51. Access to novel drugs for non-small cell lung cancer in Central and Southeastern Europe : a Central European Cooperative Oncology Group analysis
- Author
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Gabriela Galffy, Milada Zemanova, Jacek Jassem, Tudor Ciuleanu, Christoph C. Zielinski, Marko Jakopović, Christiane Thallinger, Zhasmina Mihaylova, Dragana Jovanovic, Tanja Cufer, Peter Berzinec, and Gyula Ostoros
- Subjects
Drug ,Oncology ,Cancer Research ,medicine.medical_specialty ,Lung Neoplasms ,media_common.quotation_subject ,MEDLINE ,Medical Oncology ,Marketing authorization ,Jugovzhodna Evropa ,03 medical and health sciences ,0302 clinical medicine ,Southeastern Europe ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,Lung cancer ,Reimbursement ,non-small cell lung cancer ,media_common ,udc:616-006 ,novel drugs ,treatment ,business.industry ,Central Europe ,nedrobnocelični rak pljuč ,zdravljenje ,medicine.disease ,Europe ,Eastern european ,Srednja Evropa ,Pharmaceutical Preparations ,Group analysis ,030220 oncology & carcinogenesis ,Scale (social sciences) ,Brief Communications ,business ,nova zdravila - Abstract
Background Treatment of non‐small cell lung cancer (NSCLC) improved substantially in the last decades. Novel targeted and immune‐oncologic drugs were introduced into routine treatment. Despite accelerated development and subsequent drug registrations by the European Medicinal Agency (EMA), novel drugs for NSCLC are poorly accessible in Central and Eastern European (CEE) countries. Material and Methods The Central European Cooperative Oncology Group conducted a survey among experts from 10 CEE countries to provide an overview on the availability of novel drugs for NSCLC and time from registration to reimbursement decision in their countries. Results Although first‐generation epidermal growth factor receptor tyrosine kinase inhibitors were reimbursed and available in all countries, for other registered therapies—even for ALK inhibitors and checkpoint inhibitors in first‐line—there were apparent gaps in availability and/or reimbursement. There was a trend for better availability of drugs with longer time from EMA marketing authorization. Substantial differences in access to novel drugs among CEE countries were observed. In general, the availability of drugs is not in accordance with the Magnitude of Clinical Benefit Scale (MCBS), as defined by the European Society for Medical Oncology (ESMO). Time spans between drug registrations and national decisions on reimbursement vary greatly, from less than 3 months in one country to more than 1 year in the majority of countries. Conclusion The access to novel drugs for NSCLC in CEE countries is suboptimal. To enable access to the most effective compounds within the shortest possible time, reimbursement decisions should be faster and ESMO MCBS should be incorporated into decision making., Access to novel therapies is a factor contributing to disparities in cancer care. Limited drug availability is a challenge in Central and Eastern European countries, where financial and organizational shortages exist. This article reports a survey that investigated access to novel anti‐cancer drugs for non‐small cell lung cancer.
- Published
- 2020