Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)

Background: Activated phosphoinositide 3-kinase (PI3K) δ Syndrome (APDS) is an ultra-rare, potentially life-threatening disease that lacks approved treatments in Spain. This study aimed to apply Multi-Criteria Decision Analysis (MCDA) to assess the value of the first pharmacological treatment for AP...

Full description

Saved in:
Bibliographic Details
Main Authors: María Reyes Abad, Carmen Alerany, Luis Ignacio Gonzalez, Olaf Neth, Concepción Payares-Herrera, Carlos Rodríguez-Gallego, Jose Luis Trillo, Kirsten H. Herrmann, Raquel Figueiredo, Alicia Gil
Format: Article
Language:English
Published: AboutScience Srl 2025-01-01
Series:Global & Regional Health Technology Assessment
Subjects:
Online Access:https://journals.aboutscience.eu/index.php/grhta/article/view/3199
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832583440119103488
author María Reyes Abad
Carmen Alerany
Luis Ignacio Gonzalez
Olaf Neth
Concepción Payares-Herrera
Carlos Rodríguez-Gallego
Jose Luis Trillo
Kirsten H. Herrmann
Raquel Figueiredo
Alicia Gil
author_facet María Reyes Abad
Carmen Alerany
Luis Ignacio Gonzalez
Olaf Neth
Concepción Payares-Herrera
Carlos Rodríguez-Gallego
Jose Luis Trillo
Kirsten H. Herrmann
Raquel Figueiredo
Alicia Gil
author_sort María Reyes Abad
collection DOAJ
description Background: Activated phosphoinositide 3-kinase (PI3K) δ Syndrome (APDS) is an ultra-rare, potentially life-threatening disease that lacks approved treatments in Spain. This study aimed to apply Multi-Criteria Decision Analysis (MCDA) to assess the value of the first pharmacological treatment for APDS in Spain. Methods: A multidisciplinary group of 8 experts evaluated the selective PI3Kδ inhibitor leniolisib against Standard of Care (SoC). An MCDA framework tailored for Orphan Drugs (ODs), consisting of 5 comparative and 2 quantitative non-comparative criteria, was used. Re-scoring followed a group discussion. Results: Leniolisib scored higher than SoC in all criteria, including efficacy and safety. It was deemed highly valuable as the first disease-modifying treatment, with a positive therapeutic impact and potential to improve patients’ quality of life. Additionally, leniolisib may lead to cost savings. The supporting data was considered of high quality. Conclusion: Based on MCDA methodology and stakeholder experience in APDS management, leniolisib is seen as a value-added treatment option compared to SoC in Spain.
format Article
id doaj-art-e27430184e10473fa3d551348664652e
institution Kabale University
issn 2284-2403
2283-5733
language English
publishDate 2025-01-01
publisher AboutScience Srl
record_format Article
series Global & Regional Health Technology Assessment
spelling doaj-art-e27430184e10473fa3d551348664652e2025-01-28T14:04:08ZengAboutScience SrlGlobal & Regional Health Technology Assessment2284-24032283-57332025-01-0112110.33393/grhta.2025.3199Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)María Reyes Abad0Carmen Alerany1Luis Ignacio Gonzalez2Olaf Neth3Concepción Payares-Herrera4Carlos Rodríguez-Gallego5Jose Luis Trillo6Kirsten H. Herrmann7Raquel Figueiredo8Alicia Gil9Pharmacy Department, H.U. Miguel Servet, Zaragoza - SpainPharmacy Department, H.U. Vall d’ Hebron, Barcelona - SpainImmunodeficiencies Unit H.U. 12 de Octubre, Madrid - SpainPaediatric Infectious Diseases, Rheumatology and Immunology Unit H.U. Virgen del Rocío, Seville - SpainClinical Pharmacology Department H.U. Puerta del Hierro, Majadahonda (Madrid) -SpainDepartment of Immunology, University Hospital of Gran Canaria Dr Negrin, Las Palmas de Gran Canaria, Spain; Department of Medical and Surgical Sciences, School of Medicine, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain; Department of Clinical Sciences, University Fernando Pessoa Canarias, Las Palmas de Gran Canaria - SpainClinical Department of Malvarrosa, Valencia - SpainPharming Technologies B.V., Leiden - The NetherlandsPharming Technologies B.V., Leiden - The NetherlandsOmakase Consulting S.L., Barcelona - SpainBackground: Activated phosphoinositide 3-kinase (PI3K) δ Syndrome (APDS) is an ultra-rare, potentially life-threatening disease that lacks approved treatments in Spain. This study aimed to apply Multi-Criteria Decision Analysis (MCDA) to assess the value of the first pharmacological treatment for APDS in Spain. Methods: A multidisciplinary group of 8 experts evaluated the selective PI3Kδ inhibitor leniolisib against Standard of Care (SoC). An MCDA framework tailored for Orphan Drugs (ODs), consisting of 5 comparative and 2 quantitative non-comparative criteria, was used. Re-scoring followed a group discussion. Results: Leniolisib scored higher than SoC in all criteria, including efficacy and safety. It was deemed highly valuable as the first disease-modifying treatment, with a positive therapeutic impact and potential to improve patients’ quality of life. Additionally, leniolisib may lead to cost savings. The supporting data was considered of high quality. Conclusion: Based on MCDA methodology and stakeholder experience in APDS management, leniolisib is seen as a value-added treatment option compared to SoC in Spain. https://journals.aboutscience.eu/index.php/grhta/article/view/3199Activated phosphoinositide 3-kinase (PI3K) δ Syndrome (APDS)Decision-makingMulti-criteria Decision Analysis (MCDA)Ultra-rare disease, leniolisib
spellingShingle María Reyes Abad
Carmen Alerany
Luis Ignacio Gonzalez
Olaf Neth
Concepción Payares-Herrera
Carlos Rodríguez-Gallego
Jose Luis Trillo
Kirsten H. Herrmann
Raquel Figueiredo
Alicia Gil
Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)
Global & Regional Health Technology Assessment
Activated phosphoinositide 3-kinase (PI3K) δ Syndrome (APDS)
Decision-making
Multi-criteria Decision Analysis (MCDA)
Ultra-rare disease, leniolisib
title Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)
title_full Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)
title_fullStr Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)
title_full_unstemmed Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)
title_short Value contribution of leniolisib in the Treatment of Activated PI3Kδ syndrome (APDS) in Spain using Multi-Criteria Decision Analysis (MCDA)
title_sort value contribution of leniolisib in the treatment of activated pi3kδ syndrome apds in spain using multi criteria decision analysis mcda
topic Activated phosphoinositide 3-kinase (PI3K) δ Syndrome (APDS)
Decision-making
Multi-criteria Decision Analysis (MCDA)
Ultra-rare disease, leniolisib
url https://journals.aboutscience.eu/index.php/grhta/article/view/3199
work_keys_str_mv AT mariareyesabad valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT carmenalerany valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT luisignaciogonzalez valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT olafneth valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT concepcionpayaresherrera valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT carlosrodriguezgallego valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT joseluistrillo valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT kirstenhherrmann valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT raquelfigueiredo valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda
AT aliciagil valuecontributionofleniolisibinthetreatmentofactivatedpi3kdsyndromeapdsinspainusingmulticriteriadecisionanalysismcda