England’s health technology assessment institute NICE failed to act fairly when it rejected Janssen’s depression nasal spray, Spravato (esketamine), because it did not explain fully how the uncertainties in the evidence were taken into account in its decision making, an independent appeal panel has ruled.
NICE’s appraisal committee is to reconvene next month to address this point, although it is not obliged to change the final appraisal document (FAD) it issued in May, which recommended against making Spravato available on the National Health Service in England for treatment-resistant major depressive disorder (TRD)
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