Evidence map›Paper›PMID 40726112›Full record

ArticleInternational journal of technology assessment in health care2025

Constraints on delivering cell and gene therapies identified during technology appraisal by the National Institute for Health and Care Excellence.

Harshini Hariram, Sean P Gavan

Abstract read
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Article in International journal of technology assessment in health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Harshini HariramManchester Centre for Health Economics, Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine, and Health, https://ror.org/027m9bs27The University of Manchester, Manchester, UK.
Sean P GavanManchester Centre for Health Economics, Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine, and Health, https://ror.org/027m9bs27The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0003-3659-056X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvaluate the extent to which delivery constraints were considered during the health technology assessment (HTA) of cell and gene therapies.

methodsConstraints on delivering cell and gene therapies were identified from guidance documents by the National Institute for Health and Care Excellence Technology Appraisal and Highly Specialised Technologies streams until October 2024. Inductive coding was performed to identify delivery constraints reported within the guidance documents. A quantitative analysis established the proportion of guidance documents that reported delivery constraints, and the distribution of these constraints across the guidance documents (frequency, mean range).

resultsSixteen guidance documents for cell and gene therapies were identified. Thirteen guidance documents (81.3 percent of the sample) reported constraints on delivering cell and gene therapies. Thirty-one examples of delivery constraints were reported. The mean number of constraints per guidance document was 1.9 (range: 0-6 constraints). The reported constraints were grouped by six different themes: provider experience (

conclusionFormal HTA processes are one effective way to identify constraints on delivering cell and gene therapies. Proactive identification of potential delivery constraints will help decision-makers, providers, and manufacturers generate strategies that improve the implementation of cell and gene therapies. Overcoming delivery constraints will strengthen the likelihood of realizing the expected incremental net health benefit of cost-effective cell and gene therapies for patients across a healthcare system.

Indexed as

Cell- and Tissue-Based TherapyDelivery of Health CareGenetic TherapyTechnology Assessment, BiomedicalHumansadvanced therapy medicinal productcell therapyconstraintgene therapyimplementation

Identifiers

PMID40726112
PMCPMC12350086

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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.