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Prices and Clinical Benefit of National Price-Negotiated Anticancer Medicines in China

Author

Listed:
  • Yichen Zhang

    (Peking University)

  • Yuxuan Wei

    (Peking University
    Fudan University)

  • Huangqianyu Li

    (Peking University)

  • Yixuan Chen

    (Peking University)

  • Yiran Guo

    (Peking University)

  • Sheng Han

    (Peking University)

  • Luwen Shi

    (Peking University
    Peking University)

  • Xiaodong Guan

    (Peking University
    Peking University)

Abstract

Background High prices of anticancer medicines have increased the economic burden for both patients and health insurance systems. Since 2017, China has implemented national price negotiations for medicines, relying on evidence from health technology assessments. We aim to assess the relation between negotiated price and value of anticancer medicines listed in China’s National Reimbursement Drug List (NRDL). Methods For all price-negotiated anticancer medicines and corresponding indications listed in the latest NRDL between 2017 and 2020, we collected their clinical outcomes data, including overall survival (OS) and progression-free survival (PFS), in supporting trials. Pearson correlation coefficient was calculated to estimate the association between the daily cost and clinical benefit of each indication. Results In total, 75 indications of 46 branded anticancer medicines were included for analysis. The median daily costs for the anticancer therapies that had gone through negotiation in 2017–2020 were US$87.6, US$71.8, US$58.9, and US$39.7, respectively. For indications supported by randomized trials, no correlation between daily costs and OS and PFS benefit of the price-negotiated cancer therapies was observed (N = 41, r = −0.05, and N = 49, r = 0.04, respectively). For cancer indications newly listed in NRDL in 2020, the association between their daily cost and OS benefit was −0.78 (N = 4, p = 0.221) and 0.01 (N = 8, p = 0.986) before and after the price negotiation. Conclusion Though the negotiation policy decreased prices of anticancer medicines in China, no statistically significant correlation was observed between their daily costs and clinical benefits. A more transparent and credible pricing approach needs to be established to promote value-based anticancer medicines and healthcare system efficiency.

Suggested Citation

  • Yichen Zhang & Yuxuan Wei & Huangqianyu Li & Yixuan Chen & Yiran Guo & Sheng Han & Luwen Shi & Xiaodong Guan, 2022. "Prices and Clinical Benefit of National Price-Negotiated Anticancer Medicines in China," PharmacoEconomics, Springer, vol. 40(7), pages 715-724, July.
    • Handle: RePEc:spr:pharme:v:40:y:2022:i:7:d:10.1007_s40273-022-01161-7
    DOI: 10.1007/s40273-022-01161-7
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    References listed on IDEAS

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    1. Don Husereau & Michael Drummond & Federico Augustovski & Esther Bekker-Grob & Andrew H. Briggs & Chris Carswell & Lisa Caulley & Nathorn Chaiyakunapruk & Dan Greenberg & Elizabeth Loder & Josephine Ma, 2022. "Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022) Statement: Updated Reporting Guidance for Health Economic Evaluations," PharmacoEconomics, Springer, vol. 40(6), pages 601-609, June.
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