COST-EFFECTIVENESS OF CO-ADMINISTERED BRANDED THERAPIES IN ONCOLOGY- PRICING INSIGHTS FROM AN EARLY ECONOMIC MODEL

Author(s)

Smith NJ1, Cordina G1, Cheynel J2, Blissett D2, Beckerman R1
1CBPartners, New York, NY, USA, 2CBPartners, London, UK

OBJECTIVES: The purpose of this study was to evaluate the maximum cost-effective price (CEP) supported for innovative drugs co-administered with existing branded therapies. METHODS: An early economic model was constructed in Microsoft Excel using a three-state partitioned-survival approach. The intervention arm was assumed to be a hypothetical regimen consisting of an add-on drug and an anchor branded therapy, while the comparator consisted of the anchor therapy; both arms were dosed to progression. Three pricing scenarios were evaluated for the anchor: £1,000/month (low cost), £3,000/month (moderate cost), and £5,000/month (high cost). Other costs were sourced from a literature review; adverse event costs were not included. Progression-free survival (PFS) and overall survival (OS) were modelled assuming an exponential distribution; different median PFS and OS gains were evaluated to determine the maximum cost-effective price permitted for the add-on therapy. The maximum supported price was evaluated at two different willingness-to-pay (WTP) thresholds: £20,000/QALY and £50,000/QALY. All costs and outcomes were discounted at 3.5%. RESULTS: For small gains in OS and PFS (<3 months), the model projects that no CEP for the add-on would be supported at a WTP threshold of £20,000/QALY. When administered with a low-cost anchor, the add-on would be cost-effective at a WTP of £50,000/QALY with a price up to £583/month; when administered with a high-cost therapy, no CEP was supported. In order to support any CEP for the add-on, substantial gains in OS are required: for a PFS gain of 3 months, a gain of 6.9 months for OS would be required at a WTP of £50,000/QALY. CONCLUSIONS: These results demonstrate that new drugs co-administered with anchor branded therapies require substantial OS gains to support cost-effective pricing, as these drugs are dosed to progression. This analysis highlights the utility of early economic models in evaluating potential pricing and HTA barriers early in the development process.

Conference/Value in Health Info

2015-05, ISPOR 2015, Philadelphia, PA, USA

Value in Health, Vol. 18, No. 3 (May 2015)

Code

PCN98

Topic

Economic Evaluation

Topic Subcategory

Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Oncology

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