| Assessment Status | NCPE Assessment Process Complete |
| HTA ID | 23072 |
| Drug | Zanubrutinib |
| Brand | Brukinsa® |
| Indication | Zanubrutinib monotherapy is indicated for adult patients with relapsed/refractory marginal zone lymphoma with at least one prior anti-CD20-based therapy. |
| Assessment Process | |
| Rapid review commissioned | 01/12/2023 |
| Rapid review completed | 09/01/2024 |
| Rapid review outcome | A full HTA is recommended to assess the clinical effectiveness and cost effectiveness of zanubrutinib compared with the current standard of care. |
| Full HTA commissioned by the HSE | 31/01/2024 |
| Pre-submission consultation with Applicant | 12/03/2024 |
| Full submission received from Applicant | 20/08/2024 |
| Preliminary review sent to Applicant | 23/05/2025 |
| NCPE assessment re-commenced | 20/06/2025 |
| Follow-up to preliminary review sent to Applicant | 08/07/2025 |
| NCPE assessment re-commenced | 10/07/2025 |
| Factual accuracy sent to Applicant | 30/07/2025 |
| NCPE assessment re-commenced | 08/08/2025 |
| NCPE assessment completed | 03/09/2025 |
| NCPE assessment outcome | The NCPE recommends that zanubrutinib 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; June 2026