Evidence map›Paper›PMID 39064314›Full record

ArticleJournal of clinical medicine2024

Early Access for Medicines in ITALY: The Case of Ruxolitinib for Patients with Graft-Versus-Host Disease.

Lucia Gozzo, Salvatore Leotta, Giovanni Luca Romano, Calogero Vetro, Andrea Duminuco, Giuseppe Milone, Alessandra Cupri, Fanny Erika Palumbo, Serena Brancati, Rosy Ruscica and 8 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Emergencies in Hematology: Why, When and How I Treat?Journal of clinical medicine · 2024
    Review
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

18 authors.

Lucia GozzoClinical Pharmacology Unit/Regional Pharmacovigilance Centre, University Hospital of Catania, 95125 Catania, Italy.ORCID 0000-0002-7512-269X
Salvatore LeottaHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.ORCID 0000-0002-5465-5155
Giovanni Luca RomanoFaculty of Medicine and Surgery, University of Enna "Kore", Piazza dell'Università, 94100 Enna, Italy.ORCID 0000-0002-8722-7835
Calogero VetroHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.
Andrea DuminucoHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.ORCID 0000-0002-9510-4755
Giuseppe MiloneHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.ORCID 0000-0002-7840-4414
Alessandra CupriHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.
Fanny Erika PalumboHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.
Serena BrancatiClinical Pharmacology Unit/Regional Pharmacovigilance Centre, University Hospital of Catania, 95125 Catania, Italy.
Rosy RuscicaClinical Pharmacology Unit/Regional Pharmacovigilance Centre, University Hospital of Catania, 95125 Catania, Italy.
Laura LongoClinical Pharmacology Unit/Regional Pharmacovigilance Centre, University Hospital of Catania, 95125 Catania, Italy.
Daniela Cristina VitaleClinical Pharmacology Unit/Regional Pharmacovigilance Centre, University Hospital of Catania, 95125 Catania, Italy.
Giorgia FiorenzaDepartment of Biomedical and Biotechnological Sciences, University of Catania, 95125 Catania, Italy.
Giovanni Enrico LombardoFaculty of Medicine and Surgery, University of Enna "Kore", Piazza dell'Università, 94100 Enna, Italy.ORCID 0000-0003-1101-8874
Antonio LazzaraHealth Department, University Hospital of Catania, 95125 Catania, Italy.
Francesco Di RaimondoHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.
Giuseppe Alberto PalumboHaematology and BMT Unit, University Hospital of Catania, 95125 Catania, Italy.ORCID 0000-0003-1859-6319
Filippo DragoClinical Pharmacology Unit/Regional Pharmacovigilance Centre, University Hospital of Catania, 95125 Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After European Medicines Agency (EMA) approval, national pricing and reimbursement procedures are necessary to guarantee access to drugs, based on the willingness to pay and the recognition of therapeutic value. These can result in delays in drug availability for patients, even for those with important unfmet needs for whom it may be necessary and ethical to ensure access. The objective of this study was to evaluate the use of ruxolitinib for patients with graft-versus-host disease (GvHD) after EMA approval at the University Hospital of Catania. We analysed data about the use of ruxolitinib in patients with GvHD, describing their basic characteristics, their outcomes and the cost of the treatment. In the reference period, 24 ruxolitinib treatments were started according to the Summary of Product Characteristic. The average treatment duration was 10 months. Twenty patients showed a response, maintained over time, with no adverse reactions. The total expenditure amounts to EUR 963,424. The use of ruxolitinib in a real population confirms its role in an important therapeutic need. The quantification of costs requires a reflection on the sustainability of early access to medicines authorised by the EMA for serious diseases and in the absence of therapeutic alternatives.

Indexed as

accessgraft-versus-host diseasehealth technology assessmentruxolitinib

Identifiers

PMID39064314
PMCPMC11278132

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.