Predicted Expenditure for Prescription Drugs for Multiple Sclerosis in the Italian Market Between 2023 and 2028: Results of the Oracle Project.

BTKi Costs Forecast Italian National Healthcare Service expenditure Multiple sclerosis Treatment pattern

Journal

Neurology and therapy
ISSN: 2193-8253
Titre abrégé: Neurol Ther
Pays: New Zealand
ID NLM: 101637818

Informations de publication

Date de publication:
02 Aug 2024
Historique:
received: 19 04 2024
accepted: 02 07 2024
medline: 2 8 2024
pubmed: 2 8 2024
entrez: 2 8 2024
Statut: aheadofprint

Résumé

Multiple sclerosis (MS) is a chronic neurodegenerative disease that leads to impaired cognitive function and accumulation of disability, with significant socioeconomic burden. Serious unmet need in the context of managing MS has given rise to ongoing research efforts, leading to the launch of new drugs planned for the near future, and subsequent concerns about the sustainability of healthcare systems. This study assessed the changes in the Italian MS market and their impact on the expenditures of the Italian National Healthcare Service between 2023 and 2028. A horizon-scanning model was developed to estimate annual expenditure from 2023 to 2028. Annual expenditure for MS was calculated by combining the number of patients treated with each product (clinical inputs) and the yearly costs of therapy (economic inputs). Baseline inputs (2020-2022) were collected from IQVIA The number of equivalent patients treated in 2028 in Italy was estimated at around 67,000, with an increase of 10% versus 2022. In terms of treatment pattern evolution, first-line treatments are expected to reduce their shares from 47% in 2022 to 27% in 2028, and Bruton tyrosine kinase inhibitors are expected to reach 23% of patient shares. Overall, expenditure for MS is estimated to decrease from €721 million in 2022 to €551 million in 2028, mainly due to losses of exclusivity and renegotiation of drug prices. Despite the increase in the number of patients treated for MS and the launch of new molecules that will reach high market penetration, the model confirmed sustainability for the Italian National Healthcare Service.

Identifiants

pubmed: 39093539
doi: 10.1007/s40120-024-00644-3
pii: 10.1007/s40120-024-00644-3
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

© 2024. The Author(s).

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Auteurs

Damiano Paolicelli (D)

Department of Translational Biomedicines and Neurosciences, University of Bari Aldo Moro, Bari, Italy.

Giovanna Borriello (G)

Multiple Sclerosis Center, San Pietro Fatebenefratelli Hospital, Rome, Italy.
Department of Public Health, Federico II University, Naples, Italy.

Raffaella Clerici (R)

Operative Unit of Neurology, Valduce Hospital, Como, Italy.

Elena Colombo (E)

Multiple Sclerosis Centre, IRCCS Mondino Foundation, Pavia, Italy.

Davide Croce (D)

Centre for Health Economics, Social and Health Care Management, University Carlo Castanea - LIUC, Castellanza, Italy.

Emanuele D'Amico (E)

Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.

Nicola De Rossi (N)

Multiple Sclerosis Center, ASST Spedali Civili di Brescia - P.O. Montichiari, Montichiari, Italy.

Alessia Di Sapio (A)

Department of Neurology and CRESM (Regional Referral Multiple Sclerosis Centre), University Hospital San Luigi Gonzaga, Orbassano, Italy.

Giuseppe Fenu (G)

Department of Neurology, Brotzu Hospital, Cagliari, Italy.

Davide Maimone (D)

Centro Sclerosi Multipla, UOC Neurologia, Azienda Ospedaliera per l'Emergenza Cannizzaro, Catania, Italy.

Girolama A Marfia (GA)

Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Rome, Italy.

Marcello Moccia (M)

Multiple Sclerosis Unit, Policlinico Federico II University Hospital of Naples, Naples, Italy.
Department of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy.

Paola Perini (P)

Department of Neurology, Multiple Sclerosis Center, University of Padua, Padua, Italy.

Maria G Piscaglia (MG)

Multiple Sclerosis Center, Santa Maria delle Croci Hospital, Ravenna, Italy.

Lorenzo Razzolini (L)

Department of Neurofarba, University of Florence, Florence, Italy.

Massimo Riccaboni (M)

IMT School for Advanced Studies, Lucca, Italy.

Elisabetta Signoriello (E)

Second Division of Neurology, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.

Gianluca Agostoni (G)

Sanofi S.r.l., Milan, Italy.

Alberto Farina (A)

Sanofi S.r.l., Milan, Italy.

Margaret Mondino (M)

Sanofi S.r.l., Milan, Italy.

Francesco Berruto (F)

IQVIA Solutions Italy S.r.l., Milan, Italy.

Alessia Tettamanti (A)

IQVIA Solutions Italy S.r.l., Milan, Italy.

Francesca Donnaloja (F)

IQVIA Solutions Italy S.r.l., Milan, Italy. francesca.donnaloja@iqvia.com.

Carla Tortorella (C)

Department of Neurosciences, Multiple Sclerosis Center, San Camillo-Forlanini Hospital, Rome, Italy.

Classifications MeSH