phase II, open-label, single-arm L-MIND trial showed that treatment with Minjuvi in combination with lenalidomide resulted in clinically meaningful objective responses (i.e., partial or complete tumour responses) in patients with r/r DLBCL who did not have primary refractory disease and were ineligible for ASCT. However, the magnitude of clinical benefit attributable to tafasitamab plus lenalidomide remains uncertain because the evidence was derived from a small, post hoc subgroup within a nonrandomized and noncomparative study design. HRQoL, which is important for patients, was not assessed in the L-MIND trial, and the available real-world evidence was descriptive and may not be generalizable to patients in Canada. The committee reviewed additional evidence from 2 sponsor-submitted indirect treatment comparisons (ITCs) comparing Minjuvi plus lenalidomide with R-GemOx. However, important methodological limitations of ITCs precluded pERC from drawing firm conclusions regarding the comparative efficacy and safety of Minjuvi plus lenalidomide versus R-GemOx. No comparative evidence versus other relevant treatment options was available.

The committee considered whether the drug would address significant unmet clinical or nonclinical needs. pERC acknowledged an unmet need for additional treatment options for patients with r/r DLBCL who are ineligible for ASCT, particularly treatments that prolong survival and remission, control symptoms, improve HRQoL, and have manageable side effects. However, the committee was unable to determine that Minjuvi plus lenalidomide addresses this unmet need with an acceptable level of certainty in clinical value because of the absence of comparative evidence versus other relevant treatment options and uncertainty regarding its efficacy, safety, HRQoL benefits, and tolerability in this patient population. The committee also acknowledged health inequities for patients with r/r DLBCL, including geographic and logistical barriers to accessing specialized therapies. However, pERC was unable to determine whether Minjuvi plus lenalidomide adequately addressed these unmet nonclinical needs and health inequities, as the treatment requires frequent infusions and access to infusion services, which may remain challenging for some patients.

Based on all of the preceding considerations, pERC recommended that Minjuvi plus lenalidomide not be reimbursed.

Review Background

Highlights of Input From Interested Parties

The patient group (Lymphoma Canada) noted the following regarding impacts of the disease, unmet needs, and important outcomes:

The clinician groups (Ontario Health [Cancer Care Ontario] Hematology Cancer Drug Advisory Committee and the Ad Hoc Group of Ontario Medical Oncologists and Hematology-Oncologists along with Lymphoma Canada's Scientific Advisory Board) and the clinical experts consulted by CDA-AMC noted the following regarding unmet needs arising from the disease and place in therapy for the drug under review:

The participating public drug programs raised potential implementation issues related to considerations for relevant comparators, initiation, and prescribing of therapy; generalizability of trial populations to broader populations; care provision issues; system and economic issues; and potential need for a provisional funding algorithm.

Recommendation

With a vote of 16 to 0, pERC recommends that tafasitamab not be reimbursed in combination with lenalidomide for the treatment of adult patients with r/r DLBCL not otherwise specified (including DLBCL arising from low grade lymphoma), excluding primary refractory disease, who are not eligible for ASCT, and have an ECOG PS score of 2 or less.

The pERC recommendation dated September 26, 2022, for tafasitamab in combination with lenalidomide for the treatment of adult patients with r/r DLBCL not otherwise specified, including DLBCL arising from low grade lymphoma, who are not eligible for ASCT continues to apply to patients who are not included in the population evaluated in this resubmission.

Rationale for the Recommendation

Clinical Value

In this resubmission, the evidence from the phase II, open-label, single-arm L-MIND study was restricted to a subpopulation of ██ of the original 81 patients with r/r DLBCL who were ineligible for ASCT. This subgroup excluded patients with primary refractory disease ██████, those without centrally confirmed DLBCL █████, and ███ ███████ who did not receive treatment ██████

Although █████ (95% confidence interval [CI], █████ ██ █████) of patients from the L-MIND study subpopulation showed an objective response of complete or partial response, there was still a high degree of uncertainty regarding the magnitude of clinical benefit directly attributable to tafasitamab plus lenalidomide due to the nonrandomized, noncomparative, open-label study design and the small sample size. Further, due to the absence of a comparator arm, the potential clinical benefit of tafasitamab plus lenalidomide compared to other relevant treatment comparators is unknown. HRQoL was also not assessed in the L-MIND study and the small real-world study evaluating HRQoL in patients with DLBCL in Italy was descriptive and may not be generalizable to the patients in Canada. The sponsor submitted 2 ITCs that compared patients in the L-MIND study to patients treated with R-GemOx. However, given the methodological limitations of the analyses (i.e., heterogeneity, matching based on a limited number of variables, and small sample sizes), pERC could not determine the comparative efficacy of tafasitamab plus lenalidomide relative to R-GemOx. There was no comparative data on harms; thus, no conclusions could be drawn regarding the relative safety of tafasitamab plus lenalidomide compared to R-GemOx. Indirect comparisons with other relevant treatment comparators were not conducted, due to infeasibility given the small subgroup.

Patients expressed a need for treatments that prolong survival and remission, control disease symptoms, improve HRQoL, and have fewer side effects compared to current therapies. While acknowledging the need for additional effective treatment options for this patient population, pERC concluded that it is uncertain whether tafasitamab plus lenalidomide meets these important therapeutic needs given the limitations associated with the evidence reviewed.

pERC noted that the subgroup analyses submitted in this resubmission did not address any of the key limitations identified in the previous review, most notably the uncertainty regarding the clinical benefit of tafasitamab plus lenalidomide arising from the noncomparative study design and small sample size. Restricting the evidence to a smaller subgroup without a clear justification or clinical rationale, especially within a post hoc analytical framework further amplifies these limitations and introduces additional methodological concerns and uncertainties in the evidence.

Based on the totality of the clinical evidence, pERC concluded that the clinical value of tafasitamab in combination with lenalidomide in this subgroup of patients remains uncertain. Further information on the committee’s discussion around clinical value is provided in the Summary of Deliberation section.

Considering Significant Unmet Clinical Need

pERC acknowledged that patients identified a need for treatments that prolong survival and remission, control disease symptoms, improve HRQoL, and have fewer side effects than existing therapies. The committee agreed with the clinical experts, clinician, and patient groups in recognizing the need for additional options for this patient population. However, pERC noted that no data were available on the comparative efficacy of tafasitamab plus lenalidomide versus other existing therapies. The primary end point in the L-MIND study was objective response rate (ORR) appeared clinically meaningful. Input from clinical experts confirmed other key end points, PFS and OS, to be more relevant in this setting. In addition, the absence of comparative evidence for ORR and key end points including PFS, OS, HRQoL, and harms limits conclusions regarding the clinical efficacy and safety of tafasitamab plus lenalidomide. pERC further noted that although tafasitamab plus lenalidomide provides a chemotherapy-free treatment alternative for patients with r/r DLBCL, it still poses toxicity risks including myelosuppression and venous thromboembolic events. For patients who are ineligible for ASCT, CAR T-cell therapy, or other intensive regimens due to experiencing frailty or comorbidities, tolerability of any potential treatment option remains an important consideration, and the regimen may not represent an appropriate option for all such patients. Overall, given the uncertainty in clinical value and limited comparative data with other treatment options, pERC could not conclude that tafasitamab plus lenalidomide provides an effective treatment option that meets a unique unmet clinical need in this patient population that is not currently met by other available treatments.

Further information on the committee’s discussion around unmet clinical need is provided in the Summary of Deliberation section.

Considering Significant Unmet Nonclinical Need or Health Inequity

pERC recognized that there are significant unmet nonclinical needs and health inequities for patients with r/r DLBCL. These include barriers to accessing specialized treatments (e.g., CAR T-cell and bispecific therapies), particularly for patients who are older, experiencing frailty, or living in rural or remote areas, as well as logistical challenges (e.g., travel requirements, caregiver support, and access to infusion centres), which can contribute to inequitable access to treatment and poorer outcomes.

pERC noted the infusion schedule for tafasitamab of 13 infusions during cycles 1 to 3, then biweekly, may be burdensome for patients and may not adequately mitigate existing accessibility inequities or logistical complexities. pERC also noted, based on clinical expert input, that other regimens are available, including treatments that can be administered in community or nontertiary settings. While R-GemOx is not considered the most relevant comparator for all patients and is associated with significant toxicity and administration challenges, another option, pola-BR, is available and, in some cases, a preferable option for patients with r/r DLBCL who are not good candidates for T-cell redirecting therapies and can be administered in community settings. Thus, although tafasitamab plus lenalidomide may help address some access limitations associated with CAR T-cell therapy and bispecific antibody therapy, it does not fully meet all treatment needs given the availability of other therapies with less frequent community-based administration.

pERC concluded that while tafasitamab plus lenalidomide may add to treatment options for patients unable to receive or access intensive or specialized therapies, the degree to which it addresses an unmet nonclinical need is insufficient to outweigh the substantial limitations and uncertainty surrounding its comparative clinical value.

Further information on the committee’s discussion around unmet nonclinical need is provided in the Distinct Social and Ethical Considerations domain in the Summary of Deliberation section.

Developing the Recommendation

Due to the uncertainty in clinical value, pERC could not recommend to reimburse tafasitamab plus lenalidomide based on clinical value alone. Therefore, they also considered whether tafasitamab plus lenalidomide addressed a significant unmet clinical need with an acceptable level of certainty in clinical value. pERC could not recommend reimbursement even after taking this into account. Finally, they considered whether tafasitamab plus lenalidomide addresses a significant unmet nonclinical need or health inequity. pERC was unable to conclude that tafasitamab plus lenalidomide addresses a significant unmet nonclinical need or health inequity to a degree that overcomes the uncertainty in clinical value and potential risks. Based on all of the preceding considerations, pERC recommended that tafasitamab plus lenalidomide not be reimbursed.

Because pERC recommended that tafasitamab plus lenalidomide not be reimbursed, further deliberation was not required on whether reimbursement conditions should be added to address important economic considerations, health system impacts, or social and ethical considerations, or to ensure clinical value is realized.

Summary of Deliberation

pERC considered all domains of value of the deliberative framework before developing its recommendation: clinical value, unmet clinical need, distinct social and ethical considerations, economic considerations, and impacts on health systems. For further information on the domains of value, refer to Expert Committee Deliberation at Canada’s Drug Agency.

The committee considered the following key discussion points, organized by the 5 domains of value.

Clinical Value

Unmet Clinical Need

Distinct Social and Ethical Considerations

Economic Considerations

Impacts on Health Systems

Sources of Information Used by the Committee

To make its recommendation, the committee and subcommittee considered the following information (links to the full documents for the review can be found on the project webpage):

pERC Information

Members of the Committee

Dr. Catherine Moltzan (Chair), Dr. Kelvin Chan (Vice-Chair), Paul Agbulu, Dr. Phillip Blanchette, Dr. Matthew Cheung, Annette Cyr, Dr. Jennifer Fishman, Dr. Prafull Ghatage, Dr. Jason Hart, Terry Hawrysh, Dr. Yoo-Joung Ko, Dr. Aly-Khan Lalani, Amy Peasgood, Dr. Anca Prica, Dr. Michael Raphael, Dr. Adam Raymakers, Dr. Patricia Tang, Dr. Pierre Villeneuve, and Danica Wasney.

Meeting date: June 10, 2026

Regrets: Two expert committee members did not attend.

Conflicts of interest: None