1.1 Ofatumumab in combination with chlorambucil is recommended as an option for untreated chronic lymphocytic leukaemia only if:
the person is ineligible for fludarabine‑based therapy and
bendamustine is not suitable and
the company provides ofatumumab with the discount agreed in the patient access scheme.
1.2 People whose treatment with ofatumumab is not recommended in this NICE guidance, but was started within the NHS before this guidance was published, should be able to continue ofatumumab until they and their NHS clinician consider it appropriate to stop.
http://www.nice.org.uk/guidance/ta344