四种孤儿药物定价模型的应用:对lumasiran的案例研究
Noa Rosenberg1,2, Evert Manders1,2, Sibren van den Berg1,2
1Medicine for Society, Platform at Amsterdam University Medical Center - University of Amsterdam, Amsterdam, The Netherlands.
Orphanet journal of rare diseases
|December 24, 2024
概括
需要为像卢马西兰这样的孤儿药物制定新的定价模式. 折扣现金流 (DCF) 模型显示了在为罕见疾病进行报销谈判时设定价格基准的潜力.
科学领域:
- 药物经济学 药物经济学
- 卫生技术评估 卫生技术评估
- 孤儿药物定价 孤儿药物定价
背景情况:
- 孤儿药物的高价格和不确定的有效性挑战了医疗技术评估.
- 价格比较的新方法对于偿还谈判至关重要.
- 这项研究评估了基于成本的价格模型,用于治疗1型原发性高氧沙流症的治疗方法卢马西兰.
研究的目的:
- 评估四种孤儿药物定价模型的适用性.
- 通过使用基于成本的要素,建立卢马西兰的价格基准.
- 为罕见疾病治疗的定价和退款谈判提供信息.
主要方法:
- 应用了四种定价模型:新型癌症定价模型 (NCP模型),创新药物AIM模型 (AIM模型),折扣现金流模型 (DCF模型) 和实际期权收益率模型 (ROROR模型).
- 估计的价格范围使用最低和最大的场景,基于来自注册表,文献,证券交易委员会文件和专家意见的数据.
- 进行了敏感性分析,以确定有影响力的参数.
主要成果:
- 国家诊断中心模型:€87,000€224,000/患者/年.
- 根据AIM模型,每年33万欧元至34万欧元/患者.
- 在DCF模式下:€182,000€748,000/患者/年.
- 在ROROR模式下:每年81,000欧元到273,000欧元/患者.
结论:
- 这四种定价模式产生了广泛而异质的价格范围.
- 由于其全面的参数,DCF模型可能最适合于卢马西兰.
- 最低DCF价格可以作为谈判的起点;建议增加输入变量的透明度.
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