Evidence map›Paper›PMID 37014590›Full record

ArticleOncology and therapy2023

Component Costs of CAR-T Therapy in Addition to Treatment Acquisition Costs in Patients with Multiple Myeloma.

Sundar Jagannath, Nedra Joseph, Concetta Crivera, Akshay Kharat, Carolyn C Jackson, Satish Valluri, Patricia Cost, Hilary Phelps, Rafal Slowik, Timothy Klein and 3 more

Open access · goldAbstract read
In one paragraph

Article in Oncology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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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

13 authors at 5 institutions in 2 countries.

Sundar JagannathIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Nedra JosephJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Concetta CriveraJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Akshay KharatJanssen Scientific Affairs, LLC, Horsham, PA, USA. AKharat2@its.jnj.com.ORCID http://orcid.org/0000-0002-1056-9466
Carolyn C JacksonJanssen R&D, Raritan, NJ, USA.
Satish ValluriJanssen Global Services, LLC, Raritan, NJ, USA.
Patricia CostJanssen Global Services, LLC, Raritan, NJ, USA.
Hilary PhelpsJanssen Global Services, LLC, Raritan, NJ, USA.
Rafal SlowikJanssen Global Services, LLC, Raritan, NJ, USA.
Timothy KleinMedical Decision Modeling Inc., Indianapolis, IN, USA.
Lee SmolenMedical Decision Modeling Inc., Indianapolis, IN, USA.
Xueting YuMedical Decision Modeling Inc., Indianapolis, IN, USA.
Adam D CohenAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Janssen (United States) · USMedical Decision Modeling (United States) · USIcahn School of Medicine at Mount Sinai · USJanssen (Belgium) · BEUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCiltacabtagene autoleucel (cilta-cel), is a B-cell maturation antigen-directed, genetically modified autologous chimeric antigen receptor T-cell (CAR-T) immunotherapy. It is indicated for treatment for adult patients with relapsed or refractory multiple myeloma (RRMM) after four or more prior lines of therapy, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody. The objective of this study was to estimate the per-patient US commercial healthcare costs related to cilta-cel (CARVYKTI

methodsUS prescribing information for cilta-cel, publicly available data, and published literature were used with clinician input to identify the cost components and unit costs associated with administration of cilta-cel. Cost components included apheresis, bridging therapy, conditioning therapy, administration, and postinfusion monitoring for 1 year of follow-up. Adverse event (AE) management costs for all grades of cytokine release syndrome and neurologic toxicities, and additional AEs grade ≥ 3 occurring in > 5% of patients were included in the analysis.

resultsThe estimated per-patient average costs of cilta-cel CAR-T therapy administered exclusively in an inpatient setting, excluding cilta-cel therapy acquisition costs, totaled US$160,933 over a 12 month period. Costs assuming different proportions of inpatient/outpatient administration (85%/15% and 70%/30%) were US$158,095 and US$155,257, respectively.

conclusionCost estimates from this analysis, which disaggregates CAR-T therapy costs, provide a comprehensive view of the cost components of CAR-T therapy that can help healthcare decision-makers make informed choices regarding the use of cilta-cel. Real-world costs may differ with improved AE prevention and mitigation strategies.

Indexed as

Chimeric antigen receptor T-cell (CAR-T) therapyCiltacabtagene autoleucel (cilta-cel)Relapsed/refractory multiple myeloma (RRMM)

Identifiers

PMID37014590
PMCPMC10260711
OpenAlexW4362521319

What OpenQuestion holds

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Registered trials

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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.