How do we respond to the threat of multidrug-resistant bacteria? Comparison of antibiotic appraisals from 2016 to 2020 of the French, English, and German HTA agencies
2024

Addressing Multidrug-Resistant Bacteria: A Comparison of Antibiotic Assessments

Sample size: 15 Commentary Evidence: moderate

Author Information

Author(s): Rémy Dumont, Etienne Lengliné, Clara Delorme, Jean-Pierre Bru, Sévérine Ansart, Elisabeth Aslangul, Sophie Kelley, Pierre Cochat, Sylvie Chevret, Thierno Diatta

Primary Institution: Haute Autorité de Santé, Saint-Denis, France

Hypothesis

Transparency on the regulatory appraisals of antibiotics would provide an incentive to pharmaceutical development.

Conclusion

The study shows consistent reimbursement decisions for antibiotics against multidrug-resistant bacteria across different European health technology assessment bodies.

Supporting Evidence

  • TC-HAS recognized a clinical benefit for all evaluated indications.
  • Five antibiotics were recommended for restricted use to protect against resistance emergence.
  • Comparative analysis showed consistent reimbursement decisions across HTA bodies.

Takeaway

This study looks at how different countries decide which new antibiotics to approve and pay for, especially those that fight superbugs.

Methodology

A qualitative analysis of the Transparency Committee of the French National Authority for Health opinions regarding antibiotics assessment between 2016 and 2020 was performed.

Potential Biases

The decisions of HTA bodies may be influenced by the positions of other HTA bodies due to the public availability of opinions.

Limitations

The analysis period was limited to 2016-2020, with only 12 different antibiotics evaluated.

Digital Object Identifier (DOI)

10.1017/S0266462324000552

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