Evaluating the value for money of precision medicine from early cycle to market access : a comprehensive review of approaches and challenges

Chen, Wenjia; Wang, Yi; Zemlyanska, Yaroslava; Butani, Dimple; Wong, Nigel Chong Boon; Virabhak, Suchin; Matchar, David Bruce; Teerawattananon, Yot

doi:10.1016/j.jval.2023.05.001

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Evaluating the value for money of precision medicine from early cycle to market access : a comprehensive review of approaches and challenges
Authors:	Chen, Wenjia Wang, Yi Zemlyanska, Yaroslava Butani, Dimple Wong, Nigel Chong Boon Virabhak, Suchin Matchar, David Bruce Teerawattananon, Yot
et. al:	No
DOI:	10.1016/j.jval.2023.05.001
Published in:	Value in health
Volume(Issue):	26
Issue:	9
Page(s):	1425
Pages to:	1434
Issue Date:	Sep-2023
Publisher / Ed. Institution:	Elsevier
ISSN:	1098-3015 1524-4733
Language:	English
Subjects:	Cost effectiveness; Early health technology assessment; Economic evaluation; Gene therapy
Subject (DDC):	362.1041: Health economics
Abstract:	Objectives: This study aimed to perform a comprehensive review of modeling approaches and methodological and policy challenges in the economic evaluation (EE) of precision medicine (PM) across clinical stages. Methods: First, a systematic review was performed to assess the approaches of EEs in the past 10 years. Next, a targeted review of methodological articles was conducted for methodological and policy challenges in performing EEs of PM. All findings were synthesized into a structured framework that focused on patient population, Intervention, Comparator, Outcome, Time, Equity and ethics, Adaptability and Modeling aspects, named the “PICOTEAM” framework. Finally, a stakeholder consultation was conducted to understand the major determinants of decision making in PM investment. Results: In 39 methodological articles, we identified major challenges to the EE of PM. These challenges include that PM applications involve complex and evolving clinical decision space, that clinical evidence is sparse because of small subgroups and complex pathways in PM settings, a one-time PM application may have lifetime or intergenerational impacts but long-term evidence is often unavailable, and that equity and ethics concerns are exceptional. In 275 EEs of PM, current approaches did not sufficiently capture the value of PM compared with targeted therapies, nor did they differentiate Early EEs from Conventional EEs. Finally, policy makers perceived the budget impact, cost savings, and cost-effectiveness of PM as the most important determinants in decision making. Conclusions: There is an urgent need to modify existing guidelines or develop a new reference case that fits into the new healthcare paradigm of PM to guide decision making in research and development and market access.
URI:	https://digitalcollection.zhaw.ch/handle/11475/29261
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Management and Law
Organisational Unit:	Winterthur Institute of Health Economics (WIG)
Appears in collections:	Publikationen School of Management and Law

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Chen, W., Wang, Y., Zemlyanska, Y., Butani, D., Wong, N. C. B., Virabhak, S., Matchar, D. B., & Teerawattananon, Y. (2023). Evaluating the value for money of precision medicine from early cycle to market access : a comprehensive review of approaches and challenges. Value in Health, 26(9), 1425–1434. https://doi.org/10.1016/j.jval.2023.05.001

Chen, W. et al. (2023) ‘Evaluating the value for money of precision medicine from early cycle to market access : a comprehensive review of approaches and challenges’, Value in health, 26(9), pp. 1425–1434. Available at: https://doi.org/10.1016/j.jval.2023.05.001.

W. Chen et al., “Evaluating the value for money of precision medicine from early cycle to market access : a comprehensive review of approaches and challenges,” Value in health, vol. 26, no. 9, pp. 1425–1434, Sep. 2023, doi: 10.1016/j.jval.2023.05.001.

CHEN, Wenjia, Yi WANG, Yaroslava ZEMLYANSKA, Dimple BUTANI, Nigel Chong Boon WONG, Suchin VIRABHAK, David Bruce MATCHAR und Yot TEERAWATTANANON, 2023. Evaluating the value for money of precision medicine from early cycle to market access : a comprehensive review of approaches and challenges. Value in health. September 2023. Bd. 26, Nr. 9, S. 1425–1434. DOI 10.1016/j.jval.2023.05.001

Chen, Wenjia, Yi Wang, Yaroslava Zemlyanska, Dimple Butani, Nigel Chong Boon Wong, Suchin Virabhak, David Bruce Matchar, and Yot Teerawattananon. 2023. “Evaluating the Value for Money of Precision Medicine from Early Cycle to Market Access : A Comprehensive Review of Approaches and Challenges.” Value in Health 26 (9): 1425–34. https://doi.org/10.1016/j.jval.2023.05.001.

Chen, Wenjia, et al. “Evaluating the Value for Money of Precision Medicine from Early Cycle to Market Access : A Comprehensive Review of Approaches and Challenges.” Value in Health, vol. 26, no. 9, Sept. 2023, pp. 1425–34, https://doi.org/10.1016/j.jval.2023.05.001.