Literature DB >> 34018458

Postinfusion monitoring costs by site of care for patients with relapsed/refractory large B-cell lymphoma receiving third- or later-line treatment with lisocabtagene maraleucel in the TRANSCEND NHL 001 and OUTREACH trials.

M Lia Palomba1, Monika Parisi Jun2, James Lymp3, Andy Nguyen4, November McGarvey4, Matthew Gitlin4, Corey Pelletier2, Scott J Keating2, John Godwin5.   

Abstract

This retrospective study estimated postinfusion health care resource utilization (HCRU) by site of care among 303 patients with relapsed/refractory large B-cell lymphoma who received third- or later-line treatment with lisocabtagene maraleucel (liso-cel) in the TRANSCEND NHL 001 and OUTREACH trials. Inpatients (n = 256) had higher rates of hospitalization versus outpatients (n = 47; >99% vs 62%), by definition, and higher rates of tocilizumab use for cytokine release syndrome and/or neurological events (22% vs 9%). Rates of intensive care unit admission, corticosteroid use, vasopressor use, hemodialysis, and intubation were generally low and similar between groups. Median (range) total hospital length of stay was 15 (0-88) days (inpatients) and 4 (0-77) days (outpatients). Over 6 months, estimated mean postinfusion cost of care was $89,535 (inpatients) and $36,702 (outpatients). Most costs were incurred in the first month post infusion (inpatients, $50,369 [56%]; outpatients, $19,837 [54%]). Lower overall HCRU was observed with outpatient postinfusion monitoring.

Entities:  

Keywords:  CAR T cell therapy; cost; economic burden; inpatient and/or outpatient monitoring; lisocabtagene maraleucel; resource utilization

Mesh:

Year:  2021        PMID: 34018458      PMCID: PMC9400457          DOI: 10.1080/10428194.2021.1910686

Source DB:  PubMed          Journal:  Leuk Lymphoma        ISSN: 1026-8022


  15 in total

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Journal:  Blood       Date:  2017-08-03       Impact factor: 22.113

2.  A clinical evaluation of the International Lymphoma Study Group classification of non-Hodgkin's lymphoma. The Non-Hodgkin's Lymphoma Classification Project.

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Journal:  Blood       Date:  1997-06-01       Impact factor: 22.113

3.  The Promise and Challenges of CAR-T Gene Therapy.

Authors:  Bridget M Kuehn
Journal:  JAMA       Date:  2017-12-12       Impact factor: 56.272

4.  Axicabtagene Ciloleucel CAR T-Cell Therapy in Refractory Large B-Cell Lymphoma.

Authors:  Sattva S Neelapu; Frederick L Locke; Nancy L Bartlett; Lazaros J Lekakis; David B Miklos; Caron A Jacobson; Ira Braunschweig; Olalekan O Oluwole; Tanya Siddiqi; Yi Lin; John M Timmerman; Patrick J Stiff; Jonathan W Friedberg; Ian W Flinn; Andre Goy; Brian T Hill; Mitchell R Smith; Abhinav Deol; Umar Farooq; Peter McSweeney; Javier Munoz; Irit Avivi; Januario E Castro; Jason R Westin; Julio C Chavez; Armin Ghobadi; Krishna V Komanduri; Ronald Levy; Eric D Jacobsen; Thomas E Witzig; Patrick Reagan; Adrian Bot; John Rossi; Lynn Navale; Yizhou Jiang; Jeff Aycock; Meg Elias; David Chang; Jeff Wiezorek; William Y Go
Journal:  N Engl J Med       Date:  2017-12-10       Impact factor: 91.245

5.  Total Costs of Chimeric Antigen Receptor T-Cell Immunotherapy.

Authors:  Inmaculada Hernandez; Vinay Prasad; Walid F Gellad
Journal:  JAMA Oncol       Date:  2018-07-01       Impact factor: 31.777

Review 6.  Diffuse large B-cell lymphoma-treatment approaches in the molecular era.

Authors:  Mark Roschewski; Louis M Staudt; Wyndham H Wilson
Journal:  Nat Rev Clin Oncol       Date:  2013-11-12       Impact factor: 66.675

7.  Recommended screening and preventive evaluation practices of adult candidates for hematopoietic stem cell transplantation.

Authors:  Roberta Fedele; Nina Salooja; Massimo Martino
Journal:  Expert Opin Biol Ther       Date:  2016-09-02       Impact factor: 4.388

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Authors:  J O Armitage; D D Weisenburger
Journal:  J Clin Oncol       Date:  1998-08       Impact factor: 44.544

9.  Reduced charges and costs associated with outpatient autologous stem cell transplantation.

Authors:  B R Meisenberg; K Ferran; K Hollenbach; T Brehm; J Jollon; L D Piro
Journal:  Bone Marrow Transplant       Date:  1998-05       Impact factor: 5.483

10.  Economic Evaluation of Chimeric Antigen Receptor T-Cell Therapy by Site of Care Among Patients With Relapsed or Refractory Large B-Cell Lymphoma.

Authors:  Gary H Lyman; Andy Nguyen; Sophie Snyder; Matthew Gitlin; Karen C Chung
Journal:  JAMA Netw Open       Date:  2020-04-01
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  1 in total

1.  Relapse Mechanism and Treatment Strategy After Chimeric Antigen Receptor T-Cell Therapy in Treating B-Cell Hematological Malignancies.

Authors:  Danni Xie; Xin Jin; Rui Sun; Meng Zhang; Jiaxi Wang; Xia Xiong; Xiaomei Zhang; Mingfeng Zhao
Journal:  Technol Cancer Res Treat       Date:  2022 Jan-Dec
  1 in total

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