估计英国对阿尔茨海默病潜在疾病修饰疗法的需求
Axel A S Laurell1, Ashwin V Venkataraman2, Tatjana Schmidt3
1Department of Psychiatry, University of Cambridge, UK; and Older People and Adult Community Directorate, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
The British journal of psychiatry : the journal of mental science
|January 18, 2024
概括
新的单克隆抗体治疗早期阿尔茨海默病,如lecanemab和donanemab,显示出希望. 这项研究估计了英国对这些粉样蛋白向疗法的全国需求,突出了潜在的医疗保健系统挑战.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 莱卡尼马布和多纳尼马布的第三阶段试验表明在早期阿尔茨海默病中具有有效性.
- 这些单克隆抗体向大脑粉样蛋白,正在接近英国监管部门的批准.
- 有关英国医疗保健系统管理和监测这些新型阿尔茨海默氏症治疗的能力存在担忧.
研究的目的:
- 估计在英国早期阿尔茨海默病中对单克隆抗体的实际需求.
- 为即将到来的阿尔茨海默病疗法提供医疗保健规划和资源配置的信息.
主要方法:
- 利用来自两个NHS信托的匿名患者记录 (2019年数据).
- 收集的临床,人口,认知和神经成像数据.
- 根据lecanemab和donanemab临床试验纳入标准评估治疗资格.
主要成果:
- 分析了82,386个人的记录,代表约220万人.
- 据估计,每年有多达906名患者在研究服务中开始单克隆抗体治疗.
- 在全国范围内推断,估计每年有30200人可以开始接受治疗.
结论:
- 对阿尔茨海默病的单克隆抗体治疗提出了重大交付挑战,特别是在神经成像和管理方面.
- 医疗保健服务可以使用这些需求预测来规划资源配置和服务提供.
- 积极的规划对于确保有效实施新的阿尔茨海默氏症治疗方法至关重要.
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