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Table 1 Overview of value assessment frameworks relevant to OMPs

From: Recommendations from the European Working Group for Value Assessment and Funding Processes in Rare Diseases (ORPH-VAL)

 

Name of framework

Year of publication

Country or region

Description of framework

Number of domains and/or criteria in frameworka

Reference

OMP-specific frameworks

Transparent Value Framework (TVF) by the Working Group on Mechanism of Coordinated Access to Orphan Medicinal. Products (MoCA-OMP)

2012

Europe

Instrument to assist value-based pricing in a transparent way listing important criteria contributing to the value of an OMP.

Semi-quantitative framework for determining the degree to which the individual criteria are met

4 criteria

[25]

Framework by Hughes-Wilson et al.

2012

Europe

Assessment system based on several weighted evaluation criteria and their corresponding potential parameters, which would serve as a tool for Member States, to value an OMP

9 criteria

[26]

Multi-criteria decision analysis (MCDA) Framework by Sussex et al.

2013

Europe

Framework for informing value definition of OMPs and providing an explicit understanding of trade-offs for decisions on their eligibility for funding

2 domains

8 criteria

[21]

MCDA for ranking rare diseases in Russia by Fedyaeva et al.

2014

Russia

MCDA used to estimate relative importance of 16 criteria to rank and prioritise rare diseases

2 domains

16 criteria

[27]

MCDA framework by Schey et al.

2014

Europe

MCDA framework using criteria suggested by Hughes-Wilson et al. A supplementary literature review identified other attributes described in the application of MCDA in rare diseases.

13 criteria

[28]

Decision-making framework by Paulden et al.

2015

Worldwide

Decision factors related to the reimbursement of OMPs were identified in a scoping review and synthesised into a decision-making framework

3 domains

29 criteria

[29]

EVIDEM (EVIdence based Decision-Making) framework by Wagner et al.

2015

Worldwide

Quantitative MCDA framework to address rare disease issues and policies

The framework is regularly updated, the latest version is V3.1

6 domains

15 criteria

[30]

Non-OMP frameworks

Conceptual MCDA framework by Kanavos et al.

2013

N/A

MCDA framework to assess the value of a new drug in a value-based context

4 domains

12 criteria

[31]

MCDA framework in Hungary by Endrei et al.

2014

Hungary

MCDA framework used in the evaluation of medical technologies in hospitals

6 criteria

[32]

Framework by Williams et al.

2014

Case studies from the UK, Germany, Spain to illustrate the MCDA process

Process for using MCDA by a pharmaceutical company to estimate the probability of a positive recommendation for reimbursement for a new drug given drug and environmental attributes

Participants were asked to select up to 10 criteria out of a long list of reimbursement criteria

[33]

MCDA framework in Germany by Wahlster et al.

2015

Germany

Case study exploring the use of an MCDA approach to appraise a pulmonary heart sensor in Germany using the EVIDEM V2.2 framework

Not mentioned (EVIDEM framework V2.2)

[34]

The European Society for Medical Oncology magnitude of Clinical Benefit Scale (ESMO-MCBS)

2015

Europe

Tool to assess the magnitude of clinical benefit for cancer medicines to derive a relative ranking between new treatments

3 to 5 criteria Number of criteria depend on the type of therapy (curative vs palliative)

[35]

The American Society of Clinical Oncology (ASCO) Conceptual Framework

2015

USA

Framework for assessing the value of treatment options and was designed to eventually assist in facilitating shared decision making with patients about clinical benefits.

3 criteria

[36]

  1. aIn given frameworks, individual value criteria have been grouped into domains/broad clusters