UTILISATION OF ANTINEOPLATIC AGENTS INVOLVED IN TREATMENT OF NSCLC IN SLOVAK REPUBLIC WITHIN 2008-2011

Author(s)

Bellova K1, Gatialova K2, Foltan V3, Majtás J41Comenius University in Bratislava, Bratislava, Slovak Republic, Slovak Republic, 2Pharmaceutical Faculty at Comenius University, Bratislava, Slovak Republic, 3Faculty of Pharmacy, Comenius University, Bratislava, Slovak Republic, 4Comenius University, Bratislava, Slovak Republic

OBJECTIVES: To evaluate utilisation of drugs involved in treatment of NSCLC, its consumption in terms of expenditures units and number of packages prescribed in Slovakia within 2008 -2011. METHODS: Statistical analysed data were abstracted from State Institute for Drug Control SR, studied in accordance with financial units (€) and number of packages prescribed every year. RESULTS: ATC  L01 – antineoplastic agents is the one most prescribed out off all anticancer drugs (593 067 packages prescribed in 2011, 105 786 256,10 €). From L01XA platinum cytostatics – cisplatina is the one most prescribed, with decreasing tendency in financial expenditures spent (45 965 pcgs, 344 601,70 € in 2008 and 56 584 pcgs, 229 525,80 € in 2011) compared to the least prescribed and most expensive oxiplatina. L01CD taxans – paclitaxel and docetaxel has decreasing tendency in number of packages prescribed and in financial expenditures. L01BC – the most prescribed fluorouracil has decreasing tendency, the prescription of gemcitabin stagnates, utilization of kapecitabin increases in number of packages and in financial units. L01XC monoclonal antibodies – prescription of bevacizumab had increasing tendency until 2010 (13 405 pcgs, 11 339 764,50 € in 2008, 24 028 pcgs, 18 256 481,00 € in 2010 ), in 2011 prescription of cetuximab was higher than bevacizumab, and less money was spent (cetuximab: 28 772 pcgs, 5 385 830,90€, bevacizumab: 22 661 pcgs, 17 045 495,70€). L01XE - inhibitors of protein kinase – erlotinib has increasing tendency in number of packages prescribed and in financial expenditures (1 265  pcgs, 2 895 154,30 € in 2008, 2 071 pcgs, 3 687 581,00 € in 2011), tendency of gefitinib since 2010 when it entered the market is increasing, but it still did not overtook erlotinib (248 pcgs, 545 600,00 € in 2011). CONCLUSIONS: This study proved high economic burden and continually rising amount of expenditures on antineoplastic agents, used also in treatment of NSCLC

Conference/Value in Health Info

2012-11, ISPOR Europe 2012, Berlin, Germany

Value in Health, Vol. 15, No. 7 (November 2012)

Code

PCN133

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Prescribing Behavior

Disease

Oncology

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