Humanistic and economic impact of subcutaneous versus intravenous administration of oncology biologics

Future Oncol. 2019 Oct;15(28):3267-3281. doi: 10.2217/fon-2019-0368. Epub 2019 Aug 9.

Abstract

More oncology biologics are becoming available for subcutaneous (sc.) administration and are expected to provide useful therapeutic options. We evaluated evidence published in the past 5 years to assess the humanistic and economic impact of sc. versus intravenous administration of approved cancer therapies and identify outcomes favoring either administration route. These publications focused predominantly on healthcare resource utilization and economic outcomes, demonstrating resource and cost savings with sc. administration. Patients reported a better health-related quality of life and preference for sc. formulations. Time-and-motion study analyses confirmed the convenience of sc. administration. These findings suggest that future availability of sc. oncology biologics, especially anti-PD-1/PD-ligand 1 antibodies due to their increased utility in various malignancies, may be beneficial for patients, healthcare providers and payers.

Keywords: HCRU; HRQoL; biologic; cancer; cost; intravenous; preference; subcutaneous; tolerability.

Publication types

  • Review

MeSH terms

  • Administration, Intravenous
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / economics*
  • Biological Products / administration & dosage
  • Biological Products / economics*
  • Cost-Benefit Analysis*
  • Humans
  • Injections, Subcutaneous
  • Neoplasms / drug therapy*
  • Neoplasms / economics*
  • Neoplasms / pathology
  • Prognosis

Substances

  • Antineoplastic Agents
  • Biological Products