Reimbursement challenges with cancer immunotherapeutics
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Updated: May 19, 2026

In Vitro Tumor Cell Rechallenge For Predictive Evaluation of Chimeric Antigen Receptor T Cell Antitumor Function
Published on: February 27, 2019
1koudrine@hotmail.com
Abstract:
Today the task of cancer vaccine developers is not only to excel in cancer immunology and art of conducting immunotherapy trials but also in the analysis and forecasting the cost-effectiveness of the final product. This article reviews methodology used by EU health-technology bodies in the appraisal of new therapies based on economic and clinical values and different budgetary uncertainties. Increasingly, new oncology treatments were able to access EU market only under provision of risk-sharing agreements with payers and examples of such agreements are given here. Cancer vaccine developers should consider early collection of patient reported outcomes in order to project additional clinical and economic value with immunotherapy. Furthermore, early interaction with different stakeholders including patient organizations, physicians and payer bodies can facilitate market access.
Insights
Cancer vaccine developers must analyze cost-effectiveness and engage stakeholders early. Early patient-reported outcomes data collection is crucial for demonstrating value and facilitating market access for new immunotherapies.
Area of Science:
- Oncology
- Health Economics
- Immunotherapy
Background:
- Cancer vaccine development requires expertise in immunology, clinical trials, and economic analysis.
- EU health technology bodies evaluate new therapies based on clinical and economic value, considering budget uncertainties.
- Market access for novel oncology treatments often involves risk-sharing agreements with payers.
Purpose of the Study:
- To review the methodologies used by EU health technology bodies for appraising new cancer therapies.
- To highlight the importance of economic and clinical value assessment in market access.
- To provide insights into risk-sharing agreements for oncology treatments.
Main Methods:
- Review of methodologies employed by European health technology assessment (HTA) bodies.
- Analysis of economic and clinical value appraisal frameworks.
- Examination of risk-sharing agreements in the EU market for oncology treatments.
Main Results:
- New oncology treatments increasingly access the EU market via risk-sharing agreements.
- Early collection of patient-reported outcomes (PROs) can enhance the projected clinical and economic value of immunotherapies.
- Proactive engagement with stakeholders, including patient organizations, physicians, and payers, is vital for market access.
Conclusions:
- Cancer vaccine developers need to integrate economic evaluation and stakeholder engagement into their strategies.
- Demonstrating additional clinical and economic value through early PRO collection is essential.
- Facilitating market access requires early and continuous interaction with all relevant parties.
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