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A scoping review of the role of managed entry agreements in upcoming drugs for amyotrophic lateral sclerosis: learning from the case of spinal muscular atrophy.
García-Parra, Beliu; Guiu, Josep M; Povedano, MÓnica; Modamio, Pilar.
Afiliación
  • García-Parra B; Clinical Neurophysiology Section - Neurology Service, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
  • Guiu JM; Department of Pharmacy and Pharmaceutical Technology, and Physical Chemistry, Faculty of Pharmacy and Food Sciences, Clinical Pharmacy and Pharmaceutical Care Unit, University of Barcelona, Barcelona, Spain, and.
  • Povedano M; Clinical Neurophysiology Section - Neurology Service, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
  • Modamio P; Motor Neuron Diseases Unit, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Article en En | MEDLINE | ID: mdl-39254482
ABSTRACT

Introduction:

The therapeutic options for spinal muscular atrophy (SMA) are encouraging. However, there is currently no cure for amyotrophic lateral sclerosis (ALS). The clinical and economic uncertainty surrounding innovative treatments for rare neurodegenerative diseases makes it necessary to understand managed entry agreements (MEAs). The aim of this study was to review whether models of MEAs in SMA could be extrapolated to ALS.

Methods:

We performed a scoping review with information on MEAs on SMA in Web of Science (WOS), PubMed, Lyfegen Library, the National Institute for Health and Care Excellence (NICE), and the Canadian Agency for Drugs and Technologies in Health (CADTH).

Results:

We found 45 results in WOS and PubMed. After an initial survey, 10 were reviewed to assess eligibility, and three were selected. We obtained 44 results from Lyfegen Library, and three results each from NICE and CADTH.

Conclusion:

The main objective of MEAs is to reduce uncertainty in the financing of drugs with a high budgetary impact and clinical concerns, as is the case with drugs for SMA and ALS. While the information available on MEAs in SMA is scarce, some conceptual models are publicly available. MEAs for long-term treatments for SMA could be used for the design of MEAs in ALS because of their similarities in economic and clinical uncertainty.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Amyotroph Lateral Scler Frontotemporal Degener Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Amyotroph Lateral Scler Frontotemporal Degener Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido