Drugs, Health Technologies, Health Systems

Reimbursement Recommendation

Omaveloxolone (Skyclarys)

Indication: For the treatment of Friedreich’s ataxia in patients 16 years of age and older

Sponsor: Biogen Canada Inc.

Final recommendation: Reimburse with conditions

Summary

What Is the Reimbursement Recommendation for Skyclarys?

Canada’s Drug Agency (CDA-AMC) recommends that Skyclarys be reimbursed by public drug plans for the treatment of Friedreich’s ataxia (FA) if certain conditions are met.

Which Patients Are Eligible for Coverage?

Skyclarys should only be covered to treat patients aged 16 years and older, who have a confirmed genetic diagnosis of FA, and a score between 20 and 80 on the modified Friedreich’s Ataxia Rating Scale (mFARS). The mFARS scale measures how the disease affects bulbar function, coordination of the arms and legs, and balance.

What Are the Conditions for Reimbursement?

Skyclarys should only be reimbursed if the patient is under the care of a clinician experienced in treating ataxias and if the cost of Skyclarys is reduced. Treatment with Skyclarys should be stopped if the patient’s mFARS score increases by more than 2 points in a year, or if their score increases to more than 80.

Why Did CDA-AMC Make This Recommendation?

Additional Information

What Is FA?

FA is a rare inherited disease that affects the nervous system and muscles. FA usually begins in childhood or the teenage years. The first signs are often trouble with walking and balance. Over time, people may also have slurred speech, difficulty swallowing, nerve damage, vision and hearing problems, and trouble with coordination. Many people with FA also develop heart problems. FA shortens life expectancy, mainly due to heart complications. On average, people with FA live to about 37 years old. In Canada, it is estimated that between 300 and 1,000 people live with FA.

Unmet Needs in FA

Patients indicated that there is a need for a treatment that can cure or reverse FA. Patients are also hoping for a therapy that can slow down or stop the disease, better manage symptoms, help maintain or improve mobility and energy, and improve health-related quality of life (HRQoL). There is a high unmet need for a disease-modifying treatment for FA, which is a rare, debilitating condition with no approved alternatives.

How Much Does Skyclarys Cost?

Treatment with Skyclarys is expected to cost approximately $399,180 per patient per year.

Recommendation

The Canadian Drug Expert Committee (CDEC) recommends that omaveloxolone be reimbursed for the treatment of Friedreich’s ataxia (FA) in patients aged 16 years and older, only if the conditions listed in Table 1 are met.

Rationale for the Recommendation

FA is a rare, inherited, degenerative disease that causes damage to the nervous system, resulting in difficulties with coordination, balance and movement, fatigue, and difficulty speaking. CDEC emphasized that there is a need for effective therapies for patients with FA.

Evidence from 1 phase II randomized, double-blind, placebo-controlled trial (MOXIe Part 2) (N = 103) demonstrated that at week 48, treatment with omaveloxolone likely results in a slower progression of neurologic decline in patients with FA compared with placebo. In the full analysis set, patients receiving omaveloxolone experienced a mean improvement (a decrease) in modified Friedreich’s Ataxia Rating Scale (mFARS) score of 1.45 points versus a worsening (increase) of 0.90 points in the placebo group — yielding an estimated mean difference of −2.40 points (95% confidence interval [CI], −4.31 to −0.50; P = 0.0141). In addition, improvements in activities of daily living (ADL) were observed (mean difference = −1.30 points), and secondary end points (upper limb function, mobility, and fall frequency) did not show significant differences. Importantly, there is a high unmet need for a disease-modifying treatment in FA, which is a rare, debilitating condition with no approved alternatives.

Input from patient groups and clinical experts underscore the severe burden of FA, the profound impact on quality of life, and the absence of effective disease-modifying therapies. Patients report that even slowing of disease progression could help preserve function and independence. CDEC acknowledges that while omaveloxolone appears to meet some patient needs (e.g., stabilization of mFARS and ADL), uncertainty remains due to the lack of an estimated meaningful improvement difference (MID) estimate.

Using the sponsor-submitted price for omaveloxolone and publicly listed prices for all other drug costs, the incremental cost-effectiveness ratio (ICER) for omaveloxolone plus standard of care (SOC) was $1,534,503 per quality-adjusted life-year (QALY) gained compared with SOC alone (health care payer perspective). At this ICER, omaveloxolone plus SOC is not cost-effective at a $50,000 per QALY willingness-to-pay threshold for patients aged 16 years and older with FA. A price reduction is required for omaveloxolone plus SOC to be considered cost-effective at a $50,000 per QALY threshold.

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Table 1: Reimbursement Conditions and Reasons

Reimbursement condition

Reason

Implementation guidance

Initiation

1. Adults and adolescents aged 16 years and older as per the following criteria:

1.1. genetically confirmed FA

1.2. mFARS score ≥ 20 and ≤ 80.

The MOXIe Part 2 trial provided evidence of safety and efficacy for the use of omaveloxolone in patients with genetically confirmed FA aged 16 years and older with a baseline mFARS score ≥ 20 and ≤ 80.

The clinical experts noted to CDEC that diagnosis of FA should be based on confirmed presence of biallelic mutations of the FXN gene.

CDEC recommends that the sponsor be required to cover the cost of the training and/or the resources required for the administration of the mFARS score.

2. The maximum duration of initial authorization is 12 months.

The MOXIe Part 2 trial assessed the primary end point at week 48.

Discontinuation

3. Treatment with omaveloxolone should be discontinued if the patient’s mFARS score increases by more than 2 points at the annual assessment compared to the previous year, or if the patient’s mFARS score exceeds 80.

There is a lack of evidence that omaveloxolone would benefit patients with an mFARS score of more than 80.

The MOXIe Part 2 trial demonstrated that patients who benefited from omaveloxolone exhibited a stabilization of the disease at 48 weeks of the study. Considering the nature of the disease and the large unmet need, clinical experts and patient groups suggested that disease stabilization or slowing disease progression can be considered meaningful.

Prescribing

4. The patients must be under the care of a clinician experienced in treating ataxias.

Accurate diagnosis and management of patients with FA are important to ensure that omaveloxolone treatment is prescribed to appropriate patients.

Pricing

5. A reduction in price.

The ICER for omaveloxolone plus SOC is $1,534,503 when compared with SOC alone (health care payer perspective).

A price reduction of 97% would be required for omaveloxolone plus SOC to achieve an ICER of $50,000 per QALY compared to SOC alone.

Feasibility of adoption

6. The economic feasibility of adoption of omaveloxolone plus SOC must be addressed.

At the submitted price, the incremental budget impact of omaveloxolone plus SOC is expected to be greater than $40 million in year 1, year 2, and year 3.

CDEC = Canadian Drug Expert Committee; FA = Friedreich’s ataxia; ICER = incremental cost-effectiveness ratio; mFARS = modified Friedreich’s Ataxia Rating Scale; QALY = quality-adjusted life-year; SOC = standard of care.

Discussion Points

Background

FA is a rare autosomal recessive ataxia caused by loss of function mutations from trinucleotide repeat expansions in the FXN gene located on chromosome 9q13. FA accounts for up to one-half of all hereditary ataxia cases and affects approximately 1 in 30,000 to 1 in 50,000 individuals. In Canada, estimates suggest between 300 and 1,000 patients are affected. FA typically presents in childhood or adolescence with a complex neurologic phenotype characterized by progressive gait ataxia. Additional cerebellar signs including dysarthria and dysphagia; peripheral motor and sensory neuropathy combined with pyramidal signs; and, in advanced disease, visual and hearing impairment. Most affected individuals develop hypertrophic cardiomyopathy, which in some cases may precede the onset of ataxia. Diabetes mellitus and skeletal abnormalities such as pes cavus and scoliosis are also common. The disease considerably shortens life expectancy because of cardiac complications, with a mean age of death of 37 years. Currently, there are no approved disease-modifying therapies available in Canada for FA. Management focuses on supportive care, rehabilitation, and symptomatic treatment of complications.

FA is associated with inhibition of nuclear factor erythroid 2-related factor 2 (Nrf2), involved in cellular response and oxidative stress. The suppression of Nrf2 in FA results in oxidative damage leading to cell death and tissue degradation. Activation of Nrf2 by omaveloxolone has been shown to restore Nrf2 levels, increase Nrf2 activity, rescue mitochondrial dysfunction, and restore redox balance. The precise mechanism by which omaveloxolone exerts therapeutic effects in patients with FA is unknown.

The recommended dose of omaveloxolone is 150 mg (3 capsules of 50 mg each) taken orally once daily. The Health Canada indication is for the treatment of FA in patients aged 16 years and older.

Sources of Information Used by the Committee

To make its recommendation, the committee considered the following information:

Perspectives of Patients, Clinicians, and Drug Programs

Patient Input

Four patient groups, MDC, NAF, Ataxia Canada – Claude-St-Jean Foundation, and FARA provided their input. The MDC identified and contacted adults living with FA and parents of children aged 16 years and older to participate in a health care experience survey and semistructured virtual interview. They gathered insights from 85 individuals (between the ages of 16 and 70 years) with confirmed FA diagnosis on diagnostics delays, gaps in treatment, emotional and social effects, and access to care and support systems. The NAF conducted a survey of their community members with FA living in different provinces across Canada and received 14 responses (9 people with FA and 5 caregivers). Ataxia Canada gathered experiences of patients and caregivers living in Canada through a combination of interviews and a survey and received 85 responses. Feedback from FARA regarding the disease experience was drawn from 2 sources. First, a white paper which included views from parents of children with FA living in the US highlighting the importance of pediatric inclusion in clinical trials. Second, a patient-focused drug development meeting that included 145 patients and caregivers, where participants were polled about current disease state, experience with different symptoms, and perspectives on future treatments.

Ataxia Canada and the MDC highlighted that patients with FA experience significant impact on the following: coordination and/or maintaining balance, mobility and scoliosis, productivity at home and work, independence and social participation, and mental health. Additionally, FARA noted that patients and caregivers indicated neurologic symptoms (balancing, walking, regular falls, and coordination of hands and/or arms) and fatigue having the most impact on daily quality of life. The NAF, Ataxia Canada, and FARA indicated that people with FA and their caregivers spend hours with symptom-based therapies (such as occupational therapy, speech therapy, and physiotherapy), visiting medical specialists, and obtaining mobility devices which can be challenging, expensive, and time consuming.

The patient groups agreed that there is a significant need for a treatment that is a cure or a treatment to reverse the effects of FA. Patients are also seeking a treatment that slows down and/or stops disease progression, promotes better symptom management, helps regain and/or preserve mobility, increases energy levels, improves HRQoL and independence while reducing the physical and emotional burden on families and caregivers, and prevents complications such as scoliosis or diabetes. Currently, individuals require genetic testing to confirm the presence of biallelic mutations of the FXN gene. The MDC and NAF highlighted the process to be easy, especially for people with family members who had been diagnosed with FA. However, the process was often emotionally challenging but provided clarity about the diagnosis.

Four respondents (1 each from MDC and NAF, and 2 from Ataxia Canada) shared their experience of accessing omaveloxolone via clinical trials. All respondents highlighted that receiving the drug slowed disease progression, of which 2 were already using wheelchairs. Viewpoints of individuals with FA and parents of individuals who participated in the MOXIe trial gathered by FARA included slowing progression, longer retention of motor function (improved endurance, speech, ability to walk, stay upright, and eat), better coping with fatigue, and minimal side effects (transient elevation of liver enzymes, cholesterol, headache, nausea, and/or diarrhea).

Clinician Input

Input From Clinical Experts Consulted for This Review

The information in this section is based on input received from a panel of 4 clinical specialists consulted by CDA-AMC for the purpose of this review.

The clinical experts consulted for this review emphasized that there are currently no approved disease-modifying treatments for FA in Canada, representing a critical unmet need. Current management relies on supportive care and symptom management, which do not alter the underlying progressive disease course.

The experts indicated that omaveloxolone would represent the first disease-modifying therapy for FA and would be positioned as a first-line option for eligible patients aged 16 years and older with genetically confirmed disease. They noted it would be used alongside existing supportive care measures rather than replacing them.

Regarding patient selection, the experts suggested that while all patients with confirmed FA could theoretically benefit, those at earlier disease stages may show more discernible stabilization before irreversible neurologic damage occurs. However, they emphasized that patients who were nonambulatory should not be excluded, as preserving upper limb or bulbar function could still provide meaningful benefit.

For assessing treatment response, the experts acknowledged challenges in translating the clinical trial measures to routine practice. While the mFARS was used in trials and in natural history studies, it is not commonly employed in clinical settings. Furthermore, they suggested monitoring for 2 years to establish efficacy but noted that even partial slowing of disease progression may be valuable. According to the experts, treatment discontinuation should be based primarily on safety and tolerability rather than lack of improvement alone, given the progressive nature of FA, the variability of the disease and its rate of progression, and the absence of alternative disease-modifying options.

The experts emphasized that diagnosis and treatment should be guided by specialists experienced in FA management, such as neuromuscular or movement disorder neurologists. They noted that while regular monitoring is important, requiring intensive specialized outcome measures (such as standardized scales designed for clinical trials and that require trained users for reliable administration) could limit equitable access to treatment.

Clinician Group Input

A single clinician group input was received from NMD4C. Input from 4 clinicians familiar with the clinical trials on treatments with FA, and specifically for omaveloxolone, was gathered from 1:1 ratio submissions and group discussions. The group noted that primary therapeutic goals are to slow disease progression, preserve or enhance function, extend survival, and improve patient well-being.

The clinician group indicated that omaveloxolone is poised to be incorporated into the current treatment paradigm. However, they also highlighted that there is not enough evidence to establish those patients who are most likely to respond to omaveloxolone. Regarding the outcomes used to determine a patient’s response, the clinician group indicated the use of standardized tests used in neurologic exams (mFARS) and functional assessments (Friedreich’s Ataxia Rating Scale Activities of Daily Living [FARS-ADL]). Measurements every 6 months in the first year and then annually were noted as reasonable and practical. In terms of a clinically meaningful response to treatment, the group noted that there should be an improvement in patient function and well-being (for example, this could be reflected by just a 1-point improvement in upright stability score compared to its expected progression, indicating preserved balance in the short term and predicting delayed loss of ambulation).

The clinician group noted that omaveloxolone may be discontinued due to lack of efficacy (to be determined after a year based on clinician’s and patient’s global impression of change), or due to side effects (evidence of organ dysfunction). Additionally, it was recommended that a statin be prescribed to manage cardiovascular risk factors due to increased LDL (a common side effect of omaveloxolone) rather than discontinuing omaveloxolone. The clinician group highlighted that people with FA must be treated at specialized centres that offer comprehensive interdisciplinary care, regardless of omaveloxolone treatment. For patients without easy access to such centres, care should be managed by a neurologist knowledgeable about the disease and its management.

Drug Program Input

Input was obtained from the drug programs that participate in the reimbursement review process. The following were identified as key factors that could potentially impact the implementation of a recommendation for omaveloxolone:

The clinical experts consulted for the review provided advice on the potential implementation issues raised by the drug programs.

Table 2: Responses to Questions From the Drug Programs

Implementation issues

Response

Relevant comparators

Are there other medications that are in the pipeline that show slowing of the progression of FA?

The clinical experts noted to CDEC that there are no currently approved disease-modifying therapies for FA, and no other medications are well-established to slow FA progression. Experts noted that there are some therapeutic drugs currently in the development pipeline (e.g., vatiquinone) that could present future opportunities, but are unaware of any imminent pipeline drugs with clear evidence of disease modification. While research is ongoing globally, omaveloxolone would be the first of its kind in this space if approved.

Considerations for initiation of therapy

In the lifespan of a person with FA, when is genetic testing usually done, and who pays for this test?

The clinical experts noted to CDEC that genetic testing is typically done at the time of suspected diagnosis, usually in childhood or adolescence. It is covered by provincial health care plans in Canada, although this may vary by jurisdiction.

CDEC recommended that diagnosis of FA be confirmed by genetic testing.

Overall, should the initiation criteria for omaveloxolone reflect the inclusion criteria for the MOXIe Part 2 trial?

The clinical experts noted to CDEC that strict adherence to the MOXIe trial criteria may not be fully necessary. While genetic confirmation and age thresholds, as per Health Canada’s indication, should be respected, excluding certain subgroups (e.g., those with more severe disease) may not be desirable in clinical practice. The clinical experts noted the lack of clinical evidence of efficacy and safety for patients aged younger than 16 years or 40 years and older. However, they also noted that, theoretically, patients outside this age group could also benefit from omaveloxolone although evidence of such theoretical benefit is lacking. The study only included patients with a baseline mFARS score between 20 and 80 points. The experts noted that the lower bound (20 points) only ensures that patients are symptomatic and may not be a useful criterion for initiation. However, measuring progress in patients with a baseline mFARS score of more than 80 points could be challenging.

CDEC recommended that an mFARS score be used for initiation of treatment and assessment of response.

In practice, what is the proportion of patients who are > 40 years? What proportion of these patients are diagnosed with FA > 40 years?

The clinical experts noted to CDEC that late diagnosis in patients aged 40 years and older is rare. Most patients are identified well before this age. The proportion of patients aged 40 years and older living with FA exists but is relatively small, as diagnosis typically occurs in childhood or early adolescence.

In practice, what is the proportion of patients who are < 16 years with a diagnosis of FA?

The clinical experts noted to CDEC that the majority of patients diagnosed with FA are aged younger than 16 years, often around 10 to 15 years of age. Pediatric populations are an important portion of patients under clinical care.

CDEC recommended that treatment with omaveloxolone be initiated in patients who are at least aged 16 years.

Should the initiation criteria of omaveloxolone reflect the age thresholds in the MOXIe Part 2 trial?

The clinical experts noted to CDEC that while the trial included patients ≥ 16 years, experts acknowledge pressure to consider use in younger patients. Given limited data, it may be prudent to initially follow the age threshold from the trial (≥ 16 years), but clinical trial evidence over time may support earlier use.

CDEC recommended that treatment with omaveloxolone be initiated in patients who are at least aged 16 years.

If a patient with FA discontinues treatment, e.g., due to side effects, are they eligible for re-treatment?

The clinical experts noted to CDEC that there is no known contraindication to rechallenging after side effect resolution. If the reason for stopping (e.g., transaminase elevations) resolves and the patient and/or family wishes to try again, re-initiation at the physician’s discretion may be reasonable.

Considerations for continuation or renewal of therapy

In patients with FA, is there a definition of full vs. partial responder? How would you monitor continuous response?

The clinical experts noted to CDEC that no standardized definition of “full” or “partial” responder exists. Response may be interpreted as stabilization or slower disease progression. Monitoring would be through clinical judgment, patient function (gait, upper limb coordination, or bulbar function), and possibly adapted objective measures every 6 to 12 months rather than strictly using trial scales.

CDEC recommended that an mFARS score be used for initiation of treatment and assessment of response.

Considerations for discontinuation of therapy

The recommendation by the sponsor is to assess patients for progression annually after starting treatment. What parameters would inform discontinuation of omaveloxolone?

The clinical experts noted to CDEC that persistent severe adverse events (e.g., significant liver enzyme elevations), severe allergic reactions, or patient preference might warrant discontinuation. Disease progression alone may not be a reason to stop, as even partial stabilization is considered beneficial.

CDEC recommended that an mFARS score be used for assessment of response to treatment.

If a patient is achieving therapeutic response on omaveloxolone at 150 mg/day, is a “drug holiday” a consideration?

The clinical experts noted to CDEC that there is no established rationale for a drug holiday if the patient is stable and tolerating therapy. Experts suggested that discontinuation could risk losing whatever benefit was gained, and reintroducing therapy without data on off-on effects is uncertain.

However, the clinical experts noted to CDEC that some adverse events can be managed and reversed. In which cases, temporary discontinuation and subsequent reintroduction of the treatment can be an option.

Considerations for prescribing of therapy

Omaveloxolone dosing is 150 mg/day. Apart from hepatic impairment where there are lower dosing recommendations according to the product monograph, are there any other instances or circumstances where a lower dose of omaveloxolone may be appropriate?

The clinical experts did not identify other clear scenarios. The 150 mg/day dose resulted from the initial, dose-seeking part of the MOXIe trial when lower and higher doses were tested. Though numbers were low, results clearly pointed to that as an optimal dose. Standard dosing is 150 mg/day unless hepatic impairment necessitates adjustments. Pediatric dosing or off-label modifications are not supported by current evidence.

Given that patients with FA require a multidisciplinary approach, can you comment on where patients will be receiving their care across Canada?

The clinical experts noted to CDEC that patients are typically followed in specialty neuromuscular or movement disorder clinics often affiliated with tertiary care centres. Care is multidisciplinary, involving neurologists, cardiologists, physiotherapists, OTs, and genetic counsellors. This care model ensures comprehensive management and appropriate monitoring if omaveloxolone is introduced. Ideally, establishing additional sites in Canada of the FA-GCC would facilitate proper care and participation in clinical research of patients with FA.

Generalizability

With the extensive exclusion criteria of the MOXIe Part 2 trial, what subgroups of patients with FA will this medication not be indicated (e.g., patients with active substance use, concomitant medications that cause significant drug-drug interactions)?

The clinical experts noted to CDEC that while no subgroup is explicitly excluded in practice, those with severe cardiac disease or other major comorbidities were underrepresented in the trial. Clinicians would exercise caution, but no absolute exclusion is anticipated. Substance use or complex drug interactions would need individual assessment.

If a patient is deemed “ambulatory” or “nonambulatory” as per the definitions within the trial, should it affect access to omaveloxolone?

Experts do not support restricting treatment based on ambulatory status. Patients who are nonambulatory may still benefit (e.g., preserved upper limb or bulbar function).

CDEC recommended that treatment with omaveloxolone can be initiated in patients who are “ambulatory” or “nonambulatory” as long as they have genetically confirmed FA and an mFARS score between 20 and 80.

System and economic issues

As it is a rare drug, access will be variable, given jurisdictions may have a specific department managing requests for rare drugs.

This is a comment from the drug programs to inform CDEC deliberations.

CDEC = Canadian Drug Expert Committee; FA = Friedreich’s ataxia; FA-GCC = Friedreich’s Ataxia Global Clinical Consortium; mFARS = modified Friedreich’s Ataxia Rating Scale; OT = occupational therapists; vs. = versus.

Clinical Evidence

Systematic Review

Description of Studies

One pivotal phase II randomized controlled trial (MOXIe Part 2) (N = 103) was included in the review to evaluate whether omaveloxolone 150 mg once daily improved mFARS scores compared to placebo after 48 weeks of treatment in patients aged 16 to 40 years, who have an mFARS score between 20 and 80, and genetically confirmed FA. The trial included secondary end points assessing changes in ADL, upper limb function (9-HPT), mobility (Timed 25-Foot Walk test), and frequency of falls.

Despite randomization, there were imbalances in baseline characteristics between treatment groups. The omaveloxolone group had a higher proportion of females (60% versus 33%) and lower proportion of males (40% versus 67%), more patients with cardiomyopathy (48% versus 29%), higher baseline mFARS scores (40.94 versus 38.77), and more patients with GAA1 repeat lengths of 675 or higher (███ ██ ███) compared to the placebo group. The mean age was similar between groups (approximately 24 years), and the majority of patients in both groups were ambulatory (93%), ██████ █████ ████ ████████ █████████ ███████. Other disease characteristics were generally balanced, including mean age of FA onset (15 years), disease duration (4.8 years), and prevalence of conditions like scoliosis (74%) and sensory neuropathy (49%).

Efficacy Results

Change in mFARS Score at Week 48

The mFARS measures neurologic function across 4 domains: bulbar, upper limb coordination, lower limb coordination, and upright stability. Scores range from 0 to 93 with higher scores indicating greater impairment. Assessments were conducted at baseline and week 48.

In the prespecified primary analysis population (full analysis set), patients receiving omaveloxolone had a mean baseline mFARS score of 40.94 (standard deviation [SD] = 10.39) points and showed a mean improvement (decrease) from baseline of █████ ██████ ███ █████) at week 48. The placebo group had a mean baseline score of 38.77 (SD = 11.03) points and showed a mean worsening (increase) from baseline of █████ ██████ ███ █████). The mixed model for repeated measures (MMRM) estimate of mean difference in change from baseline between omaveloxolone and placebo was −2.40 points (95% CI = −4.31 to −0.50; P = 0.0141).

In the all-randomized population, which included patients with severe pes cavus, omaveloxolone treatment improved mFARS scores by an estimated mean difference of −1.93 points relative to placebo (95% CI, −3.70 to −0.15; P = 0.0342). The mean baseline scores were █████ ███ █████) for omaveloxolone and █████ ███ █████) for placebo, with mean changes from baseline of █████ ███ █████) and 0 ███ ███ █████), respectively.

Change in Performance on 9-HPT

The 9-HPT measures upper extremity function based on the time taken to place and remove 9 pegs in a pegboard. The test was performed at baseline and week 48, with faster times indicating better function. Results are reported as the reciprocal of average time (1 per second) for the dominant hand.

In the full analysis set (FAS) population, patients receiving omaveloxolone had a mean reciprocal of average time (1 per second) baseline value of ██████ ███ ███████) and showed little to no change from baseline (mean change ████████ ██ █████) at week 48. The placebo group had a mean reciprocal of average time (1 per second) baseline value of ██████ ███ ███████) and showed little to no change (mean change ████████ ██ ███████). The MMRM estimated mean difference between groups was ██████ ████ ███ ███████ ██ ████████████).

Change in Performance on a Timed 25-Foot Walk Test

The Timed 25-Foot Walk test measures mobility based on the time taken to walk 25 feet. Assessments were conducted at baseline and week 48, with results reported as the reciprocal of average walk time (1 per second). Higher values indicate better function.

In the FAS population, patients receiving omaveloxolone had a mean baseline score of ██████ ███ ████████ and showed a decline from baseline of ███████ ███ ████████ at week 48. The placebo group had a mean baseline score of ██████ ███ ████████ and showed a decline of ███████ ███ ████████. The MMRM estimated mean difference between groups was 0.0058 (95% CI ███████ ██ ██████; P = 0.4635).

Frequency of Falls at Week 48

Falls were recorded daily by patients in a study diary throughout the 48-week treatment period. A fall was defined as “the patient unintentionally coming to rest on the ground or at a lower level.”

In the FAS population, patients receiving omaveloxolone reported a mean of ████ █████ ███ █████) during treatment compared to ████ █████ ███ █████) in the placebo group. The Poisson estimated difference in incidence rate of falls between omaveloxolone and placebo was █████ ████ ███ █████ ██ ██████████).

ADL at Week 48

The ADL assessment included 9 questions evaluating speech, swallowing, cutting food or handling utensils, dressing, personal hygiene, falling, walking, quality of sitting position, and bladder function. Total scores range from 0 to 36 with higher scores indicating greater impairment. Assessments were conducted at baseline and week 48.

In the FAS population, patients receiving omaveloxolone had a mean baseline ADL score of 10.7 (SD = 4.8) and showed an improvement (decrease) from baseline ██ ██████ ██████ ███ ██████) at week 48. The placebo group had a mean baseline score of 9.9 (SD = 4.8) and showed a worsening (increase) of ██████ ██████ ███ ██████). The MMRM estimated mean difference between groups was –1.30 points (95% CI, █████ ██ █████; P = 0.0420).

Harms Results

All patients in both treatment groups experienced at least 1 adverse event during the 48-week trial. Common adverse events occurring more frequently with omaveloxolone included nausea (33.3% versus 13.5%), abdominal pain (21.6% versus 5.8%), diarrhea (19.6% versus 9.6%), fatigue (21.6% versus 13.5%), and increased liver enzymes (alanine transaminase = 37.3% versus 1.9%; aspartate transaminase = 21.6% versus 1.9%). Serious adverse events occurred in 9.8% of patients receiving omaveloxolone versus 5.8% of patients receiving placebo. Treatment discontinuations due to adverse events were more frequent with omaveloxolone (7.8% versus 3.8%). Notable harms of special interest included liver enzyme elevations, which occurred more often in the omaveloxolone group. No deaths were reported during the study period.

Critical Appraisal

Overall, the MOXIe trial demonstrated acceptable internal validity, benefiting from its randomized, double-blind, placebo-controlled design, proper allocation concealment, validated primary outcome measure, and appropriate statistical methods. Key limitations affecting internal validity included baseline imbalances between treatment groups despite randomization, with the omaveloxolone group having characteristics suggesting more advanced disease (higher mFARS scores, longer GAA1 repeat lengths, and greater proportion with cardiomyopathy). Furthermore, the imbalance in the male to female ratio between omaveloxolone and placebo may also bias the results against omaveloxolone, as observed in subgroup analyses showing better response in males. The impact of some of these imbalances was explored in post hoc analyses which suggested a potential underestimation of treatment effect in the primary end point. Additionally, a higher discontinuation rate in the omaveloxolone group (13.7% versus 3.8%), primarily due to adverse events, raises concerns about potential bias from missing data. The absence of an established minimal clinically important difference for mFARS also creates uncertainty in interpreting the clinical significance of the observed treatment effect. All outcomes besides the primary outcome either include the null or are outside the statistical testing hierarchy.

Overall, external validity of the MOXIe Part 2 trial was limited by the restriction of eligibility and the exclusion of patients with significant cardiac issues and capping those with severe pes cavus. The sponsor justified the decision to cap patients with severe pes cavus on evidence from the MOXIe Part 1 trial that suggested patients with severe pes cavus may represent a different subtype of FA and likely interferes with the ability to perform assessments that require standing or pedalling. Clinical experts involved in this review suggested that all patients with FA have a certain level of pes cavus and has not been suggested as clinically prognostic of FA prognosis. The trial excluded patients aged younger than 16 years despite most patients being diagnosed around age 11, creating uncertainty about treatment effects in pediatric populations. However, the current Health Canada indication restricts the population to patients aged 16 years or older. As such, this limitation to external validity is of limited impact if the drug is prescribed according to the indication. The restriction to patients with mFARS scores between 20 and 80 and exclusion of those with significant cardiac issues limits generalizability to patients with more severe disease. Furthermore, the outcomes used in the trial, particularly mFARS, are not routinely implemented in clinical practice, creating challenges for translating trial results to real-world assessment of treatment response. While the absence of sites in Canada was noted, clinical experts did not consider this a major limitation given the similarity of the patient population and treatment approaches across countries.

GRADE Summary of Findings and Certainty of the Evidence

The selection of outcomes for GRADE assessment was based on the sponsor’s Summary of Clinical Evidence, consultation with clinical experts, and input received from patient and clinician groups and public drug plans. The following list of outcomes was finalized in consultation with expert committee members:

Table 3: Summary of Findings for Omaveloxolone vs. Placebo for Patients With FA

Outcome and

follow-up

Patients

(studies), N

Relative effect

(95% CI)

Absolute effects (95% CI)

Certainty

What happens

Placebo

Omaveloxolone

Difference

Change in mFARS at week 48

Change in mFARS score (less is better)

Follow-up: 48 weeks

82 (1 RCT)

NA

████ ██

█████ ███

█████ ███

Moderatea

Omaveloxolone likely results in a slower progression of the mFARS score in patients with FA compared to placebo.

Change in performance on 9-HPT at week 48

Change in 9-HPT performance (reciprocal of average walk time [per second] – more is better)

Follow-up: 48 weeks

82 (1 RCT)

NA

█████ █

█████ ███

█████ ███

Lowb

Omaveloxolone may result in little to no difference in the change in 9-HTP compared to placebo in patients with FA.

Change in performance on a Timed 25-Foot Walk test at week 48

Change in Timed 25-Foot Walk test (reciprocal of average walk time [per second] – more is better)

Follow-up: 48 weeks

82 (1 RCT)

NA

███████

1 per second

███████

1 per second

0.0058 more 1 per second (████)

Lowb

Omaveloxolone may result in little to no difference in the in Timed 25-Foot Walk test compared to placebo in patients with FA.

Change in frequency of falls at week 48

Change in frequency of falls (less is better)

Follow-up: 48 weeks

82 (1 RCT)

NA

█████

█████ ███

█████ ███

Lowb

Omaveloxolone may result in little to no difference in the change in frequency of falls compared to placebo in patients with FA.

Change in activities of daily living at week 48

Changed in ADL (less is better)

Follow-up: 48 weeks

82 (1 RCT)

NA

█████

█████ ███

█████ ███

Moderatec

Omaveloxolone likely results in a decrease in the ADL score in patients with FA.

9-HPT = 9-Hole Peg Test; ADL = activities of daily living; CI = confidence interval; FA = Friedreich’s ataxia; mFARS = modified Friedreich’s Ataxia Rating Scale; MID = meaningful improvement difference; NA = not applicable; RCT = randomized controlled trial; vs = versus.

Note: Study limitations (which refer to internal validity or risk of bias), inconsistency across studies, indirectness, imprecision of effects, and publication bias were considered when assessing the certainty of the evidence. All serious concerns in these domains that led to the rating down of the level of certainty are documented in the table footnotes.

aNo published between-group MID was identified. Clinical experts consulted by CDA-AMC identified 2 points as potential clinically meaningful threshold. Rated down 1 level for imprecision as the upper bound of the CI suggests no clinically meaningful difference and the lower bound of the 95% CI suggests benefit.

bNo published between-group MID was identified, and the clinical experts consulted by CDA-AMC were unable to estimate a threshold for clinically important effects, therefore the null was used. Rated down 2 level for very serious imprecision as the lower CI suggests harm while the upper CI suggests benefit of little to no difference.

cNo published between-group MID was identified, and the clinical experts consulted by CDA-AMC identified 1 point as potential clinically relevance threshold. Rated down 1 level for imprecision as the upper bound of the CI suggests no clinically meaningful difference and in the lower bound of the CI suggests clinically meaningful difference. Did not rate down for imprecision; a between-group difference of less than the null and a CI that excludes the null.

Source: Details included in the table are from the sponsor’s Summary of Clinical Evidence.

Summary of Clinical Evidence. Long-Term Extension Studies

Description of Studies

One ongoing OLE study was included to assess the long-term safety and tolerability of omaveloxolone in patients with FA following the completion of Part 1 or Part 2 of the MOXIe trial. The study enrolled 149 patients from the MOXIe Parts 1 and 2 trials, including 106 patients who had not received treatment with omaveloxolone (placebo-omaveloxolone group) and 43 patients who previously received omaveloxolone (omaveloxolone-omaveloxolone group). All patients received omaveloxolone (150 mg daily), with interim analysis data available up to 144 weeks. Baseline characteristics were generally balanced between groups, though the placebo-omaveloxolone group had a higher proportion of males (█████ ██ ████%) and patients with pes cavus (█████ ██ ████%).

Efficacy Results

At 144 weeks, the mean change from baseline in the mFARS score was ████ ██████ ███ ██████ in the placebo-omaveloxolone group and ████ ██████ ███ █████) in the omaveloxolone-omaveloxolone group. ADL scores showed mean increases (indicating worsening) of █████ points in the placebo-omaveloxolone group and █████ points in the omaveloxolone-omaveloxolone group at week 144. Additional functional measures including the 9-HPT and Timed 25-Foot Walk test showed similar patterns.

Harms Results

The safety profile in the OLE study was consistent with the controlled trial. Common adverse events included coronavirus infection (18.8%), increased aspartate aminotransferase (18.8%), headache (18.1%), upper respiratory tract infection (16.8%), nausea (16.1%), and fatigue (13.4%). Serious adverse events occurred in 8.7% of patients (7.5% placebo-omaveloxolone group, 11.6% omaveloxolone-omaveloxolone group), and ████ discontinued due to adverse events (████ placebo-omaveloxolone group, ████ omaveloxolone-omaveloxolone group). Liver enzyme elevations remained a notable adverse event of special interest but appeared manageable with monitoring. No deaths were reported.

Critical Appraisal

The main limitations of the long-term extension include the lack of a control group, an open-label design with subjective outcomes, and the potential selection bias from enrolling only patients who completed the original trials. There is a risk of attrition bias as the number of patients contributing to the analyses declined steadily over time and final measures of the outcome are based on less than one-half of patients who enrolled. The COVID-19 pandemic also impacted study visits and treatment continuity, with 14.8% of patients experiencing treatment interruptions. The use of historical controls for contextualizing progression rates, while informative, has inherent limitations due to potential differences in patient populations and assessment methods.

The clinical experts consulted on this review suggested that, with the exception of the exclusion of pediatric patients, the eligibility criteria of the OLE study were comparable to the population in Canada. The trial’s strict inclusion and exclusion criteria; however, including constraints around cardiac involvement, may have led to a healthier cohort than what is typically encountered in routine clinical practice in Canada. Furthermore, the study did not include any sites in Canada, reducing the generalizability and applicability of the results to the practice in Canada.

Indirect Comparisons

No indirect treatment comparisons were submitted for this review.

Studies Addressing Gaps in the Evidence From the Systematic Review

Description of Studies

A propensity score matched analysis compared long-term outcomes between patients in the MOXIe trial extension (N = 136) and matched patients from the FACOMS group natural history database (N = 136). Patients were matched on key characteristics including age, sex, baseline mFARS score, age at FA onset, and baseline gait score, with a mean follow-up of approximately 2.5 years in both cohorts.

Efficacy Results

The estimated 3-year change from baseline in mFARS score was 6.61 points (standard error [SE] = 0.65) in matched patients from the FACOMS group compared to 3.00 points (SE = 0.66) in patients in the MOXIe trial extension, representing a statistically significant difference of −3.61 points (95% CI, −1.79 to −5.43) favouring omaveloxolone. This suggests that patients from the MOXIe OLE study experienced a slower increase in mFARS scores than patients included from the matched FACOMS group (indicative of slowed disease progression).

Harms Results

Safety outcomes were not assessed in this analysis.

Critical Appraisal

The choice of study design was considered appropriate given the constraints of the rare disease. The real-world evidence used comparative evidence to describe treatment efficacy in a population that is treatment-naive, but the choice of baseline in the FACOMS group could introduce indication bias due to unmeasured confounding factors. While the timing of treatment initiation was not an issue, the primary analysis cohort included patients who completed 48 weeks of follow-up, potentially differing systematically from those in the FACOMS group. Limited bias due to exposure or outcome misclassification was noted, though measurement error at year 3 could slightly favour omaveloxolone. Propensity score matching variables were sufficient, and diagnostic results showed comparability between the FACOMS group and the MOXIe trial cohorts. However, the estimation of progression at 3 years relied on a missing-at-random assumption, with missing outcome analyses not provided, raising concerns about dropout due to adverse events.

Ethical Considerations

Patient group, clinician group, and drug plan input, as well as consultation with clinical experts were reviewed to identify ethical considerations specific to the use of omaveloxolone for the treatment of FA in adults and adolescents aged 16 years or older.

Diagnosis, Treatment, and Experiences of People Living With FA

Clinical Evidence Used in the Evaluation of Omaveloxolone

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Clinical Use of Omaveloxolone

Health Systems Impact

Introducing omaveloxolone raises ethical considerations about resource allocation and health system sustainability, given the therapy’s high cost and limited long-term safety and efficacy evidence. Patient group input suggested potential downstream savings, such as reduced emergency department visits and prolonged workforce participation, but there is currently no evidence to support this. Clinical experts emphasized the importance of collecting real-world data through registries to better understand the impact on function, symptoms, quality of life, mortality, and health care costs of omaveloxolone. However, they cautioned that data-collection efforts could place great financial and administrative burdens on clinicians and health systems, particularly in under-resourced settings.

The potential use of mFARS as a standardized tool to guide treatment initiation, monitoring, and renewal raises significant practical and resource challenges, as it risks overburdening the health system with unknown benefit. While mFARS was the primary end point in the MOXIe trial, it is not routinely used in clinical practice and would require specialized training, extended appointment times, and greater administrative coordination to implement effectively. These requirements could strain under-resourced clinics, particularly those in underserved areas, and bias prescribing toward larger, well-equipped centres. Further, as a measure reliant on clinician interpretation and subject to variability, the use of mFARS in clinical practice may create inconsistencies in treatment decisions. As such, clinical experts questioned whether such intensive monitoring efforts justify the significant resources required, particularly given the subjective nature of the measures and their perception that providers would be reluctant to discontinue therapy in the absence of serious harms. Instead, clinical experts suggested that long-term monitoring should rely on clinical judgment, assessing patient function (e.g., gait, upper limb coordination, and bulbar function), and possibly using adapted objective measures every 6 to 12 months, instead of solely depending on trial scales.

Economic Evidence

Cost and Cost-Effectiveness

Table 4: Summary of Economic Evaluation

Component

Description

Type of economic evaluation

Cost-utility analysis

Regression-based model

Target population

Adults and adolescents aged 16 years and older with FA

Treatment

Omaveloxolone plus SOC (SOC assumed by the sponsor to comprise treatments for symptom and comorbidity management)

Dose regimen

Omaveloxolone: 150 mg once daily

Submitted price

Omaveloxolone: $364.30 per capsule

Submitted treatment cost

Omaveloxolone: $346,933 per yeara

Comparator

SOC

Perspective

Canadian publicly funded health care payer

Societal perspectiveb

Outcomes

QALYs, LYs

Time horizon

Lifetime (84 years)

Key data sources

  • Efficacy of omaveloxolone was informed by observations from the MOXIe trials (omaveloxolone vs. placebo); efficacy of SOC was based on data from the FACOMS natural history study.

  • The sponsor submitted a propensity-matched analysis comparing disease progression (via mFARs score) in patients in the FACOMS natural history study to those in the MOXIe trial. Rate ratios from this analysis were applied to the mFARS trajectory for patients with SOC to derive the mFARS trajectory for patients who received omaveloxolone.

Key limitations

  • Evidence from the MOXIe trial suggests that omaveloxolone likely results in slower neurologic decline (based on mFARS score) compared to placebo over 48 weeks. However, the clinical importance of this finding is uncertain due to the lack of an established minimum clinically important difference. Other functional outcomes (e.g., upper limb function, mobility, or frequency of falls) did not show significant improvements with use of omaveloxolone.

  • The long-term relative effectiveness of omaveloxolone compared to SOC alone is highly uncertain owing to a lack of direct comparative data beyond 48-weeks (MOXIe trial duration). To inform the comparative effectiveness of omaveloxolone in the economic model, the sponsor undertook a propensity-matched analysis using data from the FACOMS natural history study for SOC and the ongoing MOXIe long-term extension study for omaveloxolone (up to 3 years of observation); however, the interpretation of finding from this analysis are limited by the open-label design and potential selection bias (refer to CDA-AMC Clinical Review). In the economic model, the sponsor assumed that the estimated effectiveness of omaveloxolone plus SOC from the propensity-matched analysis would be maintained indefinitely, without consideration of effectiveness waning. Approximately 96% of the incremental QALYs predicted to be gained with omaveloxolone were accrued after the 48-week MOXIe trial period.

  • The impact of omaveloxolone on HRQoL: In the MOXIe trial, the mean change in SF-36 scores from baseline to week 48 were small and similar between omaveloxolone and placebo. The health state utility values used in the sponsor’s model are highly uncertain owing to the use of mapping in their derivation. The results of a sponsor-submitted scenario analysis using alternative utility values indicate that the estimated cost-effectiveness of omaveloxolone is highly sensitive to the chosen utility values, with ICERs from both perspectives increasing approximately 2-fold.

  • The sponsor submitted an analysis from a societal perspective, which included indirect costs and the impact of treatment on costs and the HRQoL of caregivers. This analysis required assumptions about the impact of FA on the caregiver’s HRQoL, hours worked by patients and caregivers, the proportion of patients and caregivers employed, and costs paid by patients and caregivers vs. the health care system. Indirect costs and caregiver HRQoL were not outcomes of the MOXIe trial, and the impact of omaveloxolone on these costs and outcomes is highly uncertain.

CDA-AMC reanalysis results

  • No reanalyses were performed owing to uncertainty in the clinical evidence that could not be resolved through reanalysis.

  • Based on the sponsor’s submission, omaveloxolone-SOC is not cost-effective at a WTP of $50,000 per QALY gained when either the public health care payer or a societal perspective is adopted. Price reductions of 95% to 97% would be required for omaveloxolone-SOC to be cost-effective compared to SOC from the societal and public payer perspectives, respectively, at this threshold.

CDA-AMC = Canada’s Drug Agency; FA = Friedreich’s ataxia; FACOMS = Friedreich’s Ataxia Clinical Outcome Measures; HRQoL = health-related quality of life; ICER = incremental cost-effectiveness ratio; LY = life-year; mFARS = modified Friedreich’s Ataxia Rating Scale; QALY = quality-adjusted life-year; SF-36 = Short Form (36) Health Survey; SOC = standard of care; vs. = versus; WTP = willingness-to-pay.

aAssuming 87% relative dose intensity. Annual cost without adjustment: $399,180.

bOmaveloxolone is being reviewed by CDA-AMC through the complex review pathway; as such, CDA-AMC has appraised 2 cost-effectiveness analyses submitted by the sponsor; 1 adopting a publicly funded health care payer perspective and 1 adopting a societal perspective.

Budget Impact

CDA-AMC identified the following key limitations with the sponsor’s analysis: the number of people aged 16 years and older with FA is likely underestimated and the uptake of omaveloxolone is uncertain and may be higher than anticipated by the sponsor. In the CDA-AMC reanalysis, the number of patients eligible for omaveloxolone was derived using registry data from MDC. In the CDA-AMC base case, the 3-year budget impact of reimbursing omaveloxolone for the treatment of FA in people aged 16 years and older is expected to be $224,535,025 (year 1 = $53,122,535; year 2 = $78,574,132; and year 3 = $92,838,358). The estimated budget impact is highly sensitive to the number of patients eligible for omaveloxolone and assumptions about its uptake among eligible patients.

Request for Reconsideration

The sponsor filed a request for reconsideration of the draft recommendation for omaveloxolone for the treatment of FA in patients aged 16 years and older. In their request, the sponsor identified the following issues:

In the meeting to discuss the sponsor’s request for reconsideration, CDEC considered the following information:

All feedback received in response to the draft recommendation is available on the CDA-AMC website.

CDEC Information

Initial Meeting Date: February 26, 2025

Members of the Committee

Dr. Peter Jamieson (Chair), Dr. Kerry Mansell (Vice Chair), Dr. Sally Bean, Daryl Bell, Dan Dunsky, Dr. Trudy Huyghebaert, Morris Joseph, Dr. Dennis Ko, Dr. Christine Leong, Dr. Alicia McCallum, Dr. Srinivas Murthy, Dr. Nicholas Myers, Dr. Krishnan Ramanathan, Dr. Marco Solmi, Dr. Edward Xie, and Dr. Peter Zed.

Regrets: One expert committee member did not attend.

Conflicts of interest: None

Reconsideration Meeting Date: June 26, 2025

Members of the Committee

Dr. Peter Jamieson (Chair), Dr. Kerry Mansell (Vice Chair), Dr. Sally Bean, Daryl Bell, Dan Dunsky, Dr. Ran Goldman, Dr. Trudy Huyghebaert, Morris Joseph, Dr. Dennis Ko, Dr. Christine Leong, Dr. Alicia McCallum, Dr. Srinivas Murthy, Dr. Nicholas Myers, Dr. Krishnan Ramanathan, Dr. Marco Solmi, Dr. Edward Xie, and Dr. Peter Zed.

Regrets: Three expert committee members did not attend.

Conflicts of interest: None