Aqneursa — Medica
Niemann-Pick disease type C
Initial criteria
- age ≥ 4 years
- patient weighs ≥ 15 kg
- patient has one or more neurologic symptom(s) of Niemann-Pick disease type C (e.g., loss of motor function, difficulty swallowing, speech or cognitive impairment)
- diagnosis established by genetic test showing biallelic pathogenic variants in NPC1 or NPC2 gene
- medication prescribed by or in consultation with a geneticist, endocrinologist, metabolic disorder subspecialist, neurologist, or a physician specializing in the treatment of Niemann-Pick disease type C or related disorders
Reauthorization criteria
- according to prescriber, patient has derived benefit from treatment defined as disease stabilization, slowed progression, or improvement
- medication prescribed by or in consultation with a geneticist, endocrinologist, metabolic disorder subspecialist, neurologist, or a physician specializing in the treatment of Niemann-Pick disease type C or related disorders
Approval duration
initial: 6 months; reauth: 1 year