潘布罗利祖马布的成本比较:固定剂量和基于体重的剂量
Ann-Louise Slee1, John Coutsouvelis1,2, Bianca Tong1
1Pharmacy Department, Alfred Health, Melbourne, Victoria, Australia.
概括
基于体重的布罗利祖马布剂量可以显著降低药物成本,高达23.5%. 这一策略为医疗保健系统提供了巨大的潜在节约,使其成为固定的剂量方案的可行替代方案.
科学领域:
- 在瘤学瘤学.
- 药物经济学 药物经济学
- 药理动力学 药理动力学
背景情况:
- 免疫检查点抑制剂Pembrolizumab已被批准用于多种癌症.
- 澳大利亚最初的批准使用基于体重的剂量 (2mg/kg Q3W).
- 目前的标准做法是使用固定的剂量 (200毫克Q3W或400毫克Q6W).
研究的目的:
- 为了建模和比较基于体重的 pembrolizumab 与固定剂量的成本效益.
- 通过基于体重的剂量来评估潜在的药物开支减少.
主要方法:
- 在2022年1月至12月期间接受pembrolizumab的52名患者的回顾性评估.
- 基于体重的剂量成本的计算与固定剂量的采购成本相比.
- 考虑诸如收购成本,资金和瓶子共享等因素.
主要成果:
- 患者的平均体重为77.6公斤.
- 基于体重的Q3W和Q6W剂量分别为5933美元和11867美元.
- 潜在的成本避免为每剂1965美元 (Q3W) 和3930美元 (Q6W),相当于减少了23.5%.
结论:
- 基于体重的pembrolizumab剂量提供了显著的成本避免潜力.
- 相当的疗效和毒性支持基于体重的剂量.
- 进一步探索基于体重的剂量,以减少机构和政府成本是有必要的.
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