On 19 October 2022, the OIC-Secretary of Health (SOH) approved the Health Technology Assessment Council (HTAC) recommendation for the government financing of zoledronic acid (4mg/5mL concentrated solution for IV infusion) for the treatment of patients with malignancy-related bone disease through its inclusion in the PNF. 

In developing its recommendation for zoledronic acid, the HTAC considered the following:

  • Comparable to better efficacy and safety profile when compared to other bisphosphonates 
    • Zoledronic acid has comparable to better efficacy in reducing the overall risk of skeletal-related events and attaining better pain relief.
    • Zoledronic acid has a comparable to better safety profile in terms of any adverse events. 
  • Cheaper total treatment cost of zoledronic acid than pamidronic acid 
    • The government will save around Php 0.91 billion for using zoledronic acid over pamidronic acid. 
  • Insufficient evidence to compare the cost-effectiveness of zoledronic acid with pamidronic acid as the currently available evidence is not applicable to the Philippine setting
  •  

Details of the evidence considered and findings may be found in these links: 

Evidence Summary – https://bit.ly/HTACRecom_ZoledronicAcid2022  

Department Circular – https://bit.ly/DC_ZoledronicAcid

 

HTAC Recommendation preview:


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