TO EVALUATE THE COST-EFFECTIVENESS OF BRENTUXIMAB VEDOTIN IN PATIENTS WITH RELAPSED/REFRACTORY HODGKIN LYMPHOMA WHO HAVE RECEIVED CHEMOTHERAPY/ CHEMOTHERAPY WITH STEM CELL TRANSPLANTATION AS FIRST LINE THERAPY FROM A US HEALTHCARE PERSPECTI ...

Author(s)

Patidar M, Campbell JD
University of Colorado Denver, Aurora, CO, USA

OBJECTIVES: To evaluate the cost-effectiveness of brentuximab vedotin in patients with relapsed/refractory Hodgkin Lymphoma as compared to Chemotherapy/Chemotherapy with stem cell transplantation as first line therapy from a US healthcare perspective. METHODS:  An Excel based Markov model was developed with three health states to follow the clinical end points reported in the AETHERA clinical trial. Health states included were Progression free survival, Progressed disease and Death. Progressed disease was defined as disease that progressed with time in scope and/or severity. Brentuximab vedotin was compared with the first line treatments like chemotherapy or chemotherapy with stem cell transplantation. The model outcomes were quality-adjusted life years (QALYs) and incremental cost per QALY. Model inputs such as transition probabilities, cost of drug and procedures, resource utilization and utilities of each health states were used from previously published literature. Due to short follow-up of patients in the trial, an extrapolation was assumed by holding fixed the relative rates observed in the trial to observed overall survival and progression free survival for a life time horizon. Deterministic and probabilistic sensitivity analysis was performed in the end to assess the effect of uncertainties in the model.
RESULTS:  In the base case analysis, the QALYs gained with brentuximab vedotin as compared to standard of care was 0.31 and incremental cost was $26,000. The incremental cost-effectiveness ratio for the base-case was $80,345/QALY gained. The probabilistic sensitivity analysis yielded incremental cost-effectiveness ratios in the range of $55000 – 111000/QALY. CONCLUSIONS:  The brentuximab vedotin cost-effectiveness findings appear to be in-line with or more favorable than many other newly approved anti-cancer therapies. At a willingness-to-pay of $100,000/QALY, brentuximab vedotin was found to be cost-effective more than 50% of the time.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PHS68

Topic

Economic Evaluation

Topic Subcategory

Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Oncology

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