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Desirability and acceptability of a treatment-sequencing model in relapsing-remitting multiple sclerosis: A health technology assessment perspective

Published online by Cambridge University Press:  19 May 2020

Marjanne A. Piena ,
Olaf Schoeman ,
Gerard T. Harty Open the ORCID record for Gerard T. Harty [Opens in a new window]  and
Schiffon L. Wong
Marjanne A. Piena
Affiliation:
Pharmerit International, Rotterdam, The Netherlands
Olaf Schoeman
Affiliation:
Pharmerit International, Berlin, Germany
Gerard T. Harty
Affiliation:
EMD Serono, Inc., Billerica, MA, USA
Schiffon L. Wong
Affiliation:
EMD Serono, Inc., Billerica, MA, USA
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Abstract

Objective

Gather health technology assessment (HTA) experts' insights on the desirability and acceptability of treatment-sequencing models applied to relapsing-remitting multiple sclerosis (RRMS).

Data source/study setting

Primary data.

Study design

In-depth double-blind semi-structured telephone interviews.

Data collection/extraction methods

General themes were extracted from qualitative interviews.

Principal findings

Although experts confirmed the importance of evaluating the clinical and cost-effectiveness of treatments as part of a sequence, the current HTA decision making framework is not conducive to this. Developing an RRMS treatment-sequencing model that meets HTA requirements is difficult, in particular due to scarcity of effectiveness data in later treatment lines.

Conclusions

At present, a treatment-sequencing model for RRMS may be desirable yet not requested by HTA bodies for their decision making. However, there could be other areas where a treatment-sequencing model for RRMS is of use.

Keywords

Relapsing-remitting multiple sclerosisTreatment-sequencing modelTreatment switchingHealth technology assessment
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 2 , April 2020 , pp. 162 - 166
Copyright
Copyright © Cambridge University Press 2020

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