Title |
Economic Impact of Oral Therapies for Chronic Lymphocytic Leukemia—the Burden of Novelty
|
---|---|
Published in |
Current Hematologic Malignancy Reports, July 2018
|
DOI | 10.1007/s11899-018-0461-y |
Pubmed ID | |
Authors |
Talal Hilal, Jeffrey A. Betcher, Jose F. Leis |
Abstract |
Small molecule tyrosine kinase inhibitors (TKIs) and BCL2 inhibitors are oral targeted therapies that have changed the treatment approach to patients with chronic lymphocytic leukemia (CLL). The aim of this review is to summarize the relevant literature on the economic impact of oral novel therapies for the treatment of CLL and discuss the underlying factors and suggested solutions for high drug prices. The cost of therapy for CLL has increased substantially since the introduction of oral therapies. This increase in cost is caused by multiple factors including cost of drug development, alternate reimbursement patterns, lack of transparency, and lack of free market competition. Oral therapies for CLL have dramatically increased costs for both patients and payers. Some solutions to overcome this include value-based pricing, transparency, and legal action that allow Medicare to negotiate drug prices with manufacturers. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 60% |
China | 1 | 20% |
United Kingdom | 1 | 20% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 60% |
Practitioners (doctors, other healthcare professionals) | 2 | 40% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 49 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 10 | 20% |
Other | 7 | 14% |
Researcher | 6 | 12% |
Student > Ph. D. Student | 3 | 6% |
Librarian | 2 | 4% |
Other | 8 | 16% |
Unknown | 13 | 27% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 14 | 29% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 10% |
Biochemistry, Genetics and Molecular Biology | 5 | 10% |
Economics, Econometrics and Finance | 4 | 8% |
Agricultural and Biological Sciences | 2 | 4% |
Other | 4 | 8% |
Unknown | 15 | 31% |