Mesalazine: 6 agencies, 1999–2023

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

No agency in this archive has refused mesalazine: all 22 decisive outcomes across 5 agencies were positive or positive with restrictions.

PBAC (Australia) has been easier on mesalazine than on its own caseload: it refused 0 of 8 decisive submissions here (0%), against a base rate of 24% across everything it has assessed.

The file has been open for more than a decade: 24.7 years separate the first record, 1 Feb 1999 at PHARMAC (New Zealand), from the most recent, 25 Oct 2023 at HAS (France).

No assessment is on file from TLV (Sweden), CIPM (Spain) and G-BA (Germany), each among the eight highest-volume agencies here.

Not every gap is a refusal: for mesalazine, 1 was withdrawn or terminated before a decision — an outcome set by the company rather than the assessor.

The programme is broad: 10 distinct indication wordings are recorded for mesalazine by the agencies that label one in English (AWMSG, PBAC and SMC).

8 of these 27 records carry a year of decision but no day, so any interval quoted here is approximate to within a year.

PHARMAC (New Zealand) was first to assess mesalazine, on 1 Feb 1999; CONITEC (Brazil) did not open a file until 12 May 2023 — an unusually long tail of 24.2 years between the earliest and latest system to look at it.

The record arrives in waves: 7 separate years each carry two or more decisions, spread across 13 years in total.

5 of the 6 agencies here assessed mesalazine more than once, HAS (France) most often at 10 entries — repeat review is the norm for this molecule rather than the exception.

6 of the 18 agencies in this archive hold a record for mesalazine.

The full ledger for mesalazine reads 22 recommended, 3 not assessed, 1 other and 1 withdrawn.

Decisions on file

AgencyDateIndication as recorded OutcomeSource
HAS (France)25 Oct 2023Listing (Transparency Committee)SMR substantial · ASMR Vsource
CONITEC (Brazil)12 May 2023Retocolite ulcerativa idiopática leve a moderada em pacientes acima de 18 anos de idade em todas as extensões em terapia…incorporated into SUSsource
PBAC (Australia)2020Ulcerative proctitisUlcerative colitis Crohn diseaseThe PBAC recommended the change in maximum quantity for mesalazine suppositories and modif…source
AWMSG (Wales)3 Feb 2017Treatment of acute episodes of mild to moderate ulcerative colitisoutside AWMSG criteriasource
SMC (Scotland)11 Feb 2008Mild acute exacerbations for ulcerative colitisacceptedsource

22 further decisions for mesalazine, across 6 agencies, are not shown here. They link to 13 further source documents.

Related molecules

Coverage: 27 decisions for mesalazine from 6 agencies, 1999 to 2023. Data to 7 Sep 2026. ATC class A07E — Antidiarrheals / intestinal anti-inflammatories. How this page is produced. Compiled by Altima Partners; queries: sales@altimapartners.co.uk.

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