National Coverage Analysis (NCA) Tracking Sheet

Aprepitant for Chemotherapy-Induced Emesis

CAG-00248R

Issue

Aprepitant (Emend®) is an orally administered neurokinin-1 antagonist that is proposed to function in combination with other oral anti-emetics specifically for patients receiving highly or moderately emetogenic chemotherapy.

In April 2005, the Centers for Medicare and Medicaid Services (CMS) published a National Coverage Decision (NCD) for Aprepitant for Chemotherapy-Induced Emesis (110.18). At that time, CMS determined that the evidence was adequate to conclude that the oral anti-emetic three drug combination of aprepitant (Emend®), a 5-HT3 antagonist, and dexamethasone is reasonable and necessary for patients who are receiving one or more of the following highly emetogenic anti-cancer chemotherapeutic agents:

- Carmustine,            - Cisplatin,                       - Cyclophosphamide,
- Dacarbazine,           - Mechlorethamine,          - Streptozocin,
- Doxorubicin,           - Epirubicin,                     - Lomustine

CMS is reconsidering NCD 110.18 to review the evidence on the use of oral aprepitant (Emend®) in combination with dexamethasone and a 5-HT3 antagonist in patients receiving moderately emetogenic anti-cancer chemotherapeutic agents

Benefit Category

Oral Antiemetic Drugs

Requestor Information

Requestor Name Requestor Letter
Patricia J. Goldsmith, Executive Vice President & Chief Operating Officer, National Comprehensive Cancer Network View Letter
N/A

Important Dates

Formal Request Accepted and Review Initiated
10/01/2012
Expected NCA Completion Date
06/18/2013
Public Comment Period
10/01/2012 - 10/31/2012
Proposed Decision Memo Due Date
Proposed Decision Memo Released
03/20/2013
Proposed Decision Memo Public Comment Period
03/20/2013 - 04/19/2013
The comment period end date remains 4/19/2013. The date in the end date field has been changed to prevent an error message when submitting a comment on 4/19/2013. Thank you.
Decision Memo Released
05/29/2013
Comments for this NCA
View Public Comments

Contacts

Lead Analysts
Stuart Caplan
Lead Medical Officers

Medicare Benefit Category Determination Date

Actions Taken

October 1, 2012

CMS opens this reconsideration of the NCD for Aprepitant for Chemotherapy-Induced Emesis (110.18), in order to reevaluate the use of the use of oral aprepitant (Emend®) in combination with dexamethasone and a 5-HT3 antagonist in patients receiving moderately emetogenic anti-cancer chemotherapeutic agents. The initial 30-day public comment period begins with this posting date, and ends after 30 calendar days. CMS considers all public comments.

Instructions on submitting comments can be found at http://www.cms.hhs.gov/Medicare/Coverage/InfoExchange/publiccomments.html#TopOfPage

You can also submit a public comment by clicking on the highlighted word COMMENT in the title bar at the top of this page. We strongly urge that all public comments be submitted through this website. Please do not submit personal health information in public comments. Comments with personal health information may not be posted to the website.

March 20, 2013

May 29, 2013

May 13, 2014

Technical correction to Appendix A of the Decision Memo. Changed title to match Change Request 8418.