Abstract
Objecktive . To conduct a comparative pharmacoeconomic analysis of using nivolumab (Opdivo®) as monotherapy in advanced renal cell carcinoma (RCC) in adult patients 2-line therapy. Materials and methods . “Cost–effectiveness” was assessed using a Markov model for one patient with advanced RCC. “Cost–effectiveness” analysis, “cost–utility” analysis “budget impact” analysis were performed. Overall survival and QALYs were included into the model as the effectiveness criteria. All the direct costs were calculated from the Russian healthcare system perspective. Results . Treatment with nivolumab was associated with lower total direct costs, less frequent adverse events compared with the combination lenvatinib + everolimus. Total costs per patient were 2 451 712 rubles and 5232592 rubles for nivolumab and the combination lenvatinib + everolimus, respectively. The incremental “cost–effectiveness” ratio was 5 561760 rubles per life-months gained and 2339823 rubles per quality-adjusted life month. A sensitivity analysis confirmed the base case results. “Budget impact” analysis showed that the using of nivolumab allows to save budget costs and to treat additional 198 patients without spending healthcare resources. Conclusion . The results of the study showed that using nivolumab (Opdivo®) as monotherapy in advanced RCC in adult patients as 2-line therapy is clinically effective and “cost–effective” method of treatment of adult patients with RCC in theRussian Federation.
Highlights
Затраты на контроль за терапией и лечения развившихся побочных эффектов рассчитывали на основании тарифов обязательного медицинского страхования согласно Тарифному соглашению на оплату медицинской помощи, оказываемой по территориальной программе обязательного медицинского страхования г
Анализ «влияние на бюджет» показал, что применение в течение 1 года препарата ниволумаб в качестве монотерапии почечно-клеточного рака (ПКР) у взрослых пациентов после предшествующей системной терапии является наиболее экономически целесообразной технологией, что позволяет при использовании ниволумаба вместо комбинации ленватиниб + эверолимус пролечить дополнительно 198 пациентов в рамках исследуемой когорты
Treatment with nivolumab was associated with lower total direct costs, less frequent adverse events compared with the combination lenvatinib + everolimus
Summary
1–4 нед ежедневно 1 раз в день, затем 2 нед перерыв 1 dose daily for 1–4 weeks, a break for 2 weeks. До прогрессирования или до развития неприемлемой токсичности. 1,5–2,0 мес Until progression or unacceptable toxicity. Evaluation of therapy efficacy every 1.5-2 months
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