PARAMETERIZATION OF A DISEASE PROGRESSION SIMULATION MODEL FOR SEQUENTIALLY TREATED METASTATIC HER2-POSITIVE BREAST CANCER PATIENTS

Author(s)

Ali AA1, Diaby V1, Adunlin G2, Kohn CG3, Montero AJ4
1Florida A & M University, Tallahassee, FL, USA, 2Virginia Commonwealth University, Richmond, VA, USA, 3University of Saint Joseph/Hartford Hospital Evidence-Based Practice Center, Hartford, CT, USA, 4Cleveland Clinic, Cleveland, OH, USA

OBJECTIVES: This study aimed at estimating the probability of switching among lines of treatment(s) for HER2+ metastatic breast cancer (mBC) to better assess the clinical impact of sequential therapy on disease progression.  METHODS: Individual patient data (IPD) were reconstructed for treatment lines composing four treatment sequences. Parametric models were tested to select the model that best fits the IPD. The transitional probability equations, used for disease progression modeling, were obtained by substituting the parameters of the general equation for transitional probabilities by the parameters estimated from fitted distributions.   RESULTS: The log-logistic model best fitted the reconstructed data for progression-free and overall survival curves for each line of treatment. The shapes and scales of the log-logistic models were used to develop the transitional probability equations for the HER2+ mBC simulation model.  CONCLUSIONS: The results of this study can be used as input in model-based economic evaluations of sequential therapy for HER2+ mBC.

Conference/Value in Health Info

2016-05, ISPOR 2016, Washington DC, USA

Value in Health, Vol. 19, No. 3 (May 2016)

Code

PRM98

Topic

Methodological & Statistical Research

Topic Subcategory

Modeling and simulation

Disease

Oncology

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