Clinical and economic studies of pharmacotherapy for multiple myeloma: literature review data

Author:

Luchinin E. A.1ORCID,Zhuravleva M. V.2ORCID,Shelehova T. V.1ORCID,Kokushkin K. A.3ORCID,Luchinina E. V.1ORCID

Affiliation:

1. Saratov State Medical University n.a. V.I. Razumovsky of the Ministry of Health of Russia

2. First Moscow State Medical University n.a. I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University); Center for Clinical Pharmacology Federal State Budgetary Institution Scientific Center for Expertise of Medicinal Products of the Ministry of Health of the Russian Federation

3. Research supervisor State Budgetary Institution of the Moscow region «Clinical and Economic Analysis Scientific-Practical Center of the Moscow Region Healthcare Ministry»

Abstract

Among hematological diseases, Multiple myeloma (MM) is the second most common malignancy in adults worldwide. In the vast majority of cases, MM remains incurable, despite improvements in progression-free survival and overall survival due to advances in pharmacotherapy, as well as the emergence of innovative drugs in recent years. Unfortunately, this does not prevent patients from relapse and, ultimately, multidrug resistance and poor prognosis. In conditions of limited funding, one of the determining factors for the success of therapy is the cost of treatment. There is a need to conduct a clinical and economic analysis of the use of targeted drugs to determine the most economically feasible treatment option. The purpose of the review is to provide an overview of current and experimental treatments for relapsed/refractory MM (RRMM), with an emphasis on their pharmacoeconomic availability to assist clinicians in their decision-making process. Let's look at the latest data that will help improve approaches to the treatment of this still incurable disease and analyze pharmacoeconomic studies of modern expensive treatment regimens for RRMM in various countries.

Publisher

Rostov State Medical University

Reference45 articles.

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2. Dimopoulos M, Quach H, Mateos MV, Landgren O, Leleu X, et al. Carfilzomib, dexamethasone, and daratumumab versus carfilzomib and dexamethasone for patients with relapsed or refractory multiple myeloma (CANDOR): results from a randomised, multicentre, open-label, phase 3 study. Lancet. 2020;396(10245):186-197. Erratum in: Lancet. 2020;396(10249):466. DOI: 10.1016/S0140-6736(20)30734-0.

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4. Bahlis NJ, Dimopoulos MA, White DJ, Benboubker L, Cook G, et al. Daratumumab plus lenalidomide and dexamethasone in relapsed/refractory multiple myeloma: extended follow-up of POLLUX, a randomized, open-label, phase 3 study. Leukemia. 2020;34(7):1875-1884. DOI: 10.1038/s41375-020-0711-6

5. Dimopoulos MA, Lonial S, Betts KA, Chen C, Zichlin ML, et al. Elotuzumab plus lenalidomide and dexamethasone in relapsed/refractory multiple myeloma: Extended 4-year follow-up and analysis of relative progression-free survival from the randomized ELOQUENT-2 trial. Cancer. 2018;124(20):4032-4043. DOI: 10.1002/cncr.31680

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