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双特异性抗体与 CAR-T 治疗复发/难治性弥漫大 B 细胞淋巴瘤的实践效率与总治疗费用:一家机构的视角

英文原题:Practice efficiency and total cost of care with bispecifics and CAR-T in relapsed/refractory diffuse large B-cell lymphoma: an institutional perspective.

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Practice efficiency and total cost of care with bispecifics and CAR-T in relapsed/refractory diffuse large B-cell lymphoma: an institutional perspective.

PubMed 2024/06/24(内容时间) Future Oncol Q2 · IF 3.1(JCR 2025)

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中文摘要

复发/难治性弥漫大B细胞淋巴瘤的新疗法包括靶向T细胞的治疗。为支持治疗决策,本研究建立机构决策者成本模型,在6个月、1年及中位治疗周期等时间范围内,比较埃普考利单抗、格菲妥单抗和阿基仑赛的治疗流程效率与成本。除1年时椅旁时间排名第二外,埃普考利单抗所需人员时间和椅旁时间总体最短。各时间范围内,其成本均低于阿基仑赛;按月计算,与格菲妥单抗成本相近。研究提示埃普考利单抗可减少人员和椅旁时间,且相较阿基仑赛节省成本、与格菲妥单抗月均成本相似。

展开英文摘要原文

Aim: Novel treatment options for relapsed/refractory diffuse large B-cell lymphoma include T-cell targeting therapies. Practice efficiency and cost are important for informed treatment decisions. Materials/methods: An institutional decision-maker cost model was developed for 6-month, 1-year and median cycles of treatment time horizons comparing practice efficiency and costs of epcoritamab vs glofitamab and axicabtagene ciloleucel (axi-cel).

Results: Overall, epcoritamab required the shortest personnel and chair time, except over 1 year (second shortest chair time). Across all time horizons, epcoritamab was cost-saving vs axi-cel and had similar costs to glofitamab on a per-month basis. Conclusion: Epcoritamab reduced personnel and chair time.

Additionally, epcoritamab was cost-saving vs axi-cel and had similar costs to glofitamab on a per-month basis. There are new ways to treat diffuse large B-cell lymphoma, which is a type of cancer called lymphoma. When new treatments are available it is important to see if they take more or less time to give to patients and how much they cost versus other treatments.

This study looked at three drugs used to treat diffuse large B-cell lymphoma, including epcoritamab, axi-cel and glofitamab. It estimated the time and cost with those treatments in patients who get them for 6 months, 1 year or for the most common length of time in the clinical trials. In most of the scenarios, epcoritamab had the least time needed for nurses or doctors and the least time needed for a patient to be in a chair in a clinic. When thinking about the cost per month, epcoritamab saved money versus axi-cel and was similar to glofitamab.

论文信息

作者
Lei M、Li Q、O'Day K、Meyer K、Wang A、Jun MP
第一作者单位
Pharmacy Department, Massachusetts General Hospital, Boston, MA  02114, USA.United States
通讯作者单位
Center for Outcomes Research, Real-world Evidence and Epidemiology, Genmab US, Inc., Plainsboro, NJ  08536, USA.United States
期刊
Future oncology (London, England)2024
原文标识
PubMed 38913826 · DOI 10.1080/14796694.2024.2354157