当前位置:首页 >英文主页 >中英对照 > 中译版报告详情

艾昆纬:2026肿瘤学HTA决策中真实世界证据的角色演进:机遇与挑战白皮书(中译版)(28页).pdf

上传人: 1****1 编号:1162891 2026-03-23 28页 3.94MB

下载:

1、White PaperThe Evolving Role of Real-World Evidence in Oncology HTA Decision-Making:Opportunities and Challenges TOM NIJHUIS,Principal,Value and Payer Evidence,IQVIA MAX SCHLUETER,Senior Principal,Health Economics/HTA offering,Value and Payer Evidence,IQVIA ANA LISICA,Manager,Strategy Consulting,IQV

2、IATable of contentsIntroduction 1Guidelines for the use of RWE in regulatory decisions 1RWE in HTA decision-making 3RWE and joint clinical assessment 6RWE and international collaborations 6Current challenges around the use of RWE in HTA 7Application of RWE in Oncology 7RWE contribution to HTA outcom

3、es 9Receptiveness to RWE across HTA bodies 11Case studies:Use of RWE as an External Control Arm Libtayo and Ayvakit 12Case study:Use of RWE in Carvykti,Tecvayli and Talvey HTA submissions 15Discussion 18Conclusion 20About the authors 21References 22 |1The use of Real-World Evidence(RWE)as a componen

4、t of Health Technology Assessment(HTA)submissions has seen a marked increase in the last 5 years,reflecting the growing recognition of RWEs potential to enhance the understanding of health interventions in real-world settings,thereby informing more comprehensive and nuanced decision-making.1,2 While

5、 Randomised Controlled Trials(RCTs)remain the gold standard for evidence generation,they can be challenging to conduct in niche oncology populations or in rare tumours and hampered by long timelines required to generate mature overall survival data or variability in Standards of Care(SoC)across mark

6、ets.These limitations underscore the growing importance of RWE in supporting regulatory and HTA decision-making in oncology.This report builds on IQVIAs Institute for Data Science 2022 report on Impact of RWE on HTA decision-making.2 It examines the practical application of RWE in oncology,a therapy

word格式文档无特别注明外均可编辑修改,预览文件经过压缩,下载原文更清晰!
三个皮匠报告文库所有资源均是客户上传分享,仅供网友学习交流,未经上传用户书面授权,请勿作商用。
1. **RWE在HTA中的应用增长**:近5年RWE在HTA提交中显著增加,尤其在肿瘤领域,用于弥补RCT在罕见人群、长期数据及标准治疗差异上的不足。 2. **HTA机构接受度差异**:NICE等成本导向机构更接纳RWE(如Libtayo用于长期OS外推),而G-BA等临床效益导向机构对ECA(外部对照组)方法更严格,仅21%案例贡献积极结果。 3. **关键挑战**:ECA因偏倚风险(如混杂因素、数据缺失)导致45%案例未获积极评价;PRO数据缺失和长期随访不足影响证据可信度。 4. **成功案例**:LocoMMotion等前瞻性研究在Carvykti等HTA中用于间接比较,但需严格方法学(如IPTW、基线数据标准化)以减少偏倚。 5. **建议**:HTD需早期规划RWE,预指定ECA,确保数据完整性与方法透明,并适配各HTA机构要求。
RWE如何助力HTA? 肿瘤RWE应用难点? RWE在HTA中的价值?
客服
商务合作
小程序
服务号
折叠