The European Federation of Crohn’s and Ulcerative Colitis Associations (EFCCA), an umbrella organization that represents 34 patient associations around the world, recently released a report on healthcare inequities among nations and regions. In the report, the EFCCA identified disparities in access to biologics and biosimilars.
The European Federation of Crohn’s and Ulcerative Colitis Associations (EFCCA), an umbrella organization that represents 34 patient associations around the world, recently released a report on healthcare inequities among nations and regions. In the report, the EFCCA identified disparities in access to biologics and biosimilars for the treatment of inflammatory bowel disease (IBD).
To compile the report, EFCCA surveyed 32 national associations about the availability and coverage of biologics and biosimilars in their respective nations. Associations participating in the survey represented Argentina, Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Malta, New Zealand, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, and the United Kingdom.
Responders reported that adalimumab (Humira) is approved to treat IBD diagnoses in all of the participating countries. In addition:
Reference infliximab (Remicade) is also approved to treat IBD in each of the participating countries.
Biosimilar infliximab, Inflectra, was reported as approved to treat IBD in 27 nations (84%).
Interestingly the same molecule, when marketed as Remsima, had differences in availability and coverage compared with the Inflectra-branded biosimilar. Respondents indicated that the Remsima-branded drug was approved for IBD in 25 nations (78%) and was fully covered in 12 nations (48%). However, only 11 nations (44%) reported preconditions for use.
“The outcomes of this survey also show clearly that access to new innovative therapies in different countries is far from equal,” write the report’s authors. “Apart from the differences between countries, there are also regional differences within the same country; these may be due to geographical or economic issues. Although it is understandable that access to health care services…can be very different, it puts patients in highly unequal positions.”
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