减少通货膨胀法案的意想不到的后果:临床发展向后续指示
Julie Patterson1, James Motyka, John Michael O'Brien
1National Pharmaceutical Council, 1717 Pennsylvania Ave NW, Ste 800, Washington, DC 20006.
The American journal of managed care
|February 21, 2024
概括
降低通货膨胀法案 (IRA) 可能会减少对高开支的医疗保险D部分小分子药物的新用途开发的投资. 这影响了对额外适应症的研究,可能会减缓药物创新.
科学领域:
- 制药科学 制药科学
- 卫生经济学 卫生经济学
- 监管科学 监管科学
背景情况:
- 高开支的医疗保险D部分小分子药物占制药支出的一个重要领域.
- 了解这些药物的临床开发环境对于评估医疗保健立法的影响至关重要.
研究的目的:
- 绘制高开支的医疗保险D部分小分子药物的临床开发时间表.
- 评估"通货膨胀减缓法案" (IRA) 对研究和开发 (R&D) 投资对新药物适应症的潜在影响.
主要方法:
- 对2020年医疗保险D部分支出的前50名中小分子药物的研发时间表的描述性分析.
- 利用来自clinicaltrials.gov的公共数据进行关键试验发布和FDA批准初始和后续指示的日期.
主要成果:
- 在前50名药物中,有30种药物有后续的适用性;34种药物是基于事先批准的研究,许多药物在最初批准后2年内获得批准.
- 42种药物通过批准后的研究获得了额外的适用性,平均是在FDA最初批准后7.5年,超过一半的药物在7年后获得批准.
结论:
- IRA可能会阻碍小分子药物的多种适应症的开发.
- 投资在批准后的研究和开发额外的指示可能会减少,影响制药创新.
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