Publications by authors named "Hongfu Cai"

Background: Urothelial carcinoma is a significant health concern in the United States (US), with high mortality and economic burdens. The CheckMate-901 trial showed promising survival benefits for nivolumab combined with gemcitabine and cisplatin followed by nivolumab maintenance therapy (nivolumab-combination) as first-line treatment of unresectable or metastatic urothelial carcinoma (UC), but its cost-effectiveness is unclear.

Objectives: This study aimed to evaluate the cost-effectiveness of the nivolumab-combination versus standard chemotherapy (gemcitabine-cisplatin) for advanced UC from the perspective of healthcare payers in the US.

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Aim: The objective of this research is to assess the cost-effectiveness of combining camrelizumab with rivoceranib in comparison to sorafenib as first-line therapeutic options for advanced hepatocellular carcinoma from the Chinese medical system perspective.

Methods: A partitioned survival model was employed to perform a comprehensive cost-effectiveness analysis. This analysis incorporated multiple factors, such as treatment effectiveness, adverse events and costs, all of which were derived from data obtained from the CARES-310 trial.

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Aim: The objective of this study is to conduct a cost-effectiveness analysis in order to evaluate the economic advantages of incorporating atezolizumab into a standard bevacizumab plus platinum regimen for the treatment of metastatic cervical cancer from the Chinese medical system perspective.

Method: We developed a partitioned survival model based on data obtained from the recently published BEATcc clinical trial and economic cost data. Our model utilized a tree-based decision analysis approach to simulate two different treatment strategies for metastatic cervical cancer: the standard bevacizumab plus platinum regimen, and the addition of atezolizumab to the standard treatment regimen.

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Background: Third molar surgery often results in postoperative complications such as pain, trismus, and facial swelling due to surgical trauma. Concentrated Growth Factor (CGF), a third-generation platelet concentrate, is believed to enhance wound healing due to its rich content of growth factors and fibrin.

Methods: This systematic review followed PRISMA guidelines and included a search of PubMed, Embase, and Cochrane Library up to April 18, 2024.

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Article Synopsis
  • This study evaluates the cost-effectiveness of adding toripalimab to chemotherapy for patients with metastatic triple-negative breast cancer (mTNBC) in China.
  • A model was created to compare costs and health outcomes, finding that the toripalimab group incurred a total cost of $38,040.62 with an increase of 0.74 quality-adjusted life-years (QALYs) compared to the chemotherapy-only group.
  • The incremental cost-effectiveness ratio (ICER) for this combination therapy was $16,133.18 per QALY, indicating it is a cost-effective approach based on the defined willingness-to-pay threshold.
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  • Chronic hepatitis B (CHB) is a global infectious disease caused by the hepatitis B virus, and researchers are investigating how to improve treatment strategies for better outcomes.
  • This study systematically reviews the functional cure rates of a combination therapy involving nucleos(t)ide analogs (NAs) and pegylated interferon α (PEG-IFNα) against using PEG-IFNα alone for treating CHB.
  • The analysis of 10 randomized controlled trials with 2,339 patients shows no significant difference in outcomes between the two treatment approaches, suggesting that the combined therapy is not more effective than monotherapy in achieving HBsAg loss or seroconversion.
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Background: This study aims to systematically analyze the cost-effectiveness of the combination therapy comprising sugemalimab and chemotherapy in the management of advanced ESCC from the Chinese healthcare system perspective.

Methods: An advanced ESCC patient simulation partitioned survival approach model was developed to mimic the disease progression of patients undergoing treatment with sugemalimab in combination with chemotherapy chemotherapy alone. To ensure accuracy and precision, clinical data, treatment costs, and utility values were collected from comprehensive clinical trials and reliable economic databases.

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Objective: This study aims to conduct a cost-effectiveness analysis of pembrolizumab in combination with chemotherapy for HER2-negative advanced gastric cancer in China.

Methods: A partitioned survival approach model was constructed to simulate the progression of HER2-negative advanced gastric cancer and evaluate the outcomes of different treatment strategies. We calculated incremental cost-effectiveness ratios (ICER) to assess the cost associated with each quality-adjusted life-year (QALY) gained.

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  • The study compares the cost-effectiveness of two treatments for advanced liver cancer: tislelizumab and sorafenib in China.
  • A cost-effectiveness analysis using a partitioned survival model found that tislelizumab costs $16,181.24 with a gain of 0.18 quality-adjusted life years (QALYs), while sorafenib costs $14,306.87.
  • The incremental cost-effectiveness ratio (ICER) for tislelizumab is $10,413.17 per QALY, which is below the willingness-to-pay threshold, indicating it is a cost-effective option compared to sorafenib.
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Background: Serplulimab has shown promising results in the treatment of extensive-stage small cell lung cancer (ES-SCLC). This study aimed to evaluate the cost-effectiveness of serplulimab combination therapy compared to chemotherapy alone in patients with ES-SCLC from the Chinese healthcare system perspective.

Methods: A partitioned survival model was developed to simulate the costs and outcomes of patients receiving serplulimab combination therapy or chemotherapy alone over a time horizon of 10 years.

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  • This study assessed the cost-effectiveness of elacestrant (ELA) versus standard-of-care (SOC) for advanced or metastatic breast cancer in the US, examining patients who had already received treatment.
  • The analysis used a 10-year health outcomes model and incorporated data from a clinical trial, adjusting for costs and health utilities impacting quality-adjusted life years (QALYs).
  • Results showed ELA had significantly high costs per QALY gained, exceeding the typical willingness-to-pay threshold, indicating that it is not cost-effective compared to SOC for this patient population.
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Objective: The objective of this study was to evaluate the cost-effectiveness of durvalumab in combination with chemotherapy compared with chemotherapy alone as first-line therapy for metastatic non-small-cell lung cancer (NSCLC) from the perspective of the US payer.

Methods: Based on the POSEIDON clinical trial, a partition survival model was developed to compare the cost-effectiveness of durvalumab in combination with chemotherapy versus chemotherapy alone for the first-line treatment of metastatic NSCLC. The model's primary outcomes were costs, life years (LYs), quality-adjusted LYs (QALYs) and the incremental cost-effectiveness ratio (ICER).

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Objectives: This study aims to conduct a cost-effectiveness analysis of trastuzumab deruxtecan versus chemotherapy for HER2-positive metastatic breast cancer from the perspective of the Chinese healthcare system.

Methods: A three-state partitioned survival model was constructed to simulate the treatment. The analysis yielded information on the costs, quality-adjusted life years (QALYs), and incremental cost-effectiveness ratio (ICER).

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  • The study evaluates the cost-effectiveness of adding tislelizumab to standard chemotherapy for treating advanced esophageal squamous cell carcinoma (ESCC) in China.
  • A model over 10 years showed that combining tislelizumab and chemotherapy increases quality-adjusted life years (QALY) by 0.328 at an additional cost of approximately $9,834.
  • The resulting incremental cost-effectiveness ratio of about $29,981 per QALY gained is below China's willingness-to-pay threshold, suggesting tislelizumab may be a cost-effective treatment option.
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Objective: Cemiplimab combined with chemotherapy has emerged as a promising treatment option for advanced non-small cell lung cancer (NSCLC). Accordingly, this study has been conducted to evaluate the cost-effectiveness of this combination therapy in comparison to chemotherapy alone from the perspective of the United States healthcare system.

Methods: The present study is based on a partitioned survival model developed from clinical data obtained during the 2-year follow-up of the phase III EMPOWER-Lung 3 part 2 trial.

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Objective: The objective of this study is to evaluate the cost-effectiveness of adding pembrolizumab to the standard first-line therapy of advanced biliary tract cancer (BTC) with gemcitabine and cisplatin from the perspective of the Chinese healthcare system.

Methods: The partitioned survival model developed from clinical data obtained in The KEYNOTE-966 trial served as the basis for a simulation in the TreeAge Pro 2011 software. The objective of the research was to estimate the 10-year life expectancy and total healthcare costs of patients with BTC, utilizing primary outcomes that evaluated costs, quality-adjusted life years (QALYs), and incremental cost-effectiveness ratio (ICER).

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To evaluate the cost-effectiveness of serplulimab as first-line treatment for patients with advanced esophageal squamous cell carcinoma from the perspective of the Chinese healthcare system. A partitioned survival model was created to evaluate costs and health outcomes. The model's robustness was evaluated using one-way and probabilistic sensitivity analyses.

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Background: Axicabtagene ciloleucel (Axi-cel) is the first Chimeric Antigen Receptor T-Cell Immunotherapy (CAR-T) product approved in China for treating adult patients with relapsed or refractory large B-cell lymphoma after receiving second-line or above systemic therapy. However, it cannot be widely used in clinical practice due to its high price.

Objectives: To evaluate the economic value of Axi-cel fully in countries at different stages of economic development, this article, from the perspective of the medical and health system in China and the United States, evaluated the cost-effectiveness of Axi-cel in the second-line treatment of diffuse large B-cell lymphoma (DLBCL).

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Background: The CheckMate-649 trial compared nivolumab plus chemotherapy (NC) with chemotherapy alone as first-line treatment for advanced gastric cancer (GC), gastroesophageal junction cancer (GEJC), and esophageal adenocarcinoma (EAC) and showed significant benefits to progression-free survival and overall survival. This study evaluated the lifetime cost-effectiveness of NC chemotherapy alone in patients with GC/GEJC/EAC from the perspective of the US payers.

Methods: A 10-year partitioned survival model was constructed to evaluate the cost-effectiveness of NC and chemotherapy alone and measured the health achievements in quality-adjusted life-years (QALYs), incremental cost-effectiveness ratios (ICERs), and life-years.

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Article Synopsis
  • This study aimed to evaluate the cost-effectiveness of toripalimab compared to chemotherapy for treating advanced esophageal squamous cell carcinoma (ESCC) in China.
  • A partitioned survival model was utilized, using data from clinical trials and local health expenditures to assess the economic and health outcomes.
  • Results indicated toripalimab had a higher cost but provided additional health benefits, making it a cost-effective option according to China's willingness-to-pay threshold.
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  • This study evaluates the effectiveness and cost of toripalimab combined with chemotherapy versus chemotherapy alone for advanced nonsquamous non-small cell lung cancer (NSCLC) in China.
  • A Markov model was created to analyze quality-adjusted life years (QALYs) and costs based on clinical trial data and regional healthcare resources.
  • Results indicate that toripalimab plus chemotherapy is cost-effective, with an incremental cost of about $16,214 and an ICER of $21,057 per QALY, well below China's willingness to pay threshold of around $37,663, suggesting it's a viable treatment option.
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Objective: To evaluate the cost-effectiveness of adding pembrolizumab to various therapy combinations in patients with recurrent or metastatic cervical cancer from the Chinese perspective.

Materials And Methods: The clinical data for our model was taken from the KEYNOTE-826 trial. The direct costs and utilities were collected from local price databases or previously published literature.

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What Is Known And Objective: The role of rituximab in the first-line treatment of low-tumour-burden follicular lymphoma (LTB-FL) has been supported by a large number of data. However, whether rituximab biosimilars have the same efficacy and safety as the reference drug (MabThera) is still controversial.

Methods: Electronic databases and the ClinicalTrail.

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Introduction: The role of bevacizumab combined with paclitaxel and carboplatin in the first-line treatment of advanced non-squamous non-small-cell lung cancer (NSCLC) has been supported by a large number of data. However, whether bevacizumab biosimilars have the same efficacy and safety as the original drug is still controversial. This meta-analysis was designed to evaluate whether bevacizumab biosimilars have the same clinical efficacy and safety as the original drug in patients with advanced non-squamous NSCLC.

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This study aimed to evaluate the cost-effectiveness of lenvatinib plus pembrolizumab (LP) vs. chemotherapy for patients with previously treated mismatch repair proficient advanced endometrial cancer in China. A lifetime of partitioned survival Markov was used to evaluate the overall lifetime, total costs, quality adjusted life years (QALYs), and incremental cost effectiveness ratio (ICER) across a 10-years time horizon in the study 309-KEYNOTE-775 clinical trial.

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