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- Title
Costs of care during chimeric antigen receptor T-cell therapy in relapsed or refractory B-cell lymphomas.
- Authors
Di, Mengyang; Potnis, Kunal C; Long, Jessica B; Isufi, Iris; Foss, Francine; Seropian, Stuart; Gross, Cary P; Huntington, Scott F
- Abstract
High upfront cost may be a barrier to adopting chimeric antigen receptor T-cell (CAR-T) therapy for relapsed or refractory B-cell lymphoma. Data on the real-world costs are limited. Using the Blue Cross Blue Shield Axis database, we evaluated 271 commercially insured patients who received CAR-T therapy for B-cell lymphoma (median age = 58 years; men = 68%; diffuse large B-cell lymphoma = 87%; inpatient CAR-T therapy = 85%). Our peri–CAR-T period of interest was from 41 days before to 154 days after CAR-T therapy index divided into seven 28-day intervals. Median total costs were $608 100 (interquartile range, IQR = $534 100-$732 800); 8.5% of patients had total costs exceeding $1 million. The median cost of CAR-T therapy products was $402 500, and the median out-of-pocket copayment was $510. Monthly costs were highest during the month of CAR-T therapy administration (median = $521 500), with median costs below $25 000 in all other 28-day intervals. Costs of CAR-T therapy use were substantial, largely driven by product acquisition. Future studies should examine the relationship between costs, access, and financial outcomes.
- Subjects
CHIMERIC antigen receptors; DIFFUSE large B-cell lymphomas; COPAYMENTS (Insurance); MEDICAL care costs; T cells; LYMPHOMAS
- Publication
JNCI Cancer Spectrum, 2024, Vol 8, Issue 4, p1
- ISSN
2515-5091
- Publication type
Article
- DOI
10.1093/jncics/pkae059