Publications by authors named "E K Manders"

Background: The combination of high prices and uncertain effectiveness is a growing challenge in the field of orphan medicines, hampering health technology assessments. Hence, new methods for establishing price benchmarks might be necessary to support reimbursement negotiations. In this study, we applied several pricing models containing cost-based elements to the case of lumasiran for treating primary hyperoxaluria type 1.

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Access to new medicines is crucial for patients but increasingly sparks discussion due to high prices. Simultaneously, the growing emphasis on specialized products and uncertainty surrounding the long-term effectiveness of new drug classes brought to the market underscore the need for innovative pricing approaches. A systematic literature review of pharmaceutical pricing models, accompanied by a critical appraisal, was conducted to offer insights contributing to novel approaches balancing sustainable pharmaceutical innovation with affordability and accessibility for patients.

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Article Synopsis
  • Potato seed tubers carry soil-borne microbes that can impact the following season's plants, and this study explored how these microbial communities are passed from seed tubers to the new plants.
  • Researchers found that the production field and potato genotype significantly influenced the microbiome's composition, which remained distinguishable even after winter storage, although there was minimal vertical transmission of field-specific microbes (less than 0.2%) to the new plants.
  • The study concluded that the original microbiome of seed tubers plays a critical role in the health of subsequent plants, indicating that these microbial communities deserve more attention in agricultural practices.
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Hypertrophic cardiomyopathy (HCM) is frequently caused by mutations in the cardiac myosin binding protein-C (cMyBP-C) encoding gene MYBPC3. In the Netherlands, approximately 25% of patients carry the MYBPC3 founder mutation. Most patients are heterozygous (MYBPC3) and have highly variable phenotypic expression, whereas homozygous (MYBPC3) patients have severe HCM at a young age.

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