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NICE掉头支持罗氏的Ocrevus治疗多发性硬化症

2018-06-24 MedSci MedSci原创

罗氏公司的Ocrevus现在已经赢得了NICE的支持,成为复发缓解型成人多发性硬化症的治疗药物,最初被成本监督机构拒绝。当alemtuzumab被禁用或不适合使用时,国家医疗服务系统将为该药物提供资金支持。该公司以保密患者准入计划中商定的折扣价格提供Ocrevus (Ocrevus, ocrelizumab)。该研究所表示,临床试验结果显示,与复发缓解型MS患者的干扰素β-1a相比,它可减少复发并



罗氏公司的Ocrevus现在已经赢得了NICE的支持,成为复发缓解型成人多发性硬化症的治疗药物,最初被成本监督机构拒绝。

当alemtuzumab被禁用或不适合使用时,国家医疗服务系统将为该药物提供资金支持。该公司以保密患者准入计划中商定的折扣价格提供Ocrevus (Ocrevus, ocrelizumab)。

该研究所表示,临床试验结果显示,与复发缓解型MS患者的干扰素β-1a相比,它可减少复发并减缓残疾进展。

间接比较显示,与现阶段使用的其他治疗(干扰素β-1b,醋酸格拉替雷,富马酸二甲酯,芬戈莫德和teriflunomide)相比,该药物更有效地减少复发,并且与阿仑单抗和那他珠单抗一样有效。

NICE强调,但是与其他治疗方法相比,Ocrevus是否能够减缓某些人疾病恶化的速度仍然不确定。

委员会得出结论认为,对于Ocrevus来说,最合理的成本效益估计值在NHS认为是物有所值的范围内,但只有在与Roche达成一致的折扣时才能达到。"但是,它比阿仑单抗更昂贵但是效果并没有更好,"它指出。

在英国,约有10万人生活在MS中,接受Ocrevus治疗的患者中85%的人出现缓解期。

Ocrevus于今年1月在欧洲获准用于治疗复发型多发性硬化症和早期原发进行性多发性硬化症(PPMS),该疾病目前尚无其他改善治疗方法。

该药物是一种人源化单克隆抗体,旨在选择性靶向CD20阳性B细胞,这种特定类型的免疫细胞被认为是导致MS患者残疾的髓磷脂和轴突(神经细胞)损伤的关键因素。

"在MS治疗方面存在重大的未满足的需求,特别是那些目前没有疾病改善治疗选择的PPMS患者。我们感谢NICE为这个正面的RRMS评估做出积极的努力,并希望它能够使我们早日为早期PPMS患者提供帮助,"MS Trust开发总监Jo Sopala说。

罗氏表示,它致力于与NICE合作,确保早期PPMS患者也能够通过NHS获得药物。


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    2019-02-11 jml2009
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    2018-06-26 fusion
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    2018-06-26 xlysu
  5. [GetPortalCommentsPageByObjectIdResponse(id=1983016, encodeId=945219830160e, content=<a href='/topic/show?id=a7a7e359478' target=_blank style='color:#2F92EE;'>#硬化症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73594, encryptionId=a7a7e359478, topicName=硬化症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a691420, createdName=30397604, createdTime=Mon May 27 16:23:00 CST 2019, time=2019-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1889914, encodeId=0946188991403, content=<a href='/topic/show?id=760c430895a' target=_blank style='color:#2F92EE;'>#多发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43089, encryptionId=760c430895a, topicName=多发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Mon Feb 11 00:23:00 CST 2019, time=2019-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1289024, encodeId=d490128902482, content=<a href='/topic/show?id=077112e9237' target=_blank style='color:#2F92EE;'>#NICE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12792, encryptionId=077112e9237, topicName=NICE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=743b215, createdName=fusion, createdTime=Tue Jun 26 13:23:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1530290, encodeId=e0831530290b1, content=<a href='/topic/show?id=200e1323481' target=_blank style='color:#2F92EE;'>#Ocrevus#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13234, encryptionId=200e1323481, topicName=Ocrevus)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a48d12077866, createdName=xlysu, createdTime=Tue Jun 26 13:23:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581477, encodeId=725f15814e7e8, content=<a href='/topic/show?id=2bc1519579' target=_blank style='color:#2F92EE;'>#CRE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5195, encryptionId=2bc1519579, topicName=CRE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4ca216802819, createdName=HinsMax, createdTime=Tue Jun 26 13:23:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326868, encodeId=e4c832686859, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Mon Jun 25 09:42:08 CST 2018, time=2018-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326748, encodeId=8922326e4814, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jun 25 00:07:16 CST 2018, time=2018-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326718, encodeId=7c8e326e181e, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jun 24 23:30:54 CST 2018, time=2018-06-24, status=1, ipAttribution=)]
    2018-06-26 HinsMax
  6. [GetPortalCommentsPageByObjectIdResponse(id=1983016, encodeId=945219830160e, content=<a href='/topic/show?id=a7a7e359478' target=_blank style='color:#2F92EE;'>#硬化症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73594, encryptionId=a7a7e359478, topicName=硬化症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a691420, createdName=30397604, createdTime=Mon May 27 16:23:00 CST 2019, time=2019-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1889914, encodeId=0946188991403, content=<a href='/topic/show?id=760c430895a' target=_blank style='color:#2F92EE;'>#多发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43089, encryptionId=760c430895a, topicName=多发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, createdName=jml2009, createdTime=Mon Feb 11 00:23:00 CST 2019, time=2019-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1289024, encodeId=d490128902482, content=<a href='/topic/show?id=077112e9237' target=_blank style='color:#2F92EE;'>#NICE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12792, encryptionId=077112e9237, topicName=NICE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=743b215, createdName=fusion, createdTime=Tue Jun 26 13:23:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1530290, encodeId=e0831530290b1, content=<a href='/topic/show?id=200e1323481' target=_blank style='color:#2F92EE;'>#Ocrevus#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13234, encryptionId=200e1323481, topicName=Ocrevus)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a48d12077866, createdName=xlysu, createdTime=Tue Jun 26 13:23:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581477, encodeId=725f15814e7e8, content=<a href='/topic/show?id=2bc1519579' target=_blank style='color:#2F92EE;'>#CRE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5195, encryptionId=2bc1519579, topicName=CRE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4ca216802819, createdName=HinsMax, createdTime=Tue Jun 26 13:23:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326868, encodeId=e4c832686859, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Mon Jun 25 09:42:08 CST 2018, time=2018-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326748, encodeId=8922326e4814, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Jun 25 00:07:16 CST 2018, time=2018-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=326718, encodeId=7c8e326e181e, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jun 24 23:30:54 CST 2018, time=2018-06-24, status=1, ipAttribution=)]
    2018-06-25 139****5926

    好好文章学习了

    0

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    2018-06-25 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

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    2018-06-24 惠映实验室

    学习了.谢谢分享.

    0

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