Evidence map›Paper›PMID 39093539›Full record

ArticleNeurology and therapy2024

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

Damiano Paolicelli, Giovanna Borriello, Raffaella Clerici, Elena Colombo, Davide Croce, Emanuele D'Amico, Nicola De Rossi, Alessia Di Sapio, Giuseppe Fenu, Davide Maimone and 14 more

Abstract read
In one paragraph

Article in Neurology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

24 authors.

Damiano PaolicelliDepartment of Translational Biomedicines and Neurosciences, University of Bari Aldo Moro, Bari, Italy.
Giovanna BorrielloMultiple Sclerosis Center, San Pietro Fatebenefratelli Hospital, Rome, Italy.
Raffaella ClericiOperative Unit of Neurology, Valduce Hospital, Como, Italy.
Elena ColomboMultiple Sclerosis Centre, IRCCS Mondino Foundation, Pavia, Italy.
Davide CroceCentre for Health Economics, Social and Health Care Management, University Carlo Castanea - LIUC, Castellanza, Italy.
Emanuele D'AmicoDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Nicola De RossiMultiple Sclerosis Center, ASST Spedali Civili di Brescia - P.O. Montichiari, Montichiari, Italy.
Alessia Di SapioDepartment of Neurology and CRESM (Regional Referral Multiple Sclerosis Centre), University Hospital San Luigi Gonzaga, Orbassano, Italy.
Giuseppe FenuDepartment of Neurology, Brotzu Hospital, Cagliari, Italy.
Davide MaimoneCentro Sclerosi Multipla, UOC Neurologia, Azienda Ospedaliera per l'Emergenza Cannizzaro, Catania, Italy.
Girolama A MarfiaMultiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Rome, Italy.
Marcello MocciaMultiple Sclerosis Unit, Policlinico Federico II University Hospital of Naples, Naples, Italy.
Paola PeriniDepartment of Neurology, Multiple Sclerosis Center, University of Padua, Padua, Italy.
Maria G PiscagliaMultiple Sclerosis Center, Santa Maria delle Croci Hospital, Ravenna, Italy.
Lorenzo RazzoliniDepartment of Neurofarba, University of Florence, Florence, Italy.
Massimo RiccaboniIMT School for Advanced Studies, Lucca, Italy.
Elisabetta SignorielloSecond Division of Neurology, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gianluca AgostoniSanofi S.r.l., Milan, Italy.
Alberto FarinaSanofi S.r.l., Milan, Italy.
Margaret MondinoSanofi S.r.l., Milan, Italy.
Francesco BerrutoIQVIA Solutions Italy S.r.l., Milan, Italy.
Alessia TettamantiIQVIA Solutions Italy S.r.l., Milan, Italy.
Francesca DonnalojaIQVIA Solutions Italy S.r.l., Milan, Italy. francesca.donnaloja@iqvia.com.ORCID http://orcid.org/0000-0001-9927-309X
Carla TortorellaDepartment of Neurosciences, Multiple Sclerosis Center, San Camillo-Forlanini Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMultiple 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.

methodsA 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

resultsThe 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.

conclusionDespite 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.

Indexed as

BTKiCostsForecastItalian National Healthcare Service expenditureMultiple sclerosisTreatment pattern

Identifiers

PMID39093539
PMCPMC11393242

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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.