Budget impact of sequential treatment with first-line afatinib versus first-line osimertinib in non-small-cell lung cancer patients with common EGFR mutations.


Journal

The European journal of health economics : HEPAC : health economics in prevention and care
ISSN: 1618-7601
Titre abrégé: Eur J Health Econ
Pays: Germany
ID NLM: 101134867

Informations de publication

Date de publication:
Aug 2020
Historique:
received: 06 09 2019
accepted: 03 04 2020
pubmed: 25 4 2020
medline: 17 6 2021
entrez: 25 4 2020
Statut: ppublish

Résumé

The therapeutic landscape for non-small-cell lung cancer (NSCLC) patients that have common epidermal growth factor receptor (EGFR) mutations has changed radically in the last decade. The availability of these treatment options has an economic impact, therefore a budget impact analysis was performed. A budget impact analysis was conducted from a Dutch healthcare perspective over a 5-year time horizon in EGFR-mutant NSCLC patients receiving first-line afatinib (Gilotrif Sequential treatment with afatinib versus first-line treatment with osimertinib showed mean total time on treatment (ToT) of 29.1 months versus 24.7 months, quality-adjusted life months (QALMs) of 20.2 versus 17.4 with mean cost of €108,166 per patient versus €143,251 per patient, respectively. The 5-year total budget impact was €110.4 million for the afatinib sequence versus €158.6 million for the osimertinib sequence, leading to total incremental cost savings of €48.15 million. First-line afatinib treatment in patients with EGFR-mutant NSCLC had a lower financial impact on the Dutch healthcare budget with a higher mean ToT and QALM compared to osimertinib sequential treatment.

Sections du résumé

BACKGROUND BACKGROUND
The therapeutic landscape for non-small-cell lung cancer (NSCLC) patients that have common epidermal growth factor receptor (EGFR) mutations has changed radically in the last decade. The availability of these treatment options has an economic impact, therefore a budget impact analysis was performed.
METHODS METHODS
A budget impact analysis was conducted from a Dutch healthcare perspective over a 5-year time horizon in EGFR-mutant NSCLC patients receiving first-line afatinib (Gilotrif
RESULTS RESULTS
Sequential treatment with afatinib versus first-line treatment with osimertinib showed mean total time on treatment (ToT) of 29.1 months versus 24.7 months, quality-adjusted life months (QALMs) of 20.2 versus 17.4 with mean cost of €108,166 per patient versus €143,251 per patient, respectively. The 5-year total budget impact was €110.4 million for the afatinib sequence versus €158.6 million for the osimertinib sequence, leading to total incremental cost savings of €48.15 million.
CONCLUSIONS CONCLUSIONS
First-line afatinib treatment in patients with EGFR-mutant NSCLC had a lower financial impact on the Dutch healthcare budget with a higher mean ToT and QALM compared to osimertinib sequential treatment.

Identifiants

pubmed: 32328874
doi: 10.1007/s10198-020-01186-9
pii: 10.1007/s10198-020-01186-9
pmc: PMC7366569
doi:

Substances chimiques

Acrylamides 0
Aniline Compounds 0
Antineoplastic Agents 0
osimertinib 3C06JJ0Z2O
Afatinib 41UD74L59M
EGFR protein, human EC 2.7.10.1
ErbB Receptors EC 2.7.10.1

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

931-943

Subventions

Organisme : Boehringer Ingelheim
ID : XXX

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Auteurs

Lotte Westerink (L)

Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. lotte.westerink@ascacademics.com.
Asc Academics Inc., New York, USA. lotte.westerink@ascacademics.com.
, 12 East 49th Street, New York, NY, 10017, USA. lotte.westerink@ascacademics.com.

Jelmer L J Nicolai (JLJ)

Boehringer Ingelheim BV, Alkmaar, The Netherlands.

Carl Samuelsen (C)

Outcomes Analytica AS, Oslo, Norway.

Hans J M Smit (HJM)

Rijnstate Hospital Arnhem, Arnhem, The Netherlands.

Pieter E Postmus (PE)

Department of Pulmonary Diseases, University Medical Centre, Leiden, The Netherlands.

Ingolf Griebsch (I)

Boehringer Ingelheim International GmbH, Ingelheim, Germany.

Maarten J Postma (MJ)

Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Unit of Pharmacotherapy, -Epidemiology and -Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.
Department of Economics, Econometrics and Finance, Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands.

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Classifications MeSH