Table 2.
No. of therapeutic indications | Mean ΔP (SE) | β coefficient (SE) | p-value | |||
---|---|---|---|---|---|---|
Overall | 48 | − 26.0% | (− 15.1%) | |||
ICER before negotiation | ||||||
≤ 25,000€ per QALY | 11 | − 16.8% | (− 27.5%) | Ref. | ||
> 25,000 to < 40,000€ per QALY | 11 | − 21.5% | (− 26.0%) | 0.302 | (0.369) | 0.413 |
≥ 40,000€ per QALY | 26 | − 30.1% | (− 15.9%) | 0.757 | (0.311) | 0.015 |
Orphan designation | ||||||
No | 31 | − 23.4% | (− 16.4%) | Ref. | ||
Yes | 17 | − 27.9% | (− 20.9%) | 0.236 | (0.256) | 0.361 |
Therapeutic indications | ||||||
First indication | 22 | − 29.6% | (− 17.8%) | Ref. | ||
Additional indications | 26 | − 21.1% | (− 17.9%) | − 0.454 | (0.245) | 0.064 |
Innovativeness status | ||||||
Not innovative | 26 | − 23.1% | (− 17.9%) | Ref. | ||
Full or conditional | 22 | − 27.3% | (− 18.5%) | 0.223 | (0.249) | 0.370 |
Onco-immunological products | ||||||
No | 11 | − 15.7 | (− 28.0%) | Ref. | ||
Yes | 37 | − 27.9% | (− 13.8%) | 0.729 | (0.303) | 0.016 |
Advanced therapies | ||||||
No | 43 | − 24.3% | (− 14.1%) | Ref. | ||
Yes | 5 | NS | 0.331 | (0.395) | 0.402 | |
Expected expenditure (€) | ||||||
< 50 million | 27 | − 22.0% | (− 17.5%) | Ref. | ||
50 to < 200 million | 17 | − 26.9% | (− 20.7%) | 0.265 | (0.262) | 0.312 |
≥ 200 million | 4 | NS | 0.739 | (0.433) | 0.088 | |
Potentially eligible patients | ||||||
≥ 1200 patients | 20 | − 19.3% | (− 20.5%) | Ref. | ||
< 1200 patients | 28 | − 29.1% | (− 15.8%) | 0.538 | (0.250) | 0.031 |
Disease severity | ||||||
Less severe | 41 | − 23.9% | (− 14.4%) | Ref. | ||
More severe | 7 | NS | 0.362 | (0.342) | 0.289 | |
Monitoring registry | ||||||
No | 11 | − 26.4% | (− 14.6%) | Ref. | ||
Yes | 37 | − 20.4% | (− 27.4%) | 0.335 | (0.302) | 0.267 |
Outcome-based MEA | ||||||
No | 44 | − 24.3% | (− 13.9%) | Ref. | ||
Yes | 4 | NS | 0.404 | (0.433) | 0.351 |
ΔP outcome of price negotiation, ICER incremental cost-effectiveness ratio, MEA managed-entry agreements, NS not showed; cells with a frequency lower than 10 are blanked out due to confidentiality, QALY quality-adjusted life years