Evidence map›Paper›PMID 34873312›Full record

ReviewNature reviews. Clinical oncology2022

The value of anticancer drugs - a regulatory view.

Francesco Pignatti, Ulla Wilking, Douwe Postmus, Nils Wilking, Julio Delgado, Jonas Bergh

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  12. An Empirical Analysis of Anti-Cancer Drug Lags in South Korea.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Francesco PignattiOncology & Haematology Office, European Medicines Agency, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-9296-2474
Ulla WilkingDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Douwe PostmusOncology & Haematology Office, European Medicines Agency, Amsterdam, Netherlands.
Nils WilkingDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Julio DelgadoOncology & Haematology Office, European Medicines Agency, Amsterdam, Netherlands. jdelgado@clinic.cat.
Jonas BerghDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-5526-1847

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The high prices of new anticancer drugs and the marginal added benefit perceived by some stakeholders have fuelled a debate on the value of anticancer drugs in the European Union, even though an agreed definition of what constitutes a drug's value does not exist. In this Perspective, we discuss the value of drugs from different viewpoints and objectives of decision makers: for regulators, assessment of the benefit-risk balance of a drug is a cornerstone for approval; payers rely on cost-effectiveness analyses carried out by health technology assessment agencies for reimbursement decisions; for patients, treatment choices are based on personal preferences and attitudes to risk; and clinicians can use several scales (such as the ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS)) that have been developed as an attempt to measure value objectively. Although a unique definition that fully captures the concept of value is unlikely to emerge, herein we discuss the importance of understanding different perspectives, and how regulators can help to inform different decision makers.

Indexed as

Antineoplastic AgentsNeoplasmsCost-Benefit AnalysisHumansAntineoplastic Agents

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.