Bevacizumab [Avastin]

[MSHL] Bevacizumab Concentrate For Solution For Infusion 100 mg/4 mL, 400 mg/16 mL

1. For cancer treatment in line with HSA-registered indication(s).

[MSHL] Bevacizumab Concentrate For Solution For Infusion 100 mg/4 mL, 400 mg/16 mL

1. Atezolizumab in combination with bevacizumab (non-subsidised brand) and platinum-doublet chemotherapy, for the treatment of patients with metastatic non-squamous non-small cell lung cancer (NSCLC) who had not received prior chemotherapy. Patients must not have received prior treatment with a PD-1/PD-L1 inhibitor for metastatic NSCLC.

2. Atezolizumab in combination with bevacizumab (non-subsidised brand) for treating advanced unresectable hepatocellular carcinoma in patients who have not received prior systemic therapy, and who have adequate liver function as assessed by the Child-Pugh scoring system.

[MSHL] Bevacizumab Concentrate For Solution For Infusion 100 mg/4 mL, 400 mg/16 mL

1. Olaparib in combination with bevacizumab (non-subsidised brand) as maintenance treatment of patients with advanced homologous recombination deficiency (HRD) positive high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer who are in complete or partial response to first-line platinum-based chemotherapy in combination with bevacizumab.
   Treatment with olaparib should be continued until disease progression or unacceptable toxicity or for a maximum of 24 months.

Legend

This section shows the following:

• Subsidy Scheme and Clinical Indication (where applicable) of drugs listed in the MOH List of Subsidised Drugs

• Subsidised brands of vaccines recommended in the National Immunisation Schedules listed in the MOH Subsidised Vaccine List

• Cancer Drug and Clinical Indication listed in the MediShield Life Cancer Drug List

As this website is updated monthly, please refer to MOH List of Subsidised Drugs, MOH Subsidised Vaccine List or MediShield Life Cancer Drug List for the most updated information.

12/07/2022 Bevacizumab biosimilar for treating different types of cancers

The Ministry of Health’s Drug Advisory Committee has recommended:

• Bevacizumab biosimilar (Mvasi) 100 mg/40 mL and 400 mg/16 mL concentrate for solution for infusion in line with its registered indications or local clinical protocols for treating:

  • Persistent, recurrent, or metastatic cervical cancer when used with platinum-based chemotherapy plus paclitaxel;

  • Metastatic colorectal cancer when used with fluoropyrimidine-based chemotherapy;

  • Malignant glioma (WHO Grade III and IV) after relapse or disease progression following prior therapy;

  • Previously untreated, unresectable, locally advanced, recurrent or metastatic non-squamous non-small-cell lung cancer when used with carboplatin and paclitaxel;

  • Previously untreated, advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer in adults who have suboptimally debulked Stage III disease with more than 1 cm of residual disease or Stage III unresectable or Stage IV disease;

  • Recurrent, platinum-sensitive, epithelial ovarian, fallopian tube, or primary peritoneal cancer when used with carboplatin and gemcitabine or paclitaxel;

  • Recurrent, platinum-resistant, epithelial ovarian, fallopian tube, or primary peritoneal cancer when used with paclitaxel, topotecan or pegylated liposomal doxorubicin; and

  • Advanced homologous recombination deficiency (HRD) positive high grade epithelial ovarian, fallopian tube or primary peritoneal cancer as maintenance treatment in combination with olaparib in adults who are in complete or partial response to first-line platinum-based chemotherapy in combination with bevacizumab biosimilar.

Subsidy status

[R] Bevacizumab biosimilar (Mvasi) 100 mg/4 mL and 400 mg/16 mL concentrate for solution for infusion are recommended for inclusion on the MOH Standard Drug List (SDL) for the abovementioned indications with effect from 1 April 2022.

[NR] SDL subsidy does not apply to any formulations or strengths of bevacizumab reference biologic (Avastin) or other brands of bevacizumab biosimilars.

Clinical indications, subsidy class and MediShield Life claim limits are provided in the Annex.

12/07/2022 Aflibercept, bevacizumab and ramucirumab for treating metastatic colorectal cancer

[NR] The Ministry of Health’s Drug Advisory Committee has not recommended aflibercept, bevacizumab reference biologic (Avastin) or ramucirumab for subsidy for treating metastatic colorectal cancer.

[NR] Bevacizumab (Avastin) has not been recommended in view of unfavourable cost effectiveness compared with bevacizumab biosimilar (Mvasi) at the price proposed by the manufacturer.

[NR] Aflibercept has not been recommended due to low clinical need and unfavourable cost effectiveness compared with Mvasi.

[NR] Ramucirumab has not been recommended following a request from the manufacturer to not consider it for subsidy.

Clinical indications, subsidy class and MediShield Life claim limits for all drugs included in the evaluation are provided in the Annex.

12/07/2022 Bevacizumab for treating persistent, recurrent or metastatic cervical cancer

[NR] The Ministry of Health’s Drug Advisory Committee has not recommended bevacizumab reference biologic (Avastin) for subsidy for treating persistent, recurrent or metastatic cervical cancer in view of unfavourable cost effectiveness compared with bevacizumab biosimilar (Mvasi) at the price proposed by the manufacturer.

Clinical indications, subsidy class and MediShield Life claim limits are provided in the Annex.

Legend

This section displays recommendation from the MOH Drug Advisory Committee for subsidy and appropriate use of the drug as extracted from the Agency for Care Effectiveness (ACE) Drug Guidances. As this website is updated monthly, please refer to the ACE website for the most updated information.

Note:

General availability information reflected is based on the Public Healthcare Institutions’ (PHI) formulary on what is commonly used for treating their patient population and may or may not be available for patients not under the care of that institution. It does not reflect the PHI’s actual inventory availability and is subjected to change. Please consult the Public Hospitals or Polyclinics for details on availability and supply restrictions/considerations. General availability is not tied to any brand unless otherwise stated.

Users are to consult the respective PHIs for actual inventory availability and supply restrictions/consideration