Price and Prejudice? The Value of Chimeric Antigen Receptor (CAR) T-Cell Therapy
- PMID: 36231661
- PMCID: PMC9566791
- DOI: 10.3390/ijerph191912366
Price and Prejudice? The Value of Chimeric Antigen Receptor (CAR) T-Cell Therapy
Abstract
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.
Keywords: CAR T-cell; chimeric antigen receptor T-cell therapy; economic evaluation; value.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- Borgert R. Improving Outcomes and Mitigating Costs Associated with CAR T-Cell Therapy. Am. J. Manag. Care. 2021;27:S251–S261. - PubMed
-
- Locke F.L., Ghobadi A., Jacobson C.A., Miklos D.B., Lekakis L.J., Oluwole O.O., Lin Y., Braunschweig I., Hill B.T., Timmerman J.M., et al. Long-term safety and activity of axicabtagene ciloleucel in refractory large B-cell lymphoma (ZUMA-1): A single-arm, multicentre, phase 1–2 trial. Lancet Oncol. 2019;20:31–42. doi: 10.1016/S1470-2045(18)30864-7. - DOI - PMC - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
