دورية أكاديمية

Cost-effectiveness of once-weekly selinexor, bortezomib, and dexamethasone in relapsed or refractory multiple myeloma.

التفاصيل البيبلوغرافية
العنوان: Cost-effectiveness of once-weekly selinexor, bortezomib, and dexamethasone in relapsed or refractory multiple myeloma.
المؤلفون: Patel, Kishan K., Parker, Terri, Di, Mengyang, Bar, Noffar, Huntington, Scott F., Giri, Smith
المصدر: Leukemia & Lymphoma; Nov 2021, Vol. 62 Issue 11, p2777-2784, 8p
مصطلحات موضوعية: MULTIPLE myeloma, BORTEZOMIB, COST effectiveness, DEXAMETHASONE, MARKOV processes
مصطلحات جغرافية: BOSTON (Mass.)
مستخلص: The BOSTON trial showed that use of once-weekly selinexor, bortezomib, and dexamethasone (SVd) prolonged progression-free survival compared to twice-weekly bortezomib and dexamethasone (Vd) in patients with relapsed or refractory (R/R) multiple myeloma (MM). In this study, we constructed a Markov model to assess the cost-effectiveness of SVd versus Vd in R/R MM. We calculated the incremental cost-effectiveness ratio (ICER) of each treatment strategy from a US payer perspective, using a lifetime horizon and a willingness-to-pay threshold of $150,000 per quality-adjusted life-year (QALY). Use of SVd was associated with an incremental cost of $170,002 compared to Vd alone ($1,015,120 vs. $845,118, respectively), an incremental effectiveness of 0.35 QALYs (3.43 vs. 3.08 QALYs, respectively), and an ICER of $487,361/QALY. These data suggest that use of once-weekly SVd for R/R M/M is unlikely to be cost-effective compared to twice-weekly Vd. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10428194
DOI:10.1080/10428194.2021.1933477