( Last Updated : November 8, 2022)
Generic Name:
Project Status:
Therapeutic Area:
Spinal Muscular Atrophy
Biogen Canada Inc.
Brand Name:
Project Line:
Reimbursement Review
Project Number:
NOC Status at Filing:
Post NOC


Manufacturer Requested Reimbursement Criteria1:
Biogen Canada Inc. requests that the previous CADTH-recommended criteria (see project SR0576-000) for Spinraza be expanded to include adult type II & type III patients older than 18 years of age regardless of ambulatory status.
Submission Type:
Fee Schedule:
Schedule A
Spinraza (nusinersen) is indicated for the treatment of 5q Spinal Muscular Atrophy (SMA).
Recommendation Type:
Do not reimburse
Final Recommendation:
  1. The requested reimbursement criteria are provided by the applicant and do not necessarily reflect the views of CADTH. Reimbursement criteria from CADTH will be documented in the final recommendation, if applicable.

Key Milestones2

Call for patient/clinician input open04-Nov-21
Call for patient/clinician input closed05-Jan-22

- Patient input submission received from Cure SMA Canada, Muscular Dystrophy Canada and The Love for Lewiston Foundation

Submission received02-Dec-21
Submission accepted16-Dec-21
Review initiated17-Dec-21
Draft CADTH review report(s) provided to sponsor for comment15-Mar-22
Deadline for sponsors comments24-Mar-22
CADTH review report(s) and responses to comments provided to sponsor14-Apr-22
Expert committee meeting (initial)27-Apr-22
Draft recommendation issued to sponsor10-May-22
Draft recommendation posted for stakeholder feedback19-May-22
End of feedback period03-Jun-22

- Reconsideration: major revisions requested by sponsor

Expert committee meeting27-Jul-22
Final recommendation issued to sponsor and drug plans11-Aug-22
Final recommendation posted29-Aug-22
Deadline for sponsor to submit redaction requests on draft CADTH review report(s)25-Aug-22
CADTH review report(s) posted08-Nov-22