Cost-effectiveness of afatinib and erlotinib as second-line treatments for advanced squamous cell carcinoma of the lung.

Future Oncol

Department of Pharmacy, Medical Decision & Economic Group, Ren Ji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, PR China.

Published: November 2018

Aim: To investigate the cost-effectiveness of afatinib and erlotinib as second-line therapy for advanced squamous cell carcinoma of the lung.

Materials & Methods: A decision-analytic model was developed for projecting the economic outcomes. Clinical parameters and utilities were from the LUX-Lung 8 trial. Costs were mainly estimated from the Chinese health system. The outcome was the incremental cost-effectiveness ratio.

Results: The afatinib strategy generated additional 0.154 quality-adjusted life-years compared with erlotinib, with incremental costs of ¥16,852. Relative to erlotinib, afatinib resulted in an incremental cost-effectiveness ratio of ¥109,429 per quality-adjusted life-year gained. The overall survival time of afatinib had a considerable impact on the model outcomes.

Conclusion: Afatinib is a cost-effective treatment option compared with erlotinib in patients with squamous cell carcinoma.

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Source
http://dx.doi.org/10.2217/fon-2018-0321DOI Listing

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