Hydroxycarbamide: 4 agencies, 2007–2024

This page collects every recorded health technology assessment decision for one molecule across the agencies in our archive, and compares them. The comparison is the point: each agency publishes its own verdict, none publishes how that verdict sits against the others.

What the record shows

Where hydroxycarbamide met resistance it was usually narrowed rather than refused: 3 of 7 decisive outcomes were recommendations with restrictions, against 1 outright refusal.

The file has been open for more than a decade: 16.7 years separate the first record, 7 Nov 2007 at HAS (France), from the most recent, 17 Jul 2024 at HAS (France).

AWMSG (Wales) changed its position: not recommended on 11 Oct 2010, restricted by 4 Aug 2020, after a resubmission.

No assessment is on file from PBAC (Australia), PHARMAC (New Zealand), CIPM (Spain) and G-BA (Germany), each among the eight highest-volume agencies here.

Not every gap is a refusal: for hydroxycarbamide, 1 submission was never made — an outcome set by the company rather than the assessor.

3 distinct indication wordings are recorded for hydroxycarbamide by the agencies that label one in English (AWMSG and SMC).

HAS (France) was first to assess hydroxycarbamide, on 7 Nov 2007; TLV (Sweden) did not open a file until 21 Nov 2022 — an unusually long tail of 15 years between the earliest and latest system to look at it.

Restriction is doing real work here: 3 of 7 decisive outcomes narrowed hydroxycarbamide to a subgroup rather than accepting or refusing it outright, at AWMSG (Wales), SMC (Scotland) and TLV (Sweden).

3 of the 4 agencies here assessed hydroxycarbamide more than once, HAS (France) most often at 5 entries — repeat review is the norm for this molecule rather than the exception.

Coverage is narrow: only 4 of the 18 agencies here have assessed hydroxycarbamide.

The full ledger for hydroxycarbamide reads 3 recommended, 3 restricted, 2 other and 1 not recommended, with 1 in other categories.

Decisions on file

AgencyDateIndication as recorded OutcomeSource
HAS (France)17 Jul 2024Change to listing conditions (Transparency Committee)SMR substantialsource
TLV (Sweden)21 Nov 2022Siklos ingår i högkostnadsskyddet med begränsningrestricted subsidysource
SMC (Scotland)10 Aug 2020For the prevention of vaso-occlusive complications of Sickle Cell Disease in patients over 2 years of age.accepted (restricted)source
AWMSG (Wales)11 Oct 2010Prevention of vaso-occlusive crises in patients with symptomatic sickle cell syndromenot endorsed (non-submission)source
SMC (Scotland)12 Oct 2009Prevention of recurrent painful vaso-occlusive crisesnot recommendedsource

5 further decisions for hydroxycarbamide, across 2 agencies, are not shown here. They link to 3 further source documents.

Related molecules

Coverage: 10 decisions for hydroxycarbamide from 4 agencies, 2007 to 2024. Data to 7 Sep 2026. ATC class L01X — Antineoplastics. How this page is produced. Compiled by Altima Partners; queries: sales@altimapartners.co.uk.

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