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Last Updated: January 12, 2018
Result type: Reports
Project Number: SR0525-000
Product Line: Common Drug Review

Generic Name: nusinersen

Brand Name: Spinraza

Manufacturer: Biogen Canada Inc.

Indications: Spinal Muscular Atrophy

Submission Type: New

Project Status: Active

Biosimilar: No

Date Recommendation Issued: December 22, 2017

Recommendation Type: Reimburse with clinical criteria and/or conditions

Fee Schedule1: Schedule A

Key Milestones2

Call for patient input posted3June 01, 2017
Patient group input closed3July 21, 2017

- Patient input submission received

Patient input summary sent for review to patient input groupsJuly 27, 2017
Patient group comments on input summary closedAugust 04, 2017

- Patient input summary feedback received

Submission receivedJune 28, 2017
Submission accepted for reviewJuly 13, 2017
Review initiatedJuly 14, 2017
Draft CDR review report(s) sent to applicantOctober 02, 2017
Comments from applicant on draft CDR review report(s) receivedOctober 12, 2017
Redaction requests from applicant on draft CDR review report(s) receivedOctober 19, 2017
CDR review team's comments on draft CDR review report(s) sent to applicantNovember 03, 2017
Canadian Drug Expert Committee (CDEC) meetingNovember 15, 2017
CDEC recommendation & redacted CDR review report(s) sent to applicant and drug plansNovember 29, 2017
Embargo4 period ended and validation of redacted CDR review report(s) receivedDecember 13, 2017
CDEC Final Recommendation issued to applicant and drug plansDecember 20, 2017
CDEC Final Recommendation posted5December 22, 2017
Final CDR review report(s) and patient input posted5January 10, 2018
  1. Refer to Appendix 1 of the Procedure for the CADTH Common Drug Review for details regarding CDR application fee schedules.
  2. Please refer to the Procedure for the CADTH Common Drug Review for complete details regarding the CDR process and targeted time frames for key milestones.
  3. The call for patient group input is posted 20 business days in advance of the applicant's anticipated date of filing the CDR application. Patient groups have a total of 35 business days for preparing and submitting patient input.
  4. The embargoed CDEC recommendation is held in confidence by all stakeholders and not acted upon until after CADTH has issued the notice of CDEC Final Recommendation.The applicant may make a request for reconsideration or resubmission based on reduced price during the embargo period, and the drug plans may make a request for clarification, as applicable (see section 8 of the Procedure for the CADTH Common Drug Review).
  5. The timing for posting the CDEC Final Recommendation and CDR review report(s) depends on several factors including the need for consultation with the applicant regarding redaction issues.
  6. The time frame required to address a request for clarification at the drug plans' request or request for reconsideration at the applicant's request depends on the amount of work required to address the request and the available dates for CDEC meetings.


muscular atrophy, spinal, spinal muscular atrophies of childhood, parkinson, Spinraza; nusinersen; spinal muscular atrophy; spinal amyotrophy