COST-EFFECTIVENESS ANALYSIS OF BRENTUXIMAB VEDOTIN IN ADULTS WITH RELAPSED OR REFRACTORY HODGKIN’S LYMPHOMA

Author(s)

Khachatryan GR1, Fedyaev D1, Avxentyeva M2, Dombrovskiy VS1
1The Russian Presidential Academy of National Economy and Public Administration, Moscow, Russia, 2The Russian Presidential Academy of National Economy and Public Administration, Moscow, Russian Federation

OBJECTIVES:  To perform cost-effectiveness analysis of brentuximab vedotin (BV) in patients with relapsed or refractory CD30-positive Hodgkin’s lymphoma (HL). METHODS:  Markov model developed by BV manufacturer was used to assess cost-effectiveness of BV vs chemotherapy with or without radiotherapy (Ch ± RT) and vs Ch ± RT + allogeneic stem cell transplantation (alloSCT); the latest for patients eligible for alloSCT only. Direct medical costs were calculated from Russian health care system perspective. Incremental cost-effectiveness ratio (ICER) per life year (LY) was calculated for BV vs Ch ± RT and for Ch ± RT + alloSCT vs Ch ± RT. ICER for BV vs other alternatives was compared with ICER for some other drugs already included into the Russian Vital and Essential Drugs List (VEDL). RESULTS:  In patients with relapsed or refractory CD30-positive HL after autologous stem cell transplantation (ASCT) ICER was 86.4 thousands euro per LY for BV vs Ch ± RT and 95.2 thousands euro for Ch ± RT + alloSCT vs Ch ± RT. Nevertheless, the drugs with higher ICER per LY are already included into VEDL: for example bevacizumab and eribulin. The results of the study were converted from rubles to euro using the average weighted exchange rate for 2015 – 66.78 rubles for 1 euro. CONCLUSIONS:  In patients with relapsed or refractory CD30-positive HL after ASCT BV is an appropriate alternative as ICER per LY is lower than for standard treatment Ch ± RT + alloSCT vs Ch ± RT. Also ICER is lower than for other oncologic drugs included into Russian VEDL.

Conference/Value in Health Info

2016-10, ISPOR Europe 2016, Vienna, Austria

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PCN143

Topic

Economic Evaluation

Topic Subcategory

Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Oncology

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