Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands

With the increasing pipeline of cell and gene therapies (CGTs) and the expected surge in the number of approvals, understanding the market access landscape becomes crucial for timely patient access. This study evaluates the challenges Dutch stakeholders encounter in CGT market access, offering insig...

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Main Authors: Rimma Velikanova, Sharon Wolters, Hinko S. Hofstra, Maarten J. Postma, Cornelis Boersma
Format: Article
Language:English
Published: MDPI AG 2024-07-01
Series:Journal of Market Access & Health Policy
Subjects:
Online Access:https://www.mdpi.com/2001-6689/12/3/15
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author Rimma Velikanova
Sharon Wolters
Hinko S. Hofstra
Maarten J. Postma
Cornelis Boersma
author_facet Rimma Velikanova
Sharon Wolters
Hinko S. Hofstra
Maarten J. Postma
Cornelis Boersma
author_sort Rimma Velikanova
collection DOAJ
description With the increasing pipeline of cell and gene therapies (CGTs) and the expected surge in the number of approvals, understanding the market access landscape becomes crucial for timely patient access. This study evaluates the challenges Dutch stakeholders encounter in CGT market access, offering insights for improving time-to-patient access. A traditional literature review was conducted to identify market access challenges and solutions for CGTs. Based on the findings, participants for semi-structured interviews, designed using an interview guide adapted to the Dutch context, were selected to capture diverse perspectives on market access. This review included 124 relevant articles out of 2449, covering several aspects of market access of CGTs. Subsequently, interviews with 16 stakeholders from academia, patient advocacy groups, manufacturers, health insurers, payers, hospital pharmacists, healthcare practitioners, and the Association of Innovative Medicines were conducted. Stakeholders identified challenges and proposed solutions for reimbursement package management, clinical trials, health economics, payment models, and procedural and organisational aspects. Thematic analysis revealed unique country-specific challenges and solutions in the Netherlands. This research provides insights into these challenges and potential solutions, emphasising the need for collaborative efforts among stakeholders to develop practical and multidisciplinary measures to improve the market access landscape for CGTs in the country.
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spelling doaj-art-b519cc560e7340159b2d030e294a05c02025-08-20T03:39:22ZengMDPI AGJournal of Market Access & Health Policy2001-66892024-07-0112318119810.3390/jmahp12030015Market Access Challenges and Solutions in Cell and Gene Therapy in The NetherlandsRimma Velikanova0Sharon Wolters1Hinko S. Hofstra2Maarten J. Postma3Cornelis Boersma4Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The NetherlandsDepartment of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The NetherlandsAsc Academics, Hereweg 120, 9725 AK Groningen, The NetherlandsDepartment of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The NetherlandsDepartment of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The NetherlandsWith the increasing pipeline of cell and gene therapies (CGTs) and the expected surge in the number of approvals, understanding the market access landscape becomes crucial for timely patient access. This study evaluates the challenges Dutch stakeholders encounter in CGT market access, offering insights for improving time-to-patient access. A traditional literature review was conducted to identify market access challenges and solutions for CGTs. Based on the findings, participants for semi-structured interviews, designed using an interview guide adapted to the Dutch context, were selected to capture diverse perspectives on market access. This review included 124 relevant articles out of 2449, covering several aspects of market access of CGTs. Subsequently, interviews with 16 stakeholders from academia, patient advocacy groups, manufacturers, health insurers, payers, hospital pharmacists, healthcare practitioners, and the Association of Innovative Medicines were conducted. Stakeholders identified challenges and proposed solutions for reimbursement package management, clinical trials, health economics, payment models, and procedural and organisational aspects. Thematic analysis revealed unique country-specific challenges and solutions in the Netherlands. This research provides insights into these challenges and potential solutions, emphasising the need for collaborative efforts among stakeholders to develop practical and multidisciplinary measures to improve the market access landscape for CGTs in the country.https://www.mdpi.com/2001-6689/12/3/15cell and gene therapiesmarket accesstime-to-patient accesshealth technology assessment (HTA)pharmaceutical policy
spellingShingle Rimma Velikanova
Sharon Wolters
Hinko S. Hofstra
Maarten J. Postma
Cornelis Boersma
Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands
Journal of Market Access & Health Policy
cell and gene therapies
market access
time-to-patient access
health technology assessment (HTA)
pharmaceutical policy
title Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands
title_full Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands
title_fullStr Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands
title_full_unstemmed Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands
title_short Market Access Challenges and Solutions in Cell and Gene Therapy in The Netherlands
title_sort market access challenges and solutions in cell and gene therapy in the netherlands
topic cell and gene therapies
market access
time-to-patient access
health technology assessment (HTA)
pharmaceutical policy
url https://www.mdpi.com/2001-6689/12/3/15
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AT hinkoshofstra marketaccesschallengesandsolutionsincellandgenetherapyinthenetherlands
AT maartenjpostma marketaccesschallengesandsolutionsincellandgenetherapyinthenetherlands
AT cornelisboersma marketaccesschallengesandsolutionsincellandgenetherapyinthenetherlands