In draft guidance on 2 August, England’s health technology assessment body NICE recommended against National Health Service funding for CSL Behring’s Hemgenix (etranacogene dezaparvovec) to treat adults with moderately severe or severe hemophilia B without a history of factor IX inhibitors, citing uncertainties in both clinical evidence and its cost-effectiveness.
According to NICE, the clinical data uncertainties mean that cost-effectiveness estimates for the gene therapy are also uncertain. Regardless of...








