Evidence map›Paper›PMID 40190695›Full record

ArticleHealth affairs scholar2025

An analysis of US net cancer drug launch prices and clinical efficacy and certainty of evidence from 2008 to 2022.

Sumaya Abuloha, Benjamin P Harvey, Shu Niu, Alaa Alshehri, Melissa Miri, Katherine Clifford, James Chambers, Mikael Svensson

Abstract read
In one paragraph

Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Sumaya AbulohaDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, Fl 32611, United States.
Benjamin P HarveyInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, 405 30, Sweden.
Shu NiuDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, Fl 32611, United States.ORCID https://orcid.org/0009-0008-5474-4263
Alaa AlshehriDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, Fl 32611, United States.ORCID https://orcid.org/0000-0003-2551-5484
Melissa MiriDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, Fl 32611, United States.
Katherine CliffordCenter for the Evaluation of Value and Risk in Health, Tufts Medical Center, Boston, MA 02111, United States.ORCID https://orcid.org/0009-0000-8027-0569
James ChambersCenter for the Evaluation of Value and Risk in Health, Tufts Medical Center, Boston, MA 02111, United States.
Mikael SvenssonDepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, Fl 32611, United States.ORCID https://orcid.org/0000-0003-1113-7478

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last 15 years, cancer drug prices have increased substantially in the United States (US), with question marks on whether this can be justified based on improved patient outcomes. This study aimed to analyze the relationship between US cancer drug net launch prices and clinical efficacy and certainty of evidence. FDA-approved cancer drug indications from 2008 to 2022 were extracted and matched with net launch price data, 5 distinct measures of clinical efficacy, and measures on the certainty of evidence around the clinical efficacy. Descriptive statistics and linear regression models were used to assess if higher net launch prices were associated with better patient outcomes. Cancer drug launch prices (net per 1 year/course of treatment) have increased from around $100 000 in 2008 to $200 000 in 2022. The results did not support the idea that drugs with higher net launch prices had more impressive clinical efficacy or more robust evidence around the clinical efficacy. US cancer launch prices do not seem to be value-based, which may imply distorted incentives for the allocation of research and development investments.

Indexed as

cancer drugsdrug pricesefficacyoncologyuncertainty of evidencevalue-based

Identifiers

PMID40190695
PMCPMC11970244

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.