PMID- 35422192 OWN - NLM STAT- MEDLINE DCOM- 20221010 LR - 20221222 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 63 IP - 9 DP - 2022 Sep TI - Real-world healthcare resource utilization and costs associated with tisagenlecleucel and axicabtagene ciloleucel among patients with diffuse large B-cell lymphoma: an analysis of hospital data in the United States. PG - 2052-2062 LID - 10.1080/10428194.2022.2060503 [doi] AB - This study compared the real-world healthcare resource utilization (HRU), costs, adverse events (AEs), and AE treatments associated with the chimeric antigen receptor T-cell (CAR-T) therapies, tisagenlecleucel (tisa-cel) and axicabtagene ciloleucel (axi-cel), for relapsed/refractory diffuse large B-cell lymphoma (r/r DLBCL). Adults with DLBCL who received tisa-cel or axi-cel were identified in the Premier Healthcare Database (2017-2020). Non-CAR-T costs, HRU, and AE rates during the infusion and follow-up periods were compared between the tisa-cel and axi-cel cohorts. Of 119 patients, 33 received tisa-cel (86% as inpatient infusion) and 86 received axi-cel (100% inpatient). Tisa-cel was associated with significantly shorter mean inpatient length of stay than axi-cel during infusion (11.3 vs. 18.3 days) and follow-up ([monthly] 3.9 vs. 6.9 days). Non-CAR-T costs were significantly lower for tisa-cel compared with axi-cel during infusion ($27594.8 vs. $51378.3) and follow-up ([monthly] $28777.3 vs. $46575.7; both p< .05). Rates of AEs and AE treatments were similar. FAU - Maziarz, Richard T AU - Maziarz RT AD - Center for Hematologic Malignancies, Oregon Health and Science University, Portland, OR, USA. AD - Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA. FAU - Yang, Hongbo AU - Yang H AD - Analysis Group, Inc., Boston, MA, USA. FAU - Liu, Qing AU - Liu Q AD - Analysis Group, Inc., Boston, MA, USA. FAU - Wang, Travis AU - Wang T AD - Analysis Group, Inc., Boston, MA, USA. FAU - Zhao, Jing AU - Zhao J AD - Analysis Group, Inc., Boston, MA, USA. FAU - Lim, Stephen AU - Lim S AD - Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA. FAU - Lee, Soyon AU - Lee S AUID- ORCID: 0000-0002-2059-717X AD - Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA. FAU - Dalal, Anand AU - Dalal A AD - Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA. FAU - Bollu, Vamsi AU - Bollu V AD - Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA. LA - eng PT - Journal Article DEP - 20220414 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Antigens, CD19) RN - 0 (Biological Products) RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Receptors, Chimeric Antigen) RN - Q6C9WHR03O (tisagenlecleucel) RN - U2I8T43Y7R (axicabtagene ciloleucel) SB - IM CIN - Leuk Lymphoma. 2022 Sep;63(9):2019-2020. PMID: 35821624 MH - Adult MH - Antigens, CD19 MH - *Biological Products/therapeutic use MH - Delivery of Health Care MH - Hospitals MH - Humans MH - Immunotherapy, Adoptive/adverse effects MH - *Lymphoma, Large B-Cell, Diffuse/pathology MH - Receptors, Antigen, T-Cell MH - *Receptors, Chimeric Antigen MH - United States/epidemiology OTO - NOTNLM OT - Adverse events OT - axicabtagene ciloleucel OT - diffuse large B-cell lymphoma OT - healthcare costs OT - healthcare resource utilization OT - tisagenlecleucel EDAT- 2022/04/16 06:00 MHDA- 2022/10/12 06:00 CRDT- 2022/04/15 05:19 PHST- 2022/04/16 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] PHST- 2022/04/15 05:19 [entrez] AID - 10.1080/10428194.2022.2060503 [doi] PST - ppublish SO - Leuk Lymphoma. 2022 Sep;63(9):2052-2062. doi: 10.1080/10428194.2022.2060503. Epub 2022 Apr 14.