Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021
Real-world evidence (RWE) is health and outcomes data generated from a patient’s journey through the health care system or disease process (i.e., real-world data). RWE is now having an increasingly important role in regulatory/reimbursement decisions. This article examines reimbursement recommendati...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-10-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/29/11/635 |
| _version_ | 1797468656543727616 |
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| author | Catherine Lau George Dranitsaris |
| author_facet | Catherine Lau George Dranitsaris |
| author_sort | Catherine Lau |
| collection | DOAJ |
| description | Real-world evidence (RWE) is health and outcomes data generated from a patient’s journey through the health care system or disease process (i.e., real-world data). RWE is now having an increasingly important role in regulatory/reimbursement decisions. This article examines reimbursement recommendations by the Canadian Agency for Drugs and Technology in Health (CADTH) on oncology drugs approved between 2019 and 2021. Oncology drugs with a Summary Basis of Decision (SBD) for original marketing approvals were used to generate a corresponding list of CADTH final clinical recommendations for review. Of the 45 oncology drugs approved by Health Canada, CADTH granted positive funding recommendations to all 11 drugs that had priority review approvals. Two of the 17 drugs with standard reviews did not file to CADTH and 3 received a negative recommendation. Of the 17 drugs with Notice of Compliance with Conditions (NOCc) status, three were not filed to CADTH and four were under active reviews. Of the ten completed NOCc reviews, all contained RWE from sponsors and six received a negative decision on their first review. No significant differences in review times were found between the three approval statuses. Regulatory approval status appeared to influence reimbursement outcomes in Canada and evaluation of 10 NOCc approvals provided little insight regarding robustness of RWE required for more favorable considerations. |
| first_indexed | 2024-03-09T19:09:31Z |
| format | Article |
| id | doaj.art-95f71a882f544cbc8de7c405bd0d21fb |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-09T19:09:31Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-95f71a882f544cbc8de7c405bd0d21fb2023-11-24T04:16:06ZengMDPI AGCurrent Oncology1198-00521718-77292022-10-0129118031804210.3390/curroncol29110635Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021Catherine Lau0George Dranitsaris1158 Front Street East, Toronto, ON M5A 0K9, CanadaDepartment of Public Health, Syracuse University, Syracuse, NY 13244, USAReal-world evidence (RWE) is health and outcomes data generated from a patient’s journey through the health care system or disease process (i.e., real-world data). RWE is now having an increasingly important role in regulatory/reimbursement decisions. This article examines reimbursement recommendations by the Canadian Agency for Drugs and Technology in Health (CADTH) on oncology drugs approved between 2019 and 2021. Oncology drugs with a Summary Basis of Decision (SBD) for original marketing approvals were used to generate a corresponding list of CADTH final clinical recommendations for review. Of the 45 oncology drugs approved by Health Canada, CADTH granted positive funding recommendations to all 11 drugs that had priority review approvals. Two of the 17 drugs with standard reviews did not file to CADTH and 3 received a negative recommendation. Of the 17 drugs with Notice of Compliance with Conditions (NOCc) status, three were not filed to CADTH and four were under active reviews. Of the ten completed NOCc reviews, all contained RWE from sponsors and six received a negative decision on their first review. No significant differences in review times were found between the three approval statuses. Regulatory approval status appeared to influence reimbursement outcomes in Canada and evaluation of 10 NOCc approvals provided little insight regarding robustness of RWE required for more favorable considerations.https://www.mdpi.com/1718-7729/29/11/635Health CanadaCanadian Agency for Drugs and Technology in Health (CADTH)real-world evidence (RWE)reimbursementregulatory decision making |
| spellingShingle | Catherine Lau George Dranitsaris Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021 Current Oncology Health Canada Canadian Agency for Drugs and Technology in Health (CADTH) real-world evidence (RWE) reimbursement regulatory decision making |
| title | Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021 |
| title_full | Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021 |
| title_fullStr | Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021 |
| title_full_unstemmed | Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021 |
| title_short | Impact of Regulatory Approval Status on CADTH Reimbursement of Oncology Drugs and Role of Real-World Evidence on Conditional Approvals from 2019 to 2021 |
| title_sort | impact of regulatory approval status on cadth reimbursement of oncology drugs and role of real world evidence on conditional approvals from 2019 to 2021 |
| topic | Health Canada Canadian Agency for Drugs and Technology in Health (CADTH) real-world evidence (RWE) reimbursement regulatory decision making |
| url | https://www.mdpi.com/1718-7729/29/11/635 |
| work_keys_str_mv | AT catherinelau impactofregulatoryapprovalstatusoncadthreimbursementofoncologydrugsandroleofrealworldevidenceonconditionalapprovalsfrom2019to2021 AT georgedranitsaris impactofregulatoryapprovalstatusoncadthreimbursementofoncologydrugsandroleofrealworldevidenceonconditionalapprovalsfrom2019to2021 |