在没有退款协议的国家使用CFTR调节器的策略
Jonathan Guo1, Grace Hennessy1, Benedict Young1
1School of Public Health, Faculty of Medicine, Imperial College London, United Kingdom.
高价的囊性纤维化 (CF) 治疗在低收入国家是无法获得的. 患者使用通用药物或捐赠等解决方案,但这些并不是全球健康公平的可持续解决方案.
科学领域:
- 医学研究 医学研究
- 卫生公平性健康公平性
- 药品的获取方式 药品的获取方式
背景情况:
- CFTR调节器是标准的CF治疗方法,但每年成本超过25万美元.
- 高昂的成本使得这些拯救生命的药物在低收入和中等收入国家 (LMICs) 无法获得.
- 这扩大了CF患者 (pwCF) 现有的全球健康不平等.
研究的目的:
- 在15个非退款国家的CF临床医生进行调查.
- 描述CFTR调节器的替代接入策略.
- 评估这些方法的可持续性和适用性.
主要方法:
- 国际调查CF临床医生.
- 收集有关退款状态和访问方法的数据.
- 成功访问策略的分类.
主要成果:
- 在11个国家确定了替代访问方法.
- 策略包括法律挑战,通用配方和捐赠.
- 这些方法提供了有限的访问,是昂贵的,并不是广泛适用.
结论:
- 目前在LMIC中CFTR调节器的访问方法是不可持续的.
- 限制性专利和高价格造成了全球严重的健康差异.
- 需要采取紧急的纠正措施,以确保pwCF的全球健康公平.
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