Suppr超能文献

接受 lisocabtagene maraleucel 三线或以上治疗的复发/难治性大 B 细胞淋巴瘤患者的输注后监测费用,按治疗地点分析,TRANSEND NHL 001 和 OUTREACH 试验。

Postinfusion monitoring costs by site of care for patients with relapsed/refractory large B-cell lymphoma receiving third- or later-line treatment with lisocabtagene maraleucel in the TRANSCEND NHL 001 and OUTREACH trials.

机构信息

Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Bristol Myers Squibb, Princeton, NJ, USA.

出版信息

Leuk Lymphoma. 2021 Sep;62(9):2169-2176. doi: 10.1080/10428194.2021.1910686. Epub 2021 May 21.

Abstract

This retrospective study estimated postinfusion health care resource utilization (HCRU) by site of care among 303 patients with relapsed/refractory large B-cell lymphoma who received third- or later-line treatment with lisocabtagene maraleucel (liso-cel) in the TRANSCEND NHL 001 and OUTREACH trials. Inpatients ( = 256) had higher rates of hospitalization versus outpatients ( = 47; >99% vs 62%), by definition, and higher rates of tocilizumab use for cytokine release syndrome and/or neurological events (22% vs 9%). Rates of intensive care unit admission, corticosteroid use, vasopressor use, hemodialysis, and intubation were generally low and similar between groups. Median (range) total hospital length of stay was 15 (0-88) days (inpatients) and 4 (0-77) days (outpatients). Over 6 months, estimated mean postinfusion cost of care was $89,535 (inpatients) and $36,702 (outpatients). Most costs were incurred in the first month post infusion (inpatients, $50,369 [56%]; outpatients, $19,837 [54%]). Lower overall HCRU was observed with outpatient postinfusion monitoring.

摘要

这项回顾性研究估计了 TRANSCEND NHL 001 和 OUTREACH 试验中 303 例接受三线或后线治疗的复发/难治性大 B 细胞淋巴瘤患者输注后按治疗地点的卫生保健资源利用(HCRU)。住院患者(n=256)的住院率高于门诊患者(n=47;>99% vs 62%),定义如此,且因细胞因子释放综合征和/或神经系统事件使用托珠单抗的比例也更高(22% vs 9%)。入住重症监护病房、使用皮质类固醇、使用血管加压药、血液透析和插管的比例通常较低,且两组之间相似。中位(范围)总住院时间为 15(0-88)天(住院患者)和 4(0-77)天(门诊患者)。输注后 6 个月内,估计的平均输注后治疗费用为 89535 美元(住院患者)和 36702 美元(门诊患者)。大多数费用发生在输注后第一个月(住院患者,50369 美元[56%];门诊患者,19837 美元[54%])。输注后门诊监测的整体 HCRU 较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a23f/9400457/c2ff2d4f630a/nihms-1830149-f0001.jpg

相似文献

引用本文的文献

4
Mechanisms and management of CAR T toxicity.嵌合抗原受体T细胞毒性的机制与管理
Front Oncol. 2024 May 21;14:1396490. doi: 10.3389/fonc.2024.1396490. eCollection 2024.

本文引用的文献

6
Chimeric Antigen Receptor T Cells in Refractory B-Cell Lymphomas.难治性B细胞淋巴瘤中的嵌合抗原受体T细胞
N Engl J Med. 2017 Dec 28;377(26):2545-2554. doi: 10.1056/NEJMoa1708566. Epub 2017 Dec 10.
10
Diffuse large B-cell lymphoma-treatment approaches in the molecular era.弥漫性大 B 细胞淋巴瘤的分子时代治疗方法。
Nat Rev Clin Oncol. 2014 Jan;11(1):12-23. doi: 10.1038/nrclinonc.2013.197. Epub 2013 Nov 12.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验