약학회지

ISSN 0377-9556 (PRINT)
ISSN 2383-9457 (ONLINE)
Table. 1. Indication expansion and contract conditions for Keytruda® and Opdivo® in the national reimbursement coverage
Year Korea Australia The United kingdom Japan
Keytruda® (pembrolizumab)
2015 Melanoma (MES) Melanoma (MAA)
2017 Non-small cell lung cancer 2nd line Hodgkin lymphoma 2nd line (SC)

• Non-small cell lung cancer 2nd line (CAA)

• Melanoma (CAA)

• Melanoma

• Non-small cell lung cancer

2018 Melanoma

• Urothelial carcinoma 2nd line (SC)

• Non-small cell lung cancer (SC)

• Urothelial carcinoma 2nd line (CAA)

• Non-small cell lung cancer (CAA)

• Hodgkin lymphoma 2nd line w/o stem cell transplant (MAA)

• Hodgkin lymphoma

• Urothelial carcinoma

• Price discount 11.2% (dosage and administration change: comparable drug of Opdivo®)

2020 Price discount 41.0% (huge seller)
2021 Price discount 47.8% (market expansion: comparable drug of Tecentriq®)
2022

• Non-small cell lung cancer

• Hodgkin lymphoma 2nd line

• Urothelial carcinoma 2nd line

Hodgkin lymphoma after stem cell transplant or 2nd line w/o stem cell transplant (CAA)
Opdivo® (nivolumab)
2014 Melanoma
2015 Non-small cell lung cancer
2016 Melanoma (rebate only)

• Melanoma (rebate only)

• Non-small cell lung cancer 2nd line (MAA)

• Renal cell carcinoma

• Hodgkin lymphoma

2017 Non-small cell lung cancer 2nd line Non-small cell lung cancer 2nd line (SC)

• Hodgkin lymphoma (PAS)

• Non-small cell lung cancer (MAA)

• Head and Neck Squamous Cell Carcinoma (MAA)

• Head and neck squamous cell carcinoma 2nd line

• Gastric adenocarcinoma

• Price discount 50.0% (huge seller)

2018 Melanoma

• Head and neck squamous cell carcinoma (SC)

• Renal cell carcinoma (w Yervoy®, SC)

Price discount 76.2% (dosage and administration change)
2019 Renal cell carcinoma (w Yervoy®, MAA)
2021

• Renal cell carcinoma (w Yervoy®)

• Hodgkin lymphoma 2nd line

• Head and neck squamous cell carcinoma 2nd line

Price discount 78.8% (market expansion: comparable durg of Tecentriq®)
2023 Gastric adenocarcinoma, Gastroesophageal junction adenocarcinoma, Esophageal Adenocarcinoma (combination therapy) Esophageal adenocarcinoma (combination therapy, CAA)

SC, Subsidisation Cap; MES, Managed Entry Scheme; MAA, Managed Access Agreement; CAA, Commercial Access Arrangements All contacts in Korea included provisions for rebates and SC, and contracts in both Australia and the United Kingdom uniformly included provisions for rebates.

Yakhak Hoeji 2024;68:344-51 https://doi.org/10.17480/psk.2024.68.5.344
© 2024 Yakhak Hoeji