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2016 ; 2
(4
): 151-153
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Managing the dose escalation of biologics in an era of cost containment: the need
for a rational strategy
#MMPMID28492030
Shahwan KT
; Kimball AB
Int J Womens Dermatol
2016[Dec]; 2
(4
): 151-153
PMID28492030
show ga
Although biologic medications have demonstrated great efficacy for the treatment
of psoriasis, a subset of patients fails to respond and others lose response
later in the course. In treating a patient who has failed to respond to biologic
therapy, clinicians must decide between dose escalation, switching biologics, and
adding or switching to a non-biologic systemic drug or phototherapy. Although
dose escalation is perhaps the simplest strategy and generally well-tolerated, it
confers a tremendous cost burden because doubling the dosage is likely to double
the wholesale price. We call for the development of rational strategies for the
pricing of dose escalation in order to minimize this phenomenon. We also call for
increased transparency surrounding negotiated pricing to ensure that all patients
have access to the most effective, affordable treatment options available.