Rezdiffra — Medica
Non-Alcoholic Steatohepatitis (NASH)
Initial criteria
- age ≥ 18 years
- Diagnosis of MASH/NASH confirmed by ONE of the following: (a) Liver biopsy performed within 3 years showing NAFLD activity score ≥ 4 with a score of ≥ 1 in steatosis, ballooning, and lobular inflammation; OR (b) Imaging exam (elastography, computed tomography, or magnetic resonance imaging) performed within 6 months prior to treatment
- Patient has stage F2 fibrosis OR stage F3 fibrosis
- Patient has THREE or more metabolic risk factors managed according to standard of care (central obesity, hypertriglyceridemia, reduced high-density lipoprotein cholesterol, hypertension, elevated fasting plasma glucose indicative of diabetes or pre-diabetes)
- Alcohol consumption is < 20 grams/day for female patients OR < 30 grams/day for male patients
- Medication will be used in combination with appropriate diet and exercise therapy
- Prescribed by or in consultation with an endocrinologist, gastroenterologist, or hepatologist
Reauthorization criteria
- Patient has completed ≥ 1 year of therapy with Rezdiffra
- According to the prescriber, patient has not had worsening of fibrosis or MASH/NASH
- Patient has not progressed to stage F4 (cirrhosis)
- Metabolic risk factors are managed according to standard of care
- Alcohol consumption is < 20 grams/day for female patients OR < 30 grams/day for male patients
- Medication will be used in combination with appropriate diet and exercise therapy
- Prescribed by or in consultation with an endocrinologist, gastroenterologist, or hepatologist
Approval duration
1 year