$is_valid_institution:
$is_valid_institution_group_access: no
$valid_institution_id:

Economic value of the utility-expansion for new cancer drugs approved in Canada from 2004 to 2014.

Download Full Article Article Brief

Summary

Authors: Kimberley Tran (M.A.); Brett J Skinner (Ph.D.)

In the Canadian health technology assessment (HTA) process, drugs are evaluated for clinical and cost-effectiveness following Health Canada marketing approval. Usually, each drug indication is evaluated by HTA bodies individually in line with the specific indication granted by Health Canada. However, when a cancer drug is reviewed for its initial indication, HTA evaluators are not fully able to assess the future additional benefits that accrue from successive approved indications. Subsequently, at the payer level, the discussion and review is focused more around price rather than value.  Many cancer drugs are approved for multiple indications over the course of their product life-cycle. The next generation of cancer therapies, especially immuno-oncology treatments, are being studied for multiple indications.  The expanded utility provided by cancer drugs is not fully captured in the HTA process. This study demonstrate the utility-expansion that occurs over the product life-cycle of health technology by use of a case study focused on new cancer drugs in Canada, and discusses how the HTA process can be enhanced to consider the value of the utility-expansion. 

Open Access Sponsorship

Free public access to this study was made possible by independent research grants provided by Merck Canada, GSK Canada and Janssen Canada.



Subscribe image

CHP blogazine

Opinions


Warning: Unknown: Your script possibly relies on a session side-effect which existed until PHP 4.2.3. Please be advised that the session extension does not consider global variables as a source of data, unless register_globals is enabled. You can disable this functionality and this warning by setting session.bug_compat_42 or session.bug_compat_warn to off, respectively. in Unknown on line 0