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. 2023 Nov;29(11):1253–1259. doi: 10.18553/jmcp.2023.29.11.1253

TABLE 3.

Votes on Other Benefits and Contextual Considerations for Lovo-cel and Exa-cel

When making judgments of overall long-term value for money, what is the relative priority that should be given to any effective treatment for SCD, on the basis of the following contextual considerations:
Contextual consideration Very low priority Low priority Average priority High priority Very high priority
  Acuity of need for treatment of individual patients based on short-term risk of death or progression to permanent disability 0 2 3 4 5
  Magnitude of the lifetime impact on individual patients of the condition being treated 0 0 0 1 13
What are the relative effects of exa-cel/lovo-cel vs standard of care on the following outcomes that inform judgments of the overall long-term value for money of lovo-cel/exa-cel?
Potential other benefit or disadvantage Major negative effect Minor negative effect No difference Minor positive effect Major positive effect
  Patients’ ability to achieve major life goals related to education, work, or family life 0 0 0 0 14
  Caregivers’ quality of life and/or ability to achieve major life goals related to education, work, or family life 0 0 0 2 12
  Patients’ ability to manage and sustain treatment given the complexity of regimen 0 0 0 4 10
  Society’s goal of reducing health inequities 0 0 0 4 10

exa-cel = exagamglogene autotemcel; Lovo-cel = lovotibeglogene autotemcel; SCD = sickle cell disease.