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Gene Therapy in Patients with Transfusion-Dependent β-Thalassemia.输血依赖型β-地中海贫血症患者的基因治疗。
N Engl J Med. 2018 Apr 19;378(16):1479-1493. doi: 10.1056/NEJMoa1705342.
2
Rollout of high-priced cell and gene therapies forces payer rethink.高价细胞和基因疗法的推出迫使支付方重新思考。
Nat Biotechnol. 2018 Apr 5;36(4):291-292. doi: 10.1038/nbt0418-291a.
3
Tisagenlecleucel in Children and Young Adults with B-Cell Lymphoblastic Leukemia.替沙格赛定用于治疗儿童和年轻成人B细胞淋巴细胞白血病
N Engl J Med. 2018 Feb 1;378(5):439-448. doi: 10.1056/NEJMoa1709866.
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Gene therapy: evidence, value and affordability in the US health care system.基因治疗:美国医疗体系中的证据、价值和可负担性。
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Immunotargeting relapsed or refractory precursor B-cell acute lymphoblastic leukemia - role of blinatumomab.免疫靶向复发或难治性前体B细胞急性淋巴细胞白血病——博纳吐单抗的作用
Onco Targets Ther. 2017 Jul 19;10:3567-3578. doi: 10.2147/OTT.S103470. eCollection 2017.
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Outcomes in refractory diffuse large B-cell lymphoma: results from the international SCHOLAR-1 study.难治性弥漫性大B细胞淋巴瘤的预后:国际SCHOLAR-1研究结果
Blood. 2017 Oct 19;130(16):1800-1808. doi: 10.1182/blood-2017-03-769620. Epub 2017 Aug 3.
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Efficacy and safety of voretigene neparvovec (AAV2-hRPE65v2) in patients with RPE65-mediated inherited retinal dystrophy: a randomised, controlled, open-label, phase 3 trial.治疗 RPE65 介导的遗传性视网膜营养不良患者的 voretigene neparvovec(AAV2-hRPE65v2)的疗效和安全性:一项随机、对照、开放标签、3 期临床试验。
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Economic costs of hemophilia and the impact of prophylactic treatment on patient management.血友病的经济成本以及预防性治疗对患者管理的影响。
Am J Manag Care. 2016 Apr;22(5 Suppl):s126-33.
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Current concepts in the diagnosis and management of cytokine release syndrome.细胞因子释放综合征的诊断和治疗的当前概念。
Blood. 2014 Jul 10;124(2):188-95. doi: 10.1182/blood-2014-05-552729. Epub 2014 May 29.
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Management of relapsed-refractory diffuse large B cell lymphoma.复发难治性弥漫性大B细胞淋巴瘤的管理
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解决基因治疗的价值问题,增加患者获得变革性治疗的机会。

Addressing the Value of Gene Therapy and Enhancing Patient Access to Transformative Treatments.

机构信息

ALD Connect, Middleton, MA, USA; American Society of Gene and Cell Therapy, Value Initiative Workgroup, Milwaukee, WI, USA.

REGENXBIO Inc., Rockville, MD, USA; American Society of Gene and Cell Therapy, Value Initiative Workgroup, Milwaukee, WI, USA.

出版信息

Mol Ther. 2018 Dec 5;26(12):2717-2726. doi: 10.1016/j.ymthe.2018.10.017. Epub 2018 Oct 30.

DOI:10.1016/j.ymthe.2018.10.017
PMID:30414722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6277509/
Abstract

Although high upfront costs for the high value of gene therapy have resulted in concerns about sufficient reimbursement to allow patient access to these therapies, the significant benefits of gene therapies will not be realized unless patients have access to them. Stakeholders are discussing these issues, and the payment models being developed for the newly approved gene therapies provide an early indication of the flexibility that will be needed from treatment manufacturers, payers, and policy makers to optimize patient access. Maximizing patient access to effective gene therapies is one integral part of the overall mission of the American Society of Gene and Cell Therapy, along with maximizing the quality of therapies and minimizing their costs.

摘要

尽管基因疗法的高前期成本导致了人们对充分报销以允许患者获得这些疗法的关注,但除非患者能够获得这些疗法,否则基因疗法的巨大益处将无法实现。利益相关者正在讨论这些问题,并且正在为新批准的基因疗法制定的支付模式为治疗制造商、支付者和政策制定者提供了一个早期迹象,表明需要灵活性,以优化患者的获得途径。最大限度地增加患者获得有效基因疗法的机会是美国基因与细胞治疗学会总体使命的一个组成部分,同时还需要最大限度地提高疗法的质量并降低其成本。