SummaryOn Saturday, December 7, Karl Kilgore discussed “Medicare Patients Receiving Chimeric Antigen Receptor T-Cell Therapy for Non-Hodgkin Lymphoma: A First Real-World Look at Patient Characteristics, Healthcare Utilization and Costs” during a press briefing at the American Society of Hematology’s Annual Meeting.
The objective of the retrospective observational study was to describe the demographic and clinical characteristics of Medicare patients receiving CAR-T therapy, and compare real-world healthcare utilization, costs, and outcomes pre- and post-therapy. The team used the Centers for Medicare and Medicaid Services (CMS) 100% Medicare Fee-for-Service Part A and B claims data, which Avalere accesses through a data use agreement with CMS, representing 207 patients who received CAR-T in 2017 and 2018 with 6 months of data pre and post CAR-T procedure.
Key findings include:
- Median age is 71 and older than previously observed in clinical trial literature
- 51% of patients had 1 or more chronic conditions that, in some cases could have excluded them from clinical trials
- The median length of stay in the hospital for the CAR-T procedure was 17 days
- Patients spent 17% less time in the hospital 6 months post CAR-T procedure compared to the 6 months prior to having it
- Overall healthcare costs, exclusive of the costs associated with the CAR-T procedure itself, were reduced by 39% after CAR-T
- CMS, on average, is reimbursing PPS hospitals treating with CAR T ~$422K and ~$467K in the inpatient and outpatient settings respectively
- Limitations of this study include a relatively small sample of Medicare patients which may not represent other US populations and a relatively short look-back and follow-up period which may be insufficient to fully understand longer term outcomes
Karl Kilgore will be presenting the full research on Monday, December 9, at 2:45 PM ET.
Funding for this research was provided by Gilead Sciences, Inc., and Kite Pharma, Inc.
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