Vemurafenib: where the agencies disagree

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

G-BA (Germany), HAS (France) and NICE (England), among others, recommended or restricted vemurafenib, while TLV (Sweden) did not recommend it.

The file has been open for more than a decade: 12.5 years separate the first record, 6 Feb 2012 at AWMSG (Wales), from the most recent, 15 Aug 2024 at PHARMAC (New Zealand).

No assessment is on file from CIPM (Spain), which is among the eight highest-volume agencies here.

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

1 of these 9 records carries a year of decision but no day, so any interval quoted here is approximate to within a year.

AWMSG (Wales) was first to assess vemurafenib, on 6 Feb 2012; PHARMAC (New Zealand) did not open a file until 15 Aug 2024 — an unusually long tail of 12.5 years between the earliest and latest system to look at it.

Activity is concentrated rather than steady: 4 of 9 dated records fall in 2012 alone.

Restriction is doing real work here: 2 of 8 decisive outcomes narrowed vemurafenib to a subgroup rather than accepting or refusing it outright, at NICE (England) and SMC (Scotland).

HAS (France) is the only agency to have returned to vemurafenib, recording 2 separate entries.

8 of the 18 agencies in this archive hold a record for vemurafenib.

The full ledger for vemurafenib reads 5 recommended, 2 restricted, 1 not recommended and 1 deferred to NICE.

Decisions on file

AgencyDateIndication as recorded OutcomeSource
PHARMAC (New Zealand)15 Aug 2024Melanoma, Stage IIIC/IV with BRAF V600 mutationPTAC advice: Medium · decision reachedsource
HAS (France)23 Sep 2020Re-assessment of SMR and ASMRSMR substantial · ASMR Vsource
PBAC (Australia)2017Unresectable Stage III or Stage IV malignant melanomaThe PBAC recommended the listing of vemurafenib monotherapy for the treatment of patients …source
G-BA (Germany)6 Mar 2014Zelboraf — benefit assessment §35aadded benefit: considerable (indication)source
SMC (Scotland)9 Dec 2013As monotherapy for the treatment of adult patients with BRAF V600 mutation-positive unresectable or metastatic melanoma.accepted (restricted)source

4 further decisions for vemurafenib, across 4 agencies, are not shown here. They link to 3 further source documents.

Related molecules

Coverage: 9 decisions for vemurafenib from 8 agencies, 2012 to 2024. Data to 7 Sep 2026. ATC class L01E — Antineoplastics. How this page is produced. Compiled by Altima Partners; queries: sales@altimapartners.co.uk.

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