Drugs, Health Technologies, Health Systems

Reimbursement Recommendation

Trofinetide (Daybue)

Indication: For the treatment of Rett syndrome in adults and pediatric patients 2 years of age and older and weighing at least 9 kg

Sponsor: Acadia Pharmaceuticals Canada Inc.

Final recommendation: Do not reimburse

Summary

What Is the Reimbursement Recommendation for Daybue?

Canada’s Drug Agency (CDA-AMC) recommends that Daybue not be reimbursed by public drug plans for the treatment of Rett syndrome in adults and pediatric patients 2 years of age and older and weighing at least 9 kg.

Why Did CDA-AMC Make This Recommendation?

Additional Information

What Is Rett Syndrome?

Rett syndrome is a rare genetic condition affecting the development of the nervous system that often results in a loss of language skills, purposeful hand use, and ability to walk. Rett syndrome mostly affects females and is estimated to affect between 1 in 20,000 and 1 in 40,000 people worldwide.

Unmet Needs in Rett Syndrome

There are no therapies available for Rett syndrome that treat the underlying cause of the disease, and current therapies are only supportive and do not sufficiently manage the symptoms. There is a need for safe and effective treatment options that address individual patient needs (e.g., improvements in communication, ability to move, behaviour, and sleep), as well as better HRQoL, caregiver support, and comorbidities of Rett syndrome (e.g., seizures).

How Much Does Daybue Cost?

Treatment with Daybue is expected to cost between $427,331 and $1,335,754 per patient per year, depending upon patient weight.

Recommendation

The Canadian Drug Expert Committee (CDEC) recommends that trofinetide not be reimbursed for the treatment of Rett syndrome in adults and pediatric patients 2 years of age and older and weighing at least 9 kg.

Rationale for the Recommendation

Rett syndrome is a rare, incurable, neurodevelopmental disorder with substantial morbidity that predominantly affects females. There is a lack of effective disease-modifying treatments available, and current supportive therapies do not sufficiently manage the disease. CDEC acknowledged that there is considerable disease heterogeneity, and the absence of standardized outcomes used in clinical practice contribute to the uncertainty in the clinical evidence available to assess the effects of trofinetide. Patients, caregivers, and clinicians identified a need for safe and effective treatments that improve communication skills, motor skills, health-related quality of life (HRQoL), caregiver burden, and symptoms of Rett syndrome; however, based on the available evidence, CDEC could not conclude that trofinetide meets these needs.

Evidence from 1 double-blind randomized controlled trial (the LAVENDER trial, N = 187) in female patients aged 5 to 20 years, weighing at least 12 kg, and diagnosed with classic or typical Rett syndrome, with a documented MECP2 variant, demonstrated that, compared with placebo, 12 weeks of treatment with trofinetide resulted in improvements in neurobehavioural symptoms associated with Rett syndrome as measured by the Rett Syndrome Behaviour Questionnaire (RSBQ) (–3.1 points; 95% confidence interval [CI], –5.7 to –0.6 points) and overall clinical improvement as measured by the Clinical Global Impression – Improvement (CGI-I) scale (–0.3 points; 95% CI, –0.5 to –0.1 points). Although the results for RSBQ and CGI-I scores were statistically significant in favour of trofinetide over placebo, it was uncertain whether the results were clinically meaningful, as no minimal important differences (MIDs) were established. Additionally, 24.7% of patients who received trofinetide and 9.6% of patients who received placebo discontinued from the LAVENDER trial, and up to 16% of patients in the trofinetide group and 9% of patients in the placebo group had missing data for the coprimary end points. There is also limited evidence supporting the use of the RSBQ in measuring treatment effects, and the instrument is not used in clinical practice. Results for other outcomes of importance to patients, caregivers, and clinicians — including communication, motor skills, and caregiver burden — were uncertain due to the lack of standardized measures and a validated MID. Because of these limitations, the committee could not determine if trofinetide addressed these unmet needs or if the results from the trial translate to meaningful benefits in a real-world setting. There was also no comprehensive measure of HRQoL — which is a primary goal of treatment for patients with Rett syndrome and for caregivers — in the pivotal LAVENDER trial, and any impact of trofinetide on this outcome for either patients or caregivers remains unsupported by the current evidence.

Discussion Points

Background

Rett syndrome is a rare neurodevelopmental disorder characterized by normal early development followed by a progressive loss of speech, purposeful hand use, and motor skills. Rett syndrome is most often caused by genetic variants in MECP2 located on the X chromosome, primarily affecting females, although it can occur in males in rare cases. The disorder progresses through 4 stages, which are categorized based on speed of development, regression of learned skills, appearance of symptom stabilization, and late motor deterioration. According to a natural history study of females with genetically-confirmed disease who contributed data to the Australian Rett Syndrome Database between 2000 and 2019, RSBQ scores were shown to gradually decline (i.e., suggesting behavioural improvements) with increasing age over a 10- to 14-year observation period. Patients living with Rett syndrome require lifelong care and assistance with daily activities, significantly impacting both the patients and their caregivers. Rett syndrome is clinically diagnosed based on criteria that differentiate between classic and atypical disease. Although mutations in MECP2 are neither necessary nor sufficient for the diagnosis of Rett syndrome, the majority of individuals with Rett syndrome have an MECP2 variant. Detection of pathogenic MECP2 variants confirms the diagnosis; however, MECP2 variants may not be detected in up to 5% of typical Rett syndrome cases and approximately 25% of atypical cases. A one-time genetic test for MECP2 mutations is recommended by Rett syndrome specialists for establishing or confirming a molecular diagnosis in patients with suspected Rett syndrome. The availability and reimbursement status of MECP2 testing vary across jurisdictions in Canada, and this information was not readily available for all provinces and territories. Rett syndrome is estimated to affect 1 in 10,000 females aged 12 years and younger, with a worldwide prevalence of 1 in 20,000 to 1 in 40,000. According to the sponsor, the estimated prevalence is between 600 and 900 cases in Canada, based on extrapolation of US epidemiological data.

The panel of experts consulted for this review stated that improving HRQoL is 1 of the main goals when treating Rett syndrome. Currently there are no Health Canada–approved therapies or disease-modifying treatments indicated for this disease. Available therapies are supportive in nature and only partially manage the multisystem symptoms of the disease. Pharmacological treatments for symptom management can include drugs for seizures, bone health, contractures, gastrointestinal disturbances, sleep, anxiety, and pain. Nonpharmacological treatments are used to optimize developmental potential, promote communication, and treat musculoskeletal complications, and can include physical and occupational therapy, speech therapy, and surgery.

Trofinetide has been approved by Health Canada for the treatment of Rett syndrome in adults and pediatric patients aged 2 years and older and weighing at least 9 kg. Trofinetide is a synthetic analogue of the N-terminal tripeptide of insulin-like growth factor 1. It is available as a 200 mg/mL solution for oral or gastrostomy tube administration twice a day, and the dosage recommended in the product monograph is based on body mass. The twice daily recommended dose for patients weighing 9 kg to less than 12 kg is 4 g, 12 kg to less than 20 kg is 6 g, 20 kg to less than 35 kg is 8 g, 35 kg to less than 50 kg is 10 g, and 50 kg or greater is 12 g.

Sources of Information Used by the Committee

To make its recommendation, the committee considered the following information:

Perspectives of Patients, Clinicians, and Drug Programs

Patient Input

CDA-AMC received patient group input from 3 organizations. The Ontario Rett Syndrome Association — with support from Rett syndrome advocacy groups from Quebec, Manitoba, Saskatchewan, Alberta, and British Columbia — provided an overview of the challenges experienced by patients living with Rett syndrome in Canada and their caregivers, with data gathered from a series of surveys for caregivers to share their unique experiences related to caring for an individual living with Rett syndrome in Canada. Input received from Cure Rett Canada and the International Rett Syndrome Foundation included information from families and caregivers of patients with Rett syndrome about their experiences with trofinetide.

The groups stated that Rett syndrome is a rare and devastating neurodevelopmental disorder that impacts nearly every aspect of an individual’s life, including their ability to speak, walk, eat, and breathe, with about 80% to 90% of patients experiencing epilepsy. Patients often have severe physical and cognitive impairments, communication difficulties, sensory sensitivities, and behavioural issues (such as anxiety, agitation, and mood disorders), as well as respiratory problems, gastrointestinal issues, cardiac abnormalities, and osteoporosis. Caregivers not only face emotional and physical exhaustion but also financial challenges, as they may need to reduce working hours or quit their jobs to provide full-time care. Rett syndrome can disrupt family dynamics, put a strain on relationships, and affect the well-being of siblings and other family members.

The input received from caregivers described how current treatments for Rett syndrome in Canada focus on symptom management, with the use of antiseizure medications and surgical interventions, as well as physical, occupational, and speech therapies. Caregivers reported dissatisfaction with the slow progress of symptom management, particularly with respect to motor skills and communication.

The patient groups stated that any new therapies that result in minor improvements in motor function would result in HRQoL benefits for patients living with Rett syndrome. There is also a need for better treatment options that could lead to improvements in communication abilities and behavioural and emotional stability, as well as a reduction in seizures, gastrointestinal issues, and respiratory problems. According to the groups, trofinetide may represent a novel treatment option for patients who have not experienced an adequate response to existing therapies or who are seeking alternatives to current management strategies. Among patients who have had experience with trofinetide, there were reported improvements in patient motor function and hand use, communication abilities, behaviour, and HRQoL, as well as a reduction in seizures. Common side effects included gastrointestinal disturbances, fatigue, and irritability, which may have impacted drug tolerability and adherence to treatment.

Clinician Input

Input From Clinical Experts Consulted for This Review

According to the panel of experts consulted for this review, 1 of the main unmet needs of patients with Rett syndrome is that there are no approved disease-modifying treatments in Canada, and current supportive therapies do not sufficiently manage the disease. In general, there is a need for treatment that promotes better HRQoL and addresses the individualized needs of a patient (which may include treatment for seizures and issues with communication, motor skills, cognition, behaviour, feeding, and sleep). Therapies that better support families as well as patient and caregiver daily activities are also important.

The experts stated that patients would not have to exhaust supportive therapies before accessing trofinetide. Once a diagnosis of Rett syndrome is confirmed, trofinetide would be used as a first-line therapy along with other drugs and nonpharmacological supportive therapies to manage symptoms, as outlined in the care management guidelines.

The clinical experts stated that, at this time, there are no specific characteristics or markers that would identify a group of patients who would benefit more from trofinetide. Despite the available evidence from the LAVENDER trial, the experts indicated that patients aged 2 years or older with a confirmed clinical diagnosis of classic Rett syndrome (with or without a disease-causing MECP2 variant) or atypical Rett syndrome (with a disease-causing MECP2 variant) would be suitable candidates for receiving trofinetide. The clinicians also noted that there is a small part of the population that is clinically diagnosed with Rett syndrome but does not have an MECP2 variant, and if these patients are diagnosed by Rett syndrome experts, they may also be candidates for trofinetide. However, the experts agreed that they would not treat patients with atypical Rett syndrome without a confirmed MECP2 variant. The experts explained that Rett syndrome may be suspected clinically as early as 2 years of age, and once a patient has a confirmed diagnosis, it would be reasonable to start treatment at that time. One expert also highlighted that they would not treat patients who weigh less than 9 kg with trofinetide, as there are added concerns with diarrhea, hydration, and nutrition.

Clinicians routinely record developmental and functional history to track changes in a patient and to help determine if there are clinical responses to treatment. The family’s perspective, caregiver reports (including the primary care physician, specialists, therapists, and educational assistants in the school), and physician symptom assessments were highlighted as being valuable for providing detailed insight into a patient’s day-to-day wellness and needs that lead to changes in care management. The experts stated that they would assess whether a drug was beneficial in a meaningful way to the patient and caregivers and if HRQoL improved while being balanced with the adverse effects patients can experience. The clinical experts confirmed that there are currently no standard outcomes used in clinics across Canada for measuring response to treatment, and that the outcomes used in the LAVENDER trial are not used in clinical practice.

When deciding to discontinue treatment, the experts stated that adverse effects (specifically vomiting, diarrhea, dehydration, and weight loss), hospitalization due to adverse effects, and the impact on the patient’s HRQoL are factors to consider and discuss with the caregivers. There were different perspectives on deciding when to discontinue treatment, with 1 expert suggesting an adequate trial of trofinetide at the target dose for 3 months (based on the duration of the LAVENDER trial) and others suggesting 6 to 12 months at the target dose to avoid premature discontinuation, should benefits only be observed after at least 3 months of use. The experts also suggested that if there were no improvement or clinical change despite an adequate trial of trofinetide at the target dose, it would be reasonable to trial off the medication and evaluate if there is a difference. If there were an abrupt decline in the patient’s health during the trial off the medication, the experts suggested restarting treatment. The clinical experts noted that this approach would also be taken for patients outside of the LAVENDER population (i.e., males, patients older than 20 years). Overall, they agreed that most families would not continue treatment with trofinetide if they believed that the patient was not benefiting from the treatment.

The experts noted that they may follow up with patients more often when starting a new treatment or if the disease is not stable. Additionally, they stated that consultation with the patient’s primary care team, who the patient and caregivers have more regular interactions with (particularly for monitoring and treating adverse effects), is important. They suggested that patients starting trofinetide may see Rett syndrome specialists at 1 month after initiation, at 3 months, and less frequently if they are stable.

The experts indicated that Rett syndrome specialists, as well as pediatricians and neurologists with expertise in Rett syndrome, would prescribe trofinetide at first because it is a new medication. However, it was noted that as experience with the drug increases, it may be possible for other physicians to prescribe the drug to improve access to patients in remote areas and outside major cities where specialists practice.

Clinician Group Input

The Canadian Rett Syndrome Consortium (including Acadia Pharmaceuticals Inc. advisory board members for trofinetide) provided input for this review. The input included 6 clinicians consisting of pediatric neurologists, developmental pediatricians, and medical geneticists in Canada.

The clinician group stated that, in Canada, there is currently no approved treatment for Rett syndrome (aside from trofinetide) and existing medications focus on managing disease symptoms only. The group stated that no medications to date have targeted the underlying biology or course of the disease and the deteriorating developmental trajectory characteristic of Rett syndrome. According to the group input, trofinetide is unique in this space and first in class, although its exact mechanism of action is unknown. The clinician group input was consistent with the clinical experts consulted for this review, noting that trofinetide would be used as a first-line treatment and that other medications may be added to address associated symptoms tailored to an individual patient's needs.

Outcomes used to determine whether a patient is experiencing a response to trofinetide would rely on caregiver reports. A clinically meaningful response to treatment would include improvements in communication, alertness, engagement, and respiratory symptoms; the ability to move independently; and decreases in repetitive movements or stereotypies. The clinician group anticipates that trofinetide would initially be prescribed in specialized medical centres on an outpatient basis, and then over time, with education and experience, by community physicians, such as pediatricians or internists. Considerations for discontinuing trofinetide include no improvement in symptoms after 6 to 12 months of therapy, and persistent moderate to severe diarrhea or vomiting with weight loss that is not controlled with appropriate medications or by lowering the dose of trofinetide.

Drug Program Input

Input was obtained from the drug programs that participate in the Reimbursement Review process. The following were identified as key factors that could potentially impact the implementation of a recommendation for trofinetide:

The clinical experts consulted for the review provided advice on the potential implementation issues raised by the drug programs.

Clinical Evidence

Systematic Review

Description of Studies

One phase III, double-blind, randomized controlled trial (the LAVENDER trial; N = 187) of female patients aged 5 to 20 years and weighing at least 12 kg, diagnosed with classic or typical Rett syndrome with a documented disease-causing MECP2 variant, assessed the efficacy and safety of trofinetide 200 mg/mL (n = 93), twice a day, compared to placebo (n = 94) at 12 weeks. Efficacy was measured through coprimary end points of RSBQ total score and CGI-I score, while other clinically relevant outcomes included communication (through nonverbal means and symbolic behaviours). Outcomes relating to physical function, HRQoL, and caregiver burden were noted as being important to patient and clinician groups and were included as supportive evidence (GRADE was not applied), where data were available from the sponsor’s submission.

The LAVENDER trial included only females with Rett syndrome, and the mean age of patients was 11.0 years (standard deviation [SD] = 4.7) and 10.9 years (SD = 4.6) in the trofinetide and placebo groups, respectively. Clinical characteristics were generally balanced between the groups and the mean Clinical Global Impression – Severity (CGI-S) score was 4.9 points (SD = 0.8) for both groups, indicating that patients were moderately or markedly ill. Disease history was generally similar between the groups.

Efficacy Results

Rett Syndrome Behaviour Questionnaire

The RSBQ is a 45-item, caregiver-completed assessment with 8 subscales evaluating various neurobehavioural symptoms known to affect patients with Rett syndrome, with ratings of 0 (not true), 1 (somewhat or sometimes true), and 2 (very true). A total score is calculated as the sum of the ratings for all 45 items and ranges from 0 to 90, where higher scores indicate symptoms are more frequent. No MID was identified from the literature, and clinical expert opinion indicated that a between-group difference of 3 would be meaningful.

The mean change from baseline in RSBQ score was –4.9 points (standard error [SE] = 0.9) and –1.7 points (SE = 0.9) in the trofinetide and placebo groups, respectively, resulting in a between-group difference of –3.1 points (95% CI, –5.7 to –0.6; P = 0.0175).

Clinical Global Impression–Improvement

The CGI-I scale is a clinician-rated scale ranging from 1 (very much improved) to 7 (very much worse), used to assess improvement or worsening compared to baseline. Disease-specific anchors were used to guide the assessor, and anchor descriptions included characterization of impairment levels across core Rett syndrome signs and symptoms. No MID was identified from the literature and clinical expert opinion indicated that a between-group difference of 1 would be meaningful.

The mean CGI-I score at week 12 was 3.5 points (SE = 0.1) for the trofinetide group and 3.8 points (SE = 0.1) for the placebo group, resulting in a between-group difference of –0.3 points (95% CI, –0.5 to –0.1; P = 0.0030).

Rett Syndrome Clinician Rating of Ability to Communicate Choices

The Rett Syndrome Clinician Rating of Ability to Communicate Choices (RTT-COMC) is a clinician-completed instrument that assesses a patient’s ability to communicate choices (including through nonverbal means), using a Likert scale ranging from 0 (normal functioning) to 7 (most severe impairment). No MID was identified from the literature and there was no suggested meaningful threshold based on clinical expert opinion.

The mean change from baseline in RTT-COMC score was –0.4 points (SE = 0.1) and 0.0 points (SE = 0.1) in the trofinetide and placebo groups, respectively, resulting in a between-group difference of –0.3 points (95% CI, –0.6 to 0.0).

Communication and Symbolic Behaviour Scales Developmental Profile Infant-Toddler Checklist

The Communication and Symbolic Behaviour Scales Developmental Profile Infant-Toddler (CSBS-DP-IT) checklist is a caregiver-completed assessment for communication and prelinguistic skills in young children and older children with developmental delays. Each item is rated on a scale of 0 (not yet), 1 (sometimes), or 2 (often). The Social Composite score of the checklist (including emotion and eye gaze, communication rate and function, and gestures) consists of items 1 to 13, and scores range from 0 to 26, where higher scores indicate better social communication development. No MID was identified from the literature and there was no suggested meaningful threshold based on clinical expert opinion.

The mean change from baseline in the CSBS-DP-IT checklist social composite score was –0.1 points (SE = 0.3) in the trofinetide group and –1.1 points (SE = 0.3) in the placebo group, resulting in a between-group difference of 1.0 points (95% CI, 0.3 to 1.7; P = 0.0064).

Health-Related Quality of Life

There was no information on HRQoL in the LAVENDER trial.

Other Efficacy Results Related to Patient-, Caregiver-, and Clinician-Important Outcomes

The Rett Syndrome Clinician Rating of Hand Function (RTT-HF) (measuring the ability to use hands for functional purposes), Rett Syndrome Clinician Rating of Ambulation and Gross Motor Skills (RTT-AMB) (measuring the ability to sit, stand, and ambulate), and Rett Syndrome Clinician Rating of Verbal Communication (RTT-VCOM) (measuring the ability to communicate verbally) scales are clinician-completed, disease-specific instruments that rate a patient’s abilities from 0 (normal functioning) to 7 (most severe impairment). The between-group difference for the RTT-HF score was –0.1 points (95% CI, –0.3 to 0.1), for the RTT-AMB score was –0.1 points (95% CI, –0.3 to 0.1), and for the RTT-VCOM score was 0.0 points (95% CI, –0.2 to 0.2).

The patient’s overall quality of life was rated from 1 (poor) to 6 (excellent). The between-group difference for the overall quality of life rating was 0.1 points (95% CI, –0.1 to 0.4).

The Rett Syndrome Caregiver Burden Inventory (RTT-CBI) is completed by the caregiver to assess the burden of caring for the patient on their daily life in 4 areas (physical burden, emotional burden, social burden, and time dependence). Caregivers rate how often a statement describes their feelings or experiences, with frequency rated on a Likert scale from 0 (never) to 4 (nearly always). Items 1 to 24 yield a total burden score from 0 to 96, and items 25 and 26 make up the optimism index (which were not used in the analyses). Higher scores indicate greater burden on the caregiver. The between-group difference for the RTT-CBI total score was –0.8 points (95% CI, –3.5 to 2.0).

Harms Results

In the LAVENDER trial, 92.5% of patients in the trofinetide group and 54.3% of patients in the placebo group experienced at least 1 treatment-emergent adverse event (TEAE). Diarrhea and vomiting were the most common TEAEs and were imbalanced between the treatment groups: 80.6% of patients in trofinetide group and 19.1% of patients in the placebo group reported diarrhea, while 26.9% of patients in the trofinetide group and 9.6% of patients in the placebo group reported vomiting. In the trofinetide group, 2.2%, 36.6%, and 41.9% of patients experienced severe, moderate, and mild diarrhea, respectively, while 1.1%, 6.5%, and 19.4% of patients experienced severe, moderate, and mild vomiting, respectively. In the trofinetide group, 3 patients (3.2%) reported 5 serious adverse events (SAEs), and in the placebo group, 3 patients (3.2%) reported 3 SAEs. During the study, 17.2% of patients in the trofinetide group and 2.1% of patients in the placebo group stopped treatment due to TEAEs; the most frequently reported TEAE leading to treatment discontinuation was diarrhea (12.9% in the trofinetide group and 0% in the placebo group). There were no deaths in the study.

TEAEs considered clinically important by the clinical experts and noted in the product monograph included diarrhea and vomiting, which have been described.

Critical Appraisal

Reports of TEAEs were imbalanced between the treatment groups, particularly for diarrhea and vomiting. This most likely resulted in functional unblinding and may impact the ratings of assessors who were aware of a patient’s TEAEs (e.g., caregivers, clinicians). Furthermore, efficacy outcomes were subjective in nature and there is the potential for overestimation of the treatment effect if the suspected treatment assignment was revealed to the assessors. The RSBQ was originally developed as a diagnostic tool rather than a measure of treatment effect. The RTT-COMC and the CSBS-DP-IT checklist’s Social Composite score have not been validated in patients with Rett syndrome, and both Health Canada and the FDA indicated that the latter was not adequate for establishing efficacy of trofinetide. No MIDs were identified from the literature for any of the trial outcomes. Moreover, the clinical experts consulted for this review stated that the trial outcomes are not commonly used in practice, and there are no standardized measures used across clinics in Canada. The greatest number of patients who discontinued study treatment was from the trofinetide group, and the difference between groups was large. This introduces the potential for bias against the null, as the data driving the model were largely from those who stayed in the study and were likely better responders and had fewer TEAEs. The investigators assumed data were missing at random, which is not supported by the differential losses to follow-up and reasons for discontinuations.

The Health Canada indication is broader than the trial population. The LAVENDER trial did not enrol patients who were male, aged younger than 5 years or older than 20 years, did not have classic or typical Rett syndrome, did not have a confirmed disease-causing MECP2 variant, were not at least 6 months postregression, did not have a CGI-S score of at least 4, and did not have stable standard therapies or a stable pattern of seizures. The panel of experts consulted for this review indicated that patients would be treated with trofinetide if there were a confirmed clinical diagnosis of classic Rett syndrome (with or without a disease-causing MECP2 variant) or atypical Rett syndrome (with a disease-causing MECP2 variant). Patients without an MECP2 variant would have to have a confirmed clinical diagnosis of classic Rett syndrome to receive trofinetide, but those without an MECP2 variant and with an atypical Rett syndrome diagnosis would not receive trofinetide, due to lack of evidence in this population. Because none of the LAVENDER outcomes are used in clinical practice, it is challenging to apply the results to a real-world setting. There was no comprehensive measure of HRQoL, and it is uncertain how trofinetide impacts this outcome, which is an important treatment goal in managing Rett syndrome. The LAVENDER trial had a duration of 12 weeks, which is not long enough to assess meaningful, long-term changes in motor skills, communication, and harms in patients with Rett syndrome.

GRADE Summary of Findings and Certainty of the Evidence

For pivotal studies and randomized controlled trials identified in the sponsor’s systematic review, GRADE was used to assess the certainty of the evidence for outcomes considered most relevant to inform expert committee deliberations, and a final certainty rating was determined as outlined by the GRADE Working Group.

Following the GRADE approach, evidence from randomized controlled trials started as high-certainty evidence and could be rated down for concerns related to study limitations (which refer to internal validity or risk of bias), inconsistency across studies, indirectness, imprecision of effects, and publication bias.

When possible, certainty was rated in the context of the presence of an important (nontrivial) treatment effect; if this was not possible, certainty was rated in the context of the presence of any treatment effect (i.e., the clinical importance is unclear). In all cases, the target of the certainty of evidence assessment was based on the point estimate and where it was located relative to the threshold for a clinically important effect (when a threshold was available) or to the null.

The selection of outcomes for GRADE assessment was based on the sponsor’s Summary of Clinical Evidence, consultation with clinical experts, and input received from patient and clinician groups and public drug plans. The following list of outcomes was finalized in consultation with expert committee members:

Table 1: Summary of Findings for Trofinetide vs. Placebo for Patients With Rett Syndrome

Outcome and follow-up

Patients (studies), N

Absolute effects

Certainty

What happens

Placebo

Trofinetide

Difference

(95% CI)

RSBQ total score

RSBQ total score (0 [less frequent symptoms] to 90 [more frequent symptoms])

Follow-up: 12 weeks

187 (1 RCT)

–1.7

–4.9 (SE = 0.9)

–3.1

(–5.7 to –0.6)

Very lowa

The evidence is very uncertain about the effect of trofinetide on RSBQ total score when compared with placebo.

CGI-I score

CGI-I score (1 [very much improved] to 7 [very much worse])

Follow-up: 12 weeks

187 (1 RCT)

3.8

3.5 (SE = 0.1)

–0.3

(–0.5 to –0.1)

Very lowb

The evidence is very uncertain about the effect of trofinetide on CGI-I score when compared with placebo.

RTT-COMC score

RTT-COMC score (0 [normal functioning] to 7 [most severe impairment])

Follow-up: 12 weeks

187 (1 RCT)

0.0

–0.4 (SE = 0.1)

–0.3

(–0.6 to 0.0)

Very lowc,d

The evidence is very uncertain about the effect of trofinetide on RTT-COMC score when compared with placebo.

CSBS-DP-IT checklist Social Composite score

CSBS-DP-IT checklist Social Composite score (0 [worst] to 26 [best])

Follow-up: 12 weeks

187 (1 RCT)

–1.1

–0.1 (SE = 0.3)

1.0

(0.3 to 1.7)

Lowe

Trofinetide may result in an increase in prelinguistic communication skills when compared with placebo. The clinical importance of the increase is unclear.

HRQoL

NR

NA

NA

NA

NA

NA

There is no evidence for the effect of trofinetide on HRQoL.

CI = confidence interval; CGI-I = Clinical Global Impression – Improvement; CSBS-DP-IT = Communication and Symbolic Behaviour Scales Developmental Profile Infant-Toddler; HRQoL = health-related quality of life; MID = minimal important difference; NA = not applicable; NR = not reported; RCT = randomized controlled trial; RSBQ = Rett Syndrome Behaviour Questionnaire; RTT-COMC = Rett Syndrome Clinician Rating of Ability to Communicate Choices; SE = standard error; vs. = versus.

Note: Study limitations (which refer to internal validity or risk of bias), inconsistency across studies, indirectness, imprecision of effects, and publication bias were considered when assessing the certainty of the evidence. All serious concerns in these domains that led to the rating down of the level of certainty are documented in the table footnotes.

aRated down 1 level for serious study limitations (risk of bias due to missing data [results missing for 16% and 9% of trofinetide and placebo groups, respectively], potential for functional unblinding due to differences in harms, and instrument not being widely used in clinical practice for measuring treatment effect). Rated down 1 level for serious indirectness (trial population is narrower than the Health Canada indication and requested reimbursement population; results based on the trial population may not be generalizable to the Health Canada–indicated population). Rated down 1 level for serious imprecision (based on a clinical expert–suggested meaningful threshold of 3; CI for difference between groups includes possibility of a difference that is not clinically meaningful).

bRated down 1 level for serious study limitations (risk of bias due to missing data [results missing for 15% and 8% of trofinetide and placebo groups, respectively] and instrument not being widely used in clinical practice for measuring treatment effect). Rated down 1 level for serious indirectness (trial population is narrower than the Health Canada indication and requested reimbursement population; results based on the trial population may not be generalizable to the Health Canada–indicated population). Rated down 2 levels for very serious imprecision (based on a clinical expert–suggested meaningful threshold of 1; CI for difference between groups suggests no difference).

cRated down 1 level for serious study limitations (risk of bias due to missing data [results missing for 16% and 12% of trofinetide and placebo groups, respectively]; potential for functional unblinding due to differences in harms; lack of evidence supporting the instrument’s validity, reliability, or responsiveness; and instrument not being widely used in clinical practice for measuring treatment effect). Rated down 1 level for serious indirectness (trial population is narrower than the Health Canada indication and requested reimbursement population; results based on the trial population may not be generalizable to the Health Canada–indicated population). Rated down 2 levels for very serious imprecision (no known MID, so the target of certainty appraisal was any effect; CI for difference between groups includes the possibility of no difference).

dStatistical testing for this outcome was not adjusted for multiplicity. The results are considered as supportive evidence.

eRated down 1 level for serious study limitations (risk of bias due to missing data [results missing for 20% and 13% of trofinetide and placebo groups, respectively]; potential for functional unblinding due to differences in harms; lack of evidence supporting the instrument’s validity, reliability, or responsiveness; and instrument not being widely used in clinical practice for measuring treatment effect). Rated down 1 level for serious indirectness (trial population is narrower than the Health Canada indication and requested reimbursement population; results based on the trial population may not be generalizable to the Health Canada–indicated population). There was no known MID, so the target of certainty appraisal was any effect.

Source: LAVENDER Clinical Study Report and sponsor’s Summary of Clinical Evidence. Details included in the table are from the sponsor’s Summary of Clinical Evidence.

Long-Term Extension Studies

Description of Studies

Two OLE studies, the LILAC (N = 154) and LILAC-2 (N = 77) studies, have been summarized to provide evidence regarding the long-term safety and tolerability of trofinetide in females with Rett syndrome. Patients who completed the LAVENDER trial could enrol in the LILAC study (a 40-week OLE study), and upon completion, could continue in the LILAC-2 study, an OLE study of up to 32 months of additional treatment time. Inclusion and exclusion criteria were consistent with those of the LAVENDER trial. All patients received trofinetide in these studies. Seventy patients (45.5%) withdrew early from the LILAC study, primarily due to TEAEs, with 84 patients (54.5%) completing the study. In the LILAC-2 study, most patients (79.2%) discontinued due to the study's termination following market approval, while 5 patients (6.5%) discontinued due to TEAEs and 4 patients (5.2%) died.

Demographic characteristics in the LILAC and LILAC-2 studies were similar to those in the LAVENDER trial. The mean age of patients was 11.0 years (SD = 4.6) in the LILAC study and 12.0 years (SD = 4.4) in the LILAC-2 study. The mean baseline CGI-S score was 4.8 (SD = 0.8) in the LILAC study and 4.8 (SD = 0.9) in the LILAC-2 study, and most patients were moderately ill (36.4% and 41.6%) or markedly ill (41.6% and 31.2%) in the 2 studies, respectively. Dosing in the OLE studies was weight-based, using the same weight bands that were used in the LAVENDER trial.

Outcomes

The primary outcomes in both the LILAC study and the LILAC-2 study focused on safety, including TEAEs, SAEs, withdrawals due to TEAEs, and potentially clinically important changes in other safety assessments. Relevant secondary and exploratory efficacy outcomes included RSBQ score, CGI-I score, RTT-COMC score, CSBS-DP-IT checklist Social Composite score, RTT-HF score, RTT-AMB score, RTT-VCOM score, overall quality of life rating, and RTT-CBI score at various time points across both studies. For both OLE studies, all results were summarized using descriptive statistics, performed using the safety analysis set unless otherwise noted.

Efficacy Results

Patients who received trofinetide in the LAVENDER trial showed a decrease in RSBQ total scores from the LAVENDER baseline, with a mean change of –7.3 points (SD = 10.7) at week 40 in the LILAC study (N = 44) and –9.8 points (SD = 11.2) at week 104 in the LILAC-2 study (N = 10). Patients who received placebo in the LAVENDER trial also experienced decreases from the LAVENDER baseline after switching to trofinetide in the LILAC study, with mean changes of –7.0 points (SD = 10.7) at week 40 in the LILAC study (N = 44) and –13.8 points (SD = 12.0) at week 104 in the LILAC-2 study (N = 11). Overall, patients who tolerated trofinetide showed at least a 5-point decrease in RSBQ total score, which persisted throughout the extension studies.

For both OLE studies, changes in CGI-I score were assessed relative to the patient’s baseline state of illness in the LILAC study. As such, there were no CGI-I scores assessed for the baseline visit in the LILAC study. Overall, mean CGI-I scores remained stable over time among patients in the OLE studies.

Other efficacy outcomes, including RTT-COMC score, CSBS-DP-IT checklist Social Composite score, RTT-HF score, RTT-AMB score, RTT-VCOM score, overall quality of life rating, and RTT-CBI score, generally remained stable over time among patients who continued in the OLE studies.

Harms Results

In the LILAC study, 132 patients (85.7%) reported at least 1 TEAE, with diarrhea (59.1%), vomiting (25.3%), and COVID-19 (11.0%) being the most common. SAEs occurred in 19 patients (12.3%), and 48 patients (31.2%) had TEAEs leading to drug discontinuation, primarily due to diarrhea (19.5%) and vomiting (5.8%). In the LILAC-2 study, 68 patients (88.3%) reported at least 1 TEAE, with COVID-19 (26.0%), diarrhea (16.9%), pyrexia (16.9%), and urinary tract infection (15.6%) being the most common. SAEs occurred in 23 patients (29.9%), and 6 patients (7.8%) discontinued the drug. The most common SAEs were seizures (6.5%), followed by vomiting, pneumonia, urinary tract infection, and acute respiratory failure (2.6% each). A total of 4 deaths were reported, of which 3 (3.9%) were reported as TEAEs (cardiac arrest, aspiration and vomiting, and sudden unexpected death in epilepsy in 1 patient each).

Critical Appraisal

The OLE studies provided longer-term efficacy and safety data on trofinetide for up to 104 weeks. The open-label design increases the potential for bias, particularly in subjective outcomes and reporting of AEs. Because completion of the pivotal trial was required for enrolment, patients who discontinued from the LAVENDER trial were excluded, resulting in a patient population that was more tolerant of and responsive to trofinetide and introducing selection bias. Additionally, with a high discontinuation rate in the LILAC study (45.5%), mainly due to TEAEs, the impact of patient dropout on outcomes is unclear, as analyses were not conducted to assess how discontinuation affected treatment results.

Indirect Comparisons

No indirect treatment comparisons were submitted for the review of trofinetide.

Studies Addressing Gaps in the Evidence From the Systematic Review

Description of Studies

Two studies have been summarized to provide additional evidence to the systematic review. The DAFFODIL study was a multicentre, open-label, long-term, phase II/III study in the US that provided evidence regarding the efficacy and safety of trofinetide in females aged 2 to 5 years with Rett syndrome. The LOTUS study is an ongoing, phase IV, observational, real-world study of patients prescribed trofinetide under routine clinical care in the US for up to 24 months, with interim results at 6 months submitted by the sponsor.

The DAFFODIL study enrolled 15 female patients in the US living with Rett syndrome, with an MECP2 variant, and with a CGI-S score of 4 or greater at screening and baseline. Eligible patients were aged 2 to 4 years with a body mass ranging from 9 kg to less than 20 kg, or aged 5 years with a body mass ranging from 9 kg to less than 12 kg. Aside from the age restriction, the inclusion and exclusion criteria were comparable to those used in the pivotal trial. The mean age at the time of diagnosis was 1.9 years (SD = 0.1). Trofinetide was dosed by weight and administered orally or by gastrostomy tube.

In total, 154 patients were included in the interim analysis of the LOTUS study. Most patients had classic Rett syndrome (66.7%) and were female (96.1%), and the age of patients in the study ranged from 2 to 60 years. The mean age at the time of diagnosis was 5.2 years (SD = 5.37), and the mean age at the time of trofinetide initiation was 16.5 years (SD = 11.16). There are no exclusion criteria in the study.

Outcomes

Relevant exploratory efficacy outcomes in the DAFFODIL study included CGI-I score from baseline to week 104 and overall quality of life rating. In both studies, safety assessments were based on the proportion of patients experiencing TEAEs, SAEs, and withdrawals due to TEAEs. Efficacy and safety data were summarized using descriptive statistics in both studies.

Efficacy Results

In the DAFFODIL study, the mean CGI-I score decreased from week 2 (n = 13) through to week 78 (n = 9), from 3.5 (SD = 0.66) to 2.2 (SD = 0.67). The mean change from baseline in overall quality of life rating at week 12 was 0.3 (SD = 0.72) and continued to increase through to week 78, with a mean change of 0.7 (SD = 0.95).

Harms Results

In the DAFFODIL study, safety outcomes were similar to those of the pivotal and OLE studies. In total, 14 patients (93.3%) experienced at least 1 TEAE, the most common being diarrhea (73.3%) and vomiting (46.7%). Four patients (26.7%) reported SAEs and 2 patients (13.3%) experienced TEAEs leading to drug and study discontinuation. As of the latest LOTUS interim analysis (with data up to June 26, 2024), 22 patients (11.5%) reported 57 TEAEs, with diarrhea, vomiting, constipation, and insomnia being the most common. Six patients (3.1%) reported SAEs (constipation, diarrhea, vomiting, viral gastroenteritis, pneumonia, pneumonia aspiration, and dehydration) and 14 patients (7.3%) withdrew due to a TEAE. No deaths were reported in either study.

Critical Appraisal

The longer-term harms data from both the DAFFODIL study and the LOTUS study are generally consistent with those from the pivotal trial, with diarrhea and vomiting being the most common. While the 2 studies attempted to fill the evidence gaps for patients aged 2 to 5 years (in the DAFFODIL study), or patients aged 20 years or older, diagnosed with atypical disease, or who are male (in the LOTUS study), there remains uncertainty in the study results due to various limitations with the data. Neither study was designed to assess the efficacy and safety of trofinetide in a statistically rigorous manner. Other limitations include potential selection bias, lack of blinding, small study population (in the DAFFODIL study), and lack of comparator group, which may have affected the internal validity of the safety and efficacy results. In addition, the lack of blinding could have introduced bias in the reporting of subjective AEs in favour of trofinetide, if patients and/or caregivers believed the drug was beneficial.

Ethical Considerations

In addition to consultation with clinical experts, patient group, clinician group, and drug plan input was reviewed to identify ethical considerations specific to the use of trofinetide for the treatment of Rett syndrome in adults and pediatric patients aged 2 years and older weighing at least 9 kg.

Diagnosis, Treatment, and Experiences of People Living With Rett Syndrome

Clinical Evidence Used in the Evaluation of Trofinetide

Clinical Use of Trofinetide

Health Systems Impact

Economic Evidence

Cost and Cost-Effectiveness

Table 2: Summary of Economic Evaluation

Component

Description

Type of economic evaluation

Cost-utility analysis

Markov model

Target population

Adults and pediatric patients with Rett syndrome aged 2 years or older and weighing more than 9 kg

Treatment

Trofinetide plus BSC

Dose regimen

Patients aged 2 years and older:a

  • 9 kg to < 12 kg: 4 g twice daily

  • 12 kg to < 20 kg: 6 g twice daily

  • 20 kg to < 35 kg: 8 g twice daily

  • 35 kg to < 50 kg: 10 g twice daily

  • ≥ 50 kg: 12 g twice daily

Submitted price

Trofinetide: $13,714.11 per 450 mL bottle of 200 mg/mL oral solution

Submitted treatment cost

Annual cost:a,b

  • 9 kg to < 12 kg: $427,331 to $445,250

  • 12 kg to < 20 kg: $640,997 to $667,876

  • 20 kg to < 35 kg: $854,662 to $890,502

  • 35 kg to < 50 kg: $1,068,328 to $1,113,127

  • ≥ 50 kg: $1,281,993 to $1,335,754

Comparator

BSC, defined as concomitant medicationsc that were taken by at least 10% of subjects from the LAVENDER and LILAC CSR data

Perspectives

Publicly funded health care payer

Societal perspective

Outcomes

QALYs, LYs

Time horizon

Lifetime (79.1 years, until age of 90 years)

Key data sources

LAVENDER trial, and long-term extension LILAC-1 and LILAC-2 studies

Submitted results

ICER = $5,864,321 per QALY gained (incremental costs = $3,386,675 and incremental QALYs = 0.578) for both the publicly funded health care payer perspective and societal perspective

Key limitations

  • The sponsor’s economic model is based on RSBQ scores as the primary measurement of changes in health status. Based on clinical expert feedback obtained by CDA-AMC, RSBQ is not typically used in current clinical practice in Canada. Instead, clinical experts noted that, in practice, the health status and treatment outcomes of individuals with Rett syndrome are assessed via discussions with patients’ family members, clinical observations, review of chart history, or biomedical markers, depending upon the presentation of the patient. The sponsor assumed trofinetide does not impact survival; as a result, the key impact of trofinetide is on quality of life. However, the sponsor’s use of RSBQ score to estimate health-related quality of life in the model is uncertain. This uncertainty in the measurable impact of treatment limits the ability to accurately reflect the impact of trofinetide on clinically important outcomes.

  • The sponsor assumed patients who discontinued trofinetide would remain in the same health state for the duration of the model, implying that any clinical improvement obtained from trofinetide would persist indefinitely even after treatment was stopped. Given the high proportion of missing RSBQ data in the extension trials, as well as the feedback from clinical expert consulted by CDA-AMC, this assumption likely overestimates the benefit of trofinetide.

  • The sponsor assumed a discontinuation rate of 10% per year for years 2 and beyond for trofinetide (trial evidence was up to 2 years), resulting in ███ discontinuation at 10 years. Feedback from clinical experts expected that discontinuation due to AEs is likely to decrease over time, so the sponsor’s approach may underestimate the long-term drug costs associated with trofinetide.

CDA-AMC reanalysis results

  • Given the limitations identified with the sponsor’s clinical evidence and economic analysis, CDA-AMC was not able to provide a reliable estimate of the cost-effectiveness of trofinetide.

  • Based on the sponsor’s analysis, trofinetide plus BSC is associated with an ICER of approximately $6 million per QALY gained compared to BSC alone. A price reduction of more than 98% would be required for trofinetide plus BSC to be considered cost-effective at a willingness-to-pay threshold of $100,000 per QALY gained.

  • CDA-AMC undertook scenario analyses altering the duration of treatment effect and rate of discontinuation which resulted in higher ICERs. Given the limitations in the submission that could not be addressed by CDA-AMC, the estimate of cost-effectiveness is uncertain.

BSC = best supportive care; CDA-AMC = Canada’s Drug Agency; GERD = gastroesophageal reflux disease; ICER = incremental cost-effectiveness ratio; LY = life-year; NOC = Notice of Compliance; QALY = quality-adjusted life-year; RSBQ = Rett Syndrome Behaviour Questionnaire.

aThe Health Canada product monograph recommends that trofinetide be titrated starting with 50% of the recommended dose taken twice daily, then the dose be increased over 4 to 8 weeks until the recommended dose is reached.

bRanges reflect the annual costs from year 1 and beyond. The range reflects dose titration in year 1 (where the cost is less to account for titration) and potential changes in the patient’s weight.

cAdrenergics, antidepressants, antiepileptics, anxiolytics, laxatives, antipropulsives, drugs for peptic ulcer and GERD, muscle relaxants, other alimentary track and metabolism products, and psychostimulants.

Trofinetide is being reviewed by CDA-AMC through the complex review pathway; as such, CDA-AMC has appraised 2 cost-effectiveness analyses submitted by the sponsor, 1 adopting a publicly funded health care payer perspective and 1 adopting a societal perspective.

Budget Impact

CDA-AMC identified the following key limitations with the sponsor’s analysis: the number of patients with Rett syndrome in Canada is uncertain; the cost of treatment with trofinetide was not adequately derived, which likely underestimates the total costs associated with trofinetide as assumed by the sponsor; the proportion of patients eligible for public drug coverage was underestimated due to the assumption that patients with Rett syndrome would be eligible for public reimbursement at the same rate as the general population; the assumption that the use of trofinetide alters the cost of BSC was inappropriate; the relative dose intensity for trofinetide is uncertain; long-term discontinuation rates and time points for trofinetide are uncertain; and the estimated uptake of trofinetide is uncertain and may be underestimated.

CDA-AMC reanalyses revised the sponsor’s submitted analysis by assuming dosing consistent with the distribution of patient weights of modelled patients, by increasing the proportion of patients who will be eligible for public funding, and by assuming that BSC does not change due to the addition of trofinetide therapy.

Results of the CDA-AMC reanalyses suggest that the reimbursement of trofinetide for the treatment of Rett syndrome in patients aged 2 years or older, weighing at least 12 kg, and with a confirmed Rett syndrome diagnosis as described in Table 1 may be associated with a 3-year incremental budgetary cost of $166,461,725 (year 1: $53,775,386; year 2: $53,706,466; year 3: $58,979,873). As the size of the population with Rett syndrome and the uptake of trofinetide within that population remain uncertain, the estimated budget impact of trofinetide is uncertain. Scenario analyses resulted in budget impacts of up to $333 million.

Request for Reconsideration

The sponsor filed a request for reconsideration of the draft recommendation for trofinetide for Rett syndrome. In their request, the sponsor identified the following issues:

In the meeting to discuss the sponsor’s request for reconsideration, CDEC considered the following information:

All feedback received in response to the draft recommendation is available on the CDA-AMC website.

CDEC Information

Members of the Committee

Dr. Peter Jamieson (Chair), Dr. Sally Bean, Daryl Bell, Dan Dunsky, Dr. Trudy Huyghebaert, Morris Joseph, Dr. Dennis Ko, Dr. Christine Leong, Dr. Kerry Mansell, Dr. Alicia McCallum, Dr. Srinivas Murthy, Dr. Nicholas Myers, Dr. Krishnan Ramanathan, Dr. Marco Solmi, Dr. Edward Xie, and Dr. Peter Zed.

Initial Meeting Date: March 27, 2025

Regrets: Three expert committee members did not attend.

Conflicts of interest: None

Members of the Committee (Reconsideration Meeting)

Dr. Peter Jamieson (Chair), Dr. Sally Bean, Daryl Bell, Dan Dunsky, Dr. Ran Goldman, Dr. Trudy Huyghebaert, Morris Joseph, Dr. Dennis Ko, Dr. Christine Leong, Dr. Kerry Mansell (Vice Chair), Dr. Alicia McCallum, Dr. Srinivas Murthy, Dr. Nicholas Myers, Dr. Krishnan Ramanathan, Dr. Marco Solmi, Dr. Edward Xie, and Dr. Peter Zed.

Reconsideration Meeting Date: July 23, 2025

Regrets: Two expert committee members did not attend.

Conflicts of interest: None