Evidence map›Paper›PMID 33549099›Full record

ArticleBMC health services research2021

Use of budget savings from patent expiration of cancer drugs to improve affordability and accessibility.

Seung Mi Lee, Heui Jae Kim, David Suh, Kyung-In Joung, Eun Suk Kim, Hee Jung Back, Jun Young Kwon, Man-Jae Park, Dong Churl Suh

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Seung Mi Lee *Daegu Catholic University College of Pharmacy, Gyeongsan-si, Gyeongsangbuk-do, South Korea.
Heui Jae Kim *College of Pharmacy, Chung-Ang University Seoul, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea.
David SuhSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Kyung-In JoungCollege of Pharmacy, Chung-Ang University Seoul, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea.
Eun Suk KimOncology Market Access, External Affairs, MSD Korea, Seoul, South Korea.
Hee Jung BackOncology Market Access, External Affairs, MSD Korea, Seoul, South Korea.
Jun Young KwonCollege of Pharmacy, Chung-Ang University Seoul, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea.
Man-Jae ParkCollege of Pharmacy, Chung-Ang University Seoul, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea.
Dong Churl SuhCollege of Pharmacy, Chung-Ang University Seoul, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, South Korea. dongsuh75@gmail.com.ORCID http://orcid.org/0000-0002-2304-8037

Funding

Chung-Ang University 2019MSD Korea 2019-11
6 · The paper itself

Abstract

backgroundThe introduction of generics after the loss of patent exclusivity plays a major role in budget savings by significantly decreasing drug prices. The aims of this study were to estimate the budget savings from off-patent cancer drugs in 2020-2024 and to inform decision makers on how these savings could be used to improve the affordability of innovative cancer treatments in South Korea.

methodsA model was developed to calculate budget savings from off-patent cancer drug use in Korea over 5 years (2020-2024). Cancer drugs with one or more valid patents that expire between 2020 and 2024 in Korea were selected. Key input parameters in the model included market share of generics, market growth, and prices of originators and generics. To reflect market dynamics after patent expiration, the trends of the off-patent market were estimated using historical sales volume data of IQVIA from 2012 to 2018. The study assumed that the prices of off-patent drugs decreased according to the price regulations set by the Korean government and that the off-patent market sales volume did not grow. Sensitivity analyses were performed to investigate the uncertainty in model input parameters.

resultsA total of 24 cancer drugs which met selection criteria were identified. In the base case analysis, patent expiration of cancer drugs between 2020 and 2024 could lead to a spending reduction of ₩234,429 million ($203 million), which was 20% of the cancer drug expenditure in the 5-year period. The savings ranged from ₩157,633 million ($136 million) to ₩434,523 million ($376 million) depending on the scenarios in sensitivity analyses.

conclusionsThe findings indicate that patent loss of cancer drugs could lead to a 20% reduction in spending on cancer drugs over the next 5 years in South Korea. The savings could be used to improve the affordability of innovative, advanced cancer drugs for 94,000 cancer patients by reallocating the budget savings from patent expiration.

Indexed as

Antineoplastic AgentsNeoplasmsCosts and Cost AnalysisDrug CostsDrugs, GenericHumansRepublic of KoreaAntineoplastic AgentsDrugs, GenericBiosimilarsBudget savingsCancer drugGenericsPatent expirationPrice

Identifiers

PMID33549099
PMCPMC7866447

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.