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价格与偏见?嵌合抗原受体(CAR)T 细胞疗法的价值

英文原题:Price and Prejudice? The Value of Chimeric Antigen Receptor (CAR) T-Cell Therapy.

查看英文原题

Price and Prejudice? The Value of Chimeric Antigen Receptor (CAR) T-Cell Therapy.

PubMed 2022/09/28(内容时间) Int J Environ Res Public Health

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中文摘要

尽管嵌合抗原受体(CAR)T细胞疗法在淋巴瘤患者中具有较高缓解率,但其成本效果仍有争议,原因包括价格高昂且临床证据存在不确定性。除CAR-T 疗法本身购置成本较高外,考虑到细胞因子释放综合征等不良事件发生频率,操作和设施成本也会增加经济负担。临床研究随访期相较传统癌症药物较短。此外,缺乏直接头对头比较疗效数据;这对于评估新疗法成本效果非常重要。还需要更多证据弥补现有临床数据的不确定性,才能全面评估长期疗效、安全性和比较疗效。

展开英文摘要原文

Although chimeric antigen receptor (CAR) T-cell therapy has shown a high response rate in lymphoma patients, its cost-effectiveness is controversial due to the high price and uncertainty of the clinical evidence.

In addition to the high acquisition cost of CAR T-cell therapy, procedure and facility cost increase the financial burden considering the frequency of adverse events such as cytokine release syndrome. In clinical research, relatively short follow-up periods were used compared to traditional cancer agents.

In addition, head-to-head comparative effectiveness data are unavailable, which is an important factor when evaluating the cost-effectiveness of a new treatment. Additional evidence that will compensate for the uncertainty of existing clinical data is needed for full evaluation of long-term efficacy, safety, and comparative effectiveness.

论文信息

作者
Choi G、Shin G、Bae S
单位
College of Pharmacy, Ewha Womans University, Seoul 03760, Korea.South Korea
文献类型
非美国政府资助研究
期刊
International journal of environmental research and public health2022 Sep 28
原文标识
PubMed 36231661 · DOI 10.3390/ijerph191912366