COST-EFFECTIVENESS ANALYSIS OF HIGH-DOSE LEVOFLOXACIN THERAPY OF PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA

Author(s)

Zaytsev A1, Makarevich A2
1The Main Military Clinical Burdenko Hospital, Moscow, Russia, 2The 301 Military Clinical Hospital, Khabarovsk, Russia

OBJECTIVES Study of clinical efficacy, tolerance and economic indicators of treatment of non-severe CAP by (5-day) course of levofloxacin 750 mg/day vs. the standard administration of levofloxacin  500 mg/day METHODS The research included 64 patients having non-severe CAP with risk factors (administration of antibiotics during the preceding 3 months, concomitant diseases), all of them being males. The patients were randomized into 2 groups; the 1st group received high-dose therapy of levofloxacin, 750 mg/day within 5 days (Remedia, Simpex-Pharma,India).  2nd group recieved levofloxacin 500 mg/day for 7-10 days (Tavanic®, Sanofi-Winthrop Ind.). Efficacy and safety were assessed in terms of comprehensive analysis of clinical, laboratory and radiological data. For economic analysis, direct medical costs and “costs-efficacy” ratios (CER) were calculated. RESULTS First group included 32 patients with average age 22.7±1.8 years. Second group  consisted of 32 patients with average  21.8±6 years. Clinical efficacy of high-dose levofloxacin therapy  amounted to 96.9%. Average duration of antibiotic treatment was 5.2±0.9 days..Standard regime by levofloxacin was efficient in 100% of cases. Radiological resolution was identical in both groups .Transient increase of hepatic transaminase activity was present in 3 patients (9.4%). In standard group , this adverse event was present in 4 patients (12.5%). Average treatment cost by levofloxacin 750 mg/day amounted to 13.3±6.2 euros (CERLEVO-750=13.7); cost of the standard therapy was 27.2±4.9 euros (CERLEVO-750=27.2). CONCLUSIONS Therefore, in terms of clinical efficacy and safety, the high-dose therapy (750 mg/day) by levofloxacin, in brief course of treatment of patients having non-severe CAP, is comparable with the standard regime of treatment (levofloxacin 500 mg/day for 7 to 10 days);and, is more efficient in economic terms.

Conference/Value in Health Info

2014-11, ISPOR Europe 2014, Amsterdam, The Netherlands

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PRS50

Topic

Economic Evaluation

Topic Subcategory

Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Respiratory-Related Disorders

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