| Assessment Status | Assessment process complete |
| HTA ID | 19055 |
| Drug | Esketamine |
| Brand | Spravato® |
| Indication | In combination with a SSRI or SNRI is indicated for adults with treatment-resistant Major Depressive Disorder, who have not responded to at least two different treatments with antidepressants in the current depressive episode |
| Assessment Process | |
| Rapid review commissioned | 16/12/2019 |
| Rapid review completed | 10/02/2020 |
| Rapid review outcome | A full HTA is recommended to assess the clinical effectiveness and cost effectiveness of esketamine compared with the current standard of care. |
| Full pharmacoeconomic assessment commissioned by HSE | 10/02/2020 |
| Pre-submission consultation with Applicant | 30/03/2020 |
| Full submission received from Applicant | 10/08/2020 |
| Preliminary review sent to Applicant | 09/11/2020 |
| NCPE assessment re-commenced | 08/12/2020 |
| Follow-up to preliminary review sent to Applicant | 14/12/2020 |
| NCPE assessment re-commenced | 18/12/2020 |
| Factual accuracy sent to Applicant | 11/02/2021 |
| NCPE assessment re-commenced | 18/02/2021 |
| NCPE assessment completed | 09/03/2021 |
| NCPE assessment outcome | The NCPE recommends that esketamine (Spravato®) not be considered for reimbursement unless cost-effectiveness can be improved relative to existing treatments. * |
*This recommendation should be considered while also having regard to the criteria specified in the Health (Pricing and Supply of Medical Goods) Act 2013.
The HSE has approved reimbursement following confidential price negotiations January 2022.
