Reimbursement Legislations and Decision Making for Orphan Drugs in Central and Eastern European Countries.

Central and East Europe European Medicine Agency conditional approval exceptional circumstances kappa coefficient of agreement marketing authorisation orphan drug reimbursement policy

Journal

Frontiers in pharmacology
ISSN: 1663-9812
Titre abrégé: Front Pharmacol
Pays: Switzerland
ID NLM: 101548923

Informations de publication

Date de publication:
2019
Historique:
received: 23 02 2019
accepted: 17 04 2019
entrez: 30 5 2019
pubmed: 30 5 2019
medline: 30 5 2019
Statut: epublish

Résumé

Reimbursement policies influence access of patients to orphan drugs in the European countries. To provide a comprehensive description of orphan drug reimbursement policies and to assess reimbursement decision-making process in the EU-CEE countries as well as the impact of the type of approval and disease on reimbursement decisions. For each drug, the information regarding conditional approval or approval under exceptional circumstances was obtained from the EMA website. The reimbursement status for analyzed drugs was collected in a questionnaire survey performed in a group of experts in reimbursement policy. The agreement between countries was assessed using the κ coefficient, nominal variables tests were compared using the χ2 test or the Fisher exact test. The impact of the EMA's conditional approval and approval under exceptional circumstances was assessed using logistic regression and presented as an odds ratio (OR). The analysis revealed that most orphan drugs were authorized for the treatment of oncological or metabolic diseases [36 drugs (38%) and 22 drugs (23%), respectively]. The shares of reimbursed orphan drugs varied significantly ( In considered countries specific regulations on reimbursement of orphan drugs are valid but in Lithuania and Romania no formal HTA process was employed; in case of some countries higher ICER values for orphans are used. The share of reimbursed orphan drugs varied significantly across the countries, but it was not associated with GDP per capita.

Sections du résumé

BACKGROUND BACKGROUND
Reimbursement policies influence access of patients to orphan drugs in the European countries.
OBJECTIVES OBJECTIVE
To provide a comprehensive description of orphan drug reimbursement policies and to assess reimbursement decision-making process in the EU-CEE countries as well as the impact of the type of approval and disease on reimbursement decisions.
METHODS METHODS
For each drug, the information regarding conditional approval or approval under exceptional circumstances was obtained from the EMA website. The reimbursement status for analyzed drugs was collected in a questionnaire survey performed in a group of experts in reimbursement policy. The agreement between countries was assessed using the κ coefficient, nominal variables tests were compared using the χ2 test or the Fisher exact test. The impact of the EMA's conditional approval and approval under exceptional circumstances was assessed using logistic regression and presented as an odds ratio (OR).
RESULTS RESULTS
The analysis revealed that most orphan drugs were authorized for the treatment of oncological or metabolic diseases [36 drugs (38%) and 22 drugs (23%), respectively]. The shares of reimbursed orphan drugs varied significantly (
CONCLUSION CONCLUSIONS
In considered countries specific regulations on reimbursement of orphan drugs are valid but in Lithuania and Romania no formal HTA process was employed; in case of some countries higher ICER values for orphans are used. The share of reimbursed orphan drugs varied significantly across the countries, but it was not associated with GDP per capita.

Identifiants

pubmed: 31139080
doi: 10.3389/fphar.2019.00487
pmc: PMC6518361
doi:

Types de publication

Journal Article

Langues

eng

Pagination

487

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Auteurs

Krzysztof Piotr Malinowski (KP)

Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.

Paweł Kawalec (P)

Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.

Wojciech Trąbka (W)

Bioinformatics and Public Health Department, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Kraków, Poland.

Marcin Czech (M)

Department of Pharmacoeconomics, Institute of Mother and Child, Warsaw, Poland.

Guenka Petrova (G)

Faculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.

Manoela Manova (M)

Faculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
National Council on Prices and Reimbursement of Medicinal Products, Sofia, Bulgaria.

Alexandra Savova (A)

Faculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
National Council on Prices and Reimbursement of Medicinal Products, Sofia, Bulgaria.

Pero Draganić (P)

Agency for Medicinal Products and Medical Devices of Croatia, Zagreb, Croatia.
Department of Biotechnology, University of Rijeka, Rijeka, Croatia.

Lenka Vostalová (L)

Pricing and Reimbursement Regulation Branch, State Institute for Drug Control, Prague, Czechia.

Juraj Slabý (J)

Pricing and Reimbursement Regulation Branch, State Institute for Drug Control, Prague, Czechia.

Agnes Männik (A)

Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.

Kristóf Márky (K)

National Institute of Health Insurance Fund Management, Budapest, Hungary.

Zinta Rugaja (Z)

The National Health Service, Riga, Latvia.

Jolanta Gulbinovic (J)

Department of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Tomas Tesar (T)

Department of Organisation and Management in Pharmacy, Faculty of Pharmacy, Comenius University in Bratislava, Bratislava, Slovakia.

Marian Sorin Paveliu (MS)

Titu Maiorescu University, Bucharest, Romania.

Classifications MeSH