Desirability and acceptability of a treatment-sequencing model in relapsing-remitting multiple sclerosis: A health technology assessment perspective

Int J Technol Assess Health Care. 2020 Apr;36(2):162-166. doi: 10.1017/S0266462320000112.

Abstract

Objective: Gather health technology assessment (HTA) experts' insights on the desirability and acceptability of treatment-sequencing models applied to relapsing-remitting multiple sclerosis (RRMS).

Data source/study setting: Primary data.

Study design: In-depth double-blind semi-structured telephone interviews.

Data collection/extraction methods: General themes were extracted from qualitative interviews.

Principal findings: Although experts confirmed the importance of evaluating the clinical and cost-effectiveness of treatments as part of a sequence, the current HTA decision making framework is not conducive to this. Developing an RRMS treatment-sequencing model that meets HTA requirements is difficult, in particular due to scarcity of effectiveness data in later treatment lines.

Conclusions: At present, a treatment-sequencing model for RRMS may be desirable yet not requested by HTA bodies for their decision making. However, there could be other areas where a treatment-sequencing model for RRMS is of use.

Keywords: Health technology assessment; Relapsing-remitting multiple sclerosis; Treatment switching; Treatment-sequencing model.

MeSH terms

  • Attitude of Health Personnel
  • Cost-Benefit Analysis / methods*
  • Double-Blind Method
  • Europe
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Interviews as Topic
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Patients / psychology
  • Qualitative Research
  • Technology Assessment, Biomedical / organization & administration*

Substances

  • Immunosuppressive Agents