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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.


DOI:10.1080/10428194.2021.1910686
PMID:34018458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9400457/
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。

相似文献

[1]
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.

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[2]
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本文引用的文献

[1]
Lisocabtagene maraleucel for patients with relapsed or refractory large B-cell lymphomas (TRANSCEND NHL 001): a multicentre seamless design study.

Lancet. 2020-9-1

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Economic Evaluation of Chimeric Antigen Receptor T-Cell Therapy by Site of Care Among Patients With Relapsed or Refractory Large B-Cell Lymphoma.

JAMA Netw Open. 2020-4-1

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JAMA Netw Open. 2019-2-1

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