Advice

following a full submission assessed under the orphan medicine process:

vorasidenib (Voranigo®) is accepted for use within NHSScotland.

Indication under review: for the treatment of Grade 2 astrocytoma or oligodendroglioma with a susceptible isocitrate dehydrogenase-1 (IDH1) mutation or isocitrate dehydrogenase-2 (IDH2) mutation in adults and paediatric patients 12 years and older, who are not in need of immediate chemotherapy or radiotherapy following surgical intervention.

In a randomised, double-blind phase III study, vorasidenib significantly improved radiographic progression-free survival compared with placebo in patients with IDH-mutant Grade 2 astrocytoma or oligodendroglioma who were post-surgery and not in need of immediate chemotherapy or radiotherapy.

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)

Medicine details

Medicine name:
vorasidenib (Voranigo)
SMC ID:
SMC2844
Indication:

For the treatment of grade 2 astrocytoma or oligodendroglioma with a susceptible isocitrate dehydrogenase-1 (IDH1) mutation or isocitrate dehydrogenase-2 (IDH2) mutation in adults and paediatric patients 12 years and older, who are not in need of immediate chemotherapy or radiotherapy following surgical intervention.

Pharmaceutical company
Servier Laboratories Ltd
BNF chapter
Malignant disease and immunosuppression
Submission type
Full
Status
Accepted
Date advice published
09 March 2026