1 University of Maryland School of Pharmacy, Baltimore.
J Manag Care Spec Pharm. 2018 Jan;24(1):20-22. doi: 10.18553/jmcp.2018.24.1.20.
Given the recent approval of the first pan-genotypic chronic hepatitis C virus (HCV) therapy, managed care, health systems, and clinicians will need to evaluate current practices related to essential laboratory assessments used to select therapy. Historically, clinicians and payers required a battery of tests to determine HCV genotype, viral load, degree of fibrosis, and organ function. In light of current and forthcoming approvals of pan-genotypic therapy, clinicians and payers can expect a more competitive marketplace and a downward curve in the price of therapy. Ultimately, this development will lead to the cost of screenings and assessments having an increased role in selecting an optimal HCV therapy.
No outside funding supported this study. The authors have nothing to disclose. All authors contributed to study concept and design. Calabrese took the lead in data collection, along with Shaya. Data interpretation was performed by Calabrese and Hynicka, along with Rodriguez de Bittner and Shaya. The manuscript was written and revised by Calabrese and Hynicka, along with Rodriguez de Bittner and Shaya.
鉴于首个泛基因型慢性丙型肝炎病毒 (HCV) 治疗药物的近期获批,管理式医疗、医疗体系和临床医生将需要评估与治疗选择相关的基本实验室评估的当前实践。从历史上看,临床医生和支付方需要一系列检测来确定 HCV 基因型、病毒载量、纤维化程度和器官功能。鉴于泛基因型治疗药物的现有和即将获批,临床医生和支付方可以预期市场竞争更加激烈,治疗药物的价格呈下降趋势。最终,这一发展趋势将导致筛查和评估费用在选择最佳 HCV 治疗方案中发挥更大作用。
本研究无外部资金支持。作者没有需要披露的内容。所有作者都为研究概念和设计做出了贡献。Calabrese 带头进行数据收集,Shaya 协助。Calabrese、Hynicka 与 Rodriguez de Bittner 和 Shaya 一起进行数据解释。Calabrese 和 Hynicka 与 Rodriguez de Bittner 和 Shaya 一起撰写并修订了手稿。