重用生物仿制药,重新考虑成本:用于内注射的重用贝瓦西祖马布的可持续药物定价框架
Evert A Manders1,2,3,4, Vincent van Der Wel5,6, Reinier Schlingemann7,8
1Medicine for Society, Platform at Amsterdam University Medical Centre, Amsterdam, The Netherlands. e.a.manders@amsterdamumc.nl.
概括
这项研究提出了基于成本的加价定价模型,用于重新使用的贝瓦齐祖马布,建议每注射73至177欧元的合理价格范围. 该框架旨在为重定向疗法提供公平的定价,平衡医疗保健负担能力和制造商回报.
科学领域:
- 眼科医生 眼科 眼科
- 药物经济学 药物经济学
- 药物重用 药物重用
背景情况:
- 贝瓦西祖马布 (Avastin®) 由于其抗VEGF机制和较低的成本,在眼科中广泛使用非标签.
- 一种用于视网膜疾病的重新设计的配方 (Lytenava®) 最近获得了EMA的批准.
- 这就需要评估重新用途药物的合理定价,并考虑监管批准成本.
研究的目的:
- 为了检查基于成本的加价定价用于重新定制的贝瓦齐祖马布配方.
- 为此类疗法提出一个新的定价框架.
- 确定一个反映开发和监管成本的潜在价格范围.
主要方法:
- 对关键成本组件的分析:研发,制造,资本成本.
- 在四个场景中应用一种新的定价框架.
- 对重新使用的生物类似药物定价结构的评估.
主要成果:
- 拟议的价格范围为73欧元至177欧元,每注用于重新定制的贝瓦西祖马布.
- 影响定价的成本组件的详细细分.
- 展示基于成本的加值模型的实用性.
结论:
- 基于成本加价的定价在制药公司和付款人之间的谈判中提供了透明度.
- 该模型支持平衡可负担性和制造商可持续性的定价策略.
- 这些发现促进了对像bevacizumab这样的重用治疗方法公平定价的对话.
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