ASH Clinical News ACN_4.1_FULL_ISSUE_DIGITAL | Page 32

Data Stream Pharmaceutical Scofflaw One deterrent to skyrocketing drug prices is competition: With more products vying for market share, manufacturers should need to lower prices to stay competitive. But, a recent analysis of average sales prices of injectable anti-cancer drugs shows that drug pricing doesn’t follow the laws of economics. Between 1996 and 2012, prices of 24 U.S. Food and Drug Administration (FDA)-approved patented anti-cancer drugs changed by +18%. All but one drug had a price increase – and drug prices rose by up to 59%. The True Cost of the Opioid Epidemic A 2017 report from the White House Council of Economic Advisers estimates that the cost of the U.S. opioid epidemic is much higher than previously thought. Accounting for costs attributed to health care, criminal justice spending, illicit opioid use (including heroin), and lost productivity, the “true cost” of the crisis in 2015 was $504 billion. Prices were unaffected by new supplemental ap- provals by the FDA, new off-label indications, or new competition, the researchers concluded. The figure is more than 6 times the most recent estimate ($78.5 billion in 2013). Source: Gordon N, Stemmer SM, Greenberg D, Goldstein DA. Tra- jectories of injectable cancer drug costs after launch in the United States. J Clin Oncol. 2017 October 10. [Epub ahead of print] “Previous estimates of the economic cost of the opioid crisis greatly underestimate it by undervaluing the most important component of the loss – fatalities resulting from overdoses,” the report said. Source: White House Council of Economic Advisers, “The Underestimated Cost of the Opioid Crisis, November 2017.” The Pressure Builds The American Heart Association (AHA) recently revised the definition of hyperten- sion – lowering the threshold from 140/90 mmHg to 130/80 mmHg – meaning that many more U.S. adults will now be classi- fied as having high blood pressure. 50% 30% According to the AHA, the revised definition means: 20% The guideline is designed to help people take steps to control their blood pressure earlier, according to the authors. 10% Source: American Heart Association news release, November 13, 2017. 30 ASH Clinical News 46% 40% 32% 30% 19% 0% 11% 140/90 mmHg 130/80 mmHg The number of U.S. adults identified as hypertensive will increase 14%, from 32% to 46%. 140/90 mmHg 10% 130/80 mmHg The number of hypertensive men aged 20-44 years will triple, from 11% to 30%. 140/90 mmHg 130/80 mmHg The number of hypertensive women aged 20-44 years will nearly double, from 10% to 19%. January 2018