Advice

following a resubmission assessed under the end of life and orphan equivalent medicine process:

amivantamab (Rybrevant®) is accepted for use within NHSScotland.

Indication under review: in combination with carboplatin and pemetrexed for the first-line treatment of adult patients with advanced non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor (EGFR) Exon20 insertion mutations.

In a phase III study of patients with locally advanced or metastatic NSCLC with EGFR Exon20 insertion mutations, the addition of amivantamab to carboplatin plus pemetrexed significantly improved progression-free survival.

This advice applies only in the context of an approved NHSScotland Patient Access Scheme (PAS) arrangement delivering the cost-effectiveness results upon which the decision was based, or a PAS/ list price that is equivalent or lower.

This advice takes account of the views from a Patient and Clinician Engagement (PACE) meeting.

Medicine details

Medicine name:
amivantamab (Rybrevant)
SMC ID:
SMC2878
Indication:

In combination with carboplatin and pemetrexed for the first-line treatment of adult patients with advanced non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor (EGFR) Exon 20 insertion mutations

Pharmaceutical company
Janssen-Cilag Ltd
BNF chapter
Malignant disease and immunosuppression
Submission type
Resubmission
Status
Accepted
Date advice published
08 December 2025