Drug | Cost/$ | Effectiveness/QALY | Life-year(year) | ICER (VS. BSC) | ICER (VS. TAS-102) |
---|---|---|---|---|---|
Base-case analysis | |||||
BSC | 41,242 | 0.39 | 0.69 | / | / |
TAS-102 | 140,656 | 0.68 | 1.10 | 349,254 | / |
REDo | 177,069 | 0.59 | 0.99 | 682,534 | dominated |
Regorafenib | 218,487 | 0.53 | 0.85 | 1,317,383 | dominated |
Fruquintinib | 334,799 | 0.89 | 1.39 | 588,347 | 905,914 |
TAS-BEV | 320,452 | 1.01 | 1.59 | 451,853 | 539,481 |
Scenario 1: Excluding Asian Trials | |||||
BSC | 41,242 | 0.39 | 0.69 | / | / |
TAS-102 | 117,707 | 0.58 | 0.97 | 404,972 | / |
REDo | 179,312 | 0.62 | 1.04 | 610,787 | 1,654,400 |
Regorafenib | 193,508 | 0.52 | 0.85 | 1,154,533 | dominated |
Fruquintinib | 265,279 | 0.76 | 1.22 | 611,923 | 832,311 |
TAS-BEV | 453,092 | 1.47 | 2.43 | 382,009 | 377,134 |
Scenario 2: Time-invariant HR | |||||
BSC | 41,242 | 0.39 | 0.69 | -- | -- |
TAS-102 | 90,440 | 0.57 | 1.00 | 280,550 | -- |
REDo | 159,849 | 0.84 | 1.51 | 261,924 | 250,152 |
Regorafenib | 120,589 | 0.58 | 1.01 | 418,158 | 2,095,059 |
Fruquintinib | 221,387 | 0.67 | 1.10 | 653,564 | 1,305,919 |
TAS-BEV | 270,568 | 1.11 | 1.85 | 317,885 | 329,875 |
Scenario 3: Allowance for Active Treatment upon Disease Progression | |||||
BSC | 41,242 | 0.39 | 0.69 | / | / |
TAS-102 | 179,335 | 0.68 | 1.10 | 485,140 | -- |
REDo | 204,790 | 0.59 | 0.99 | 821,831 | dominated |
Regorafenib | 222,751 | 0.53 | 0.85 | 1,349,073 | dominated |
Fruquintinib | 367,228 | 0.89 | 1.39 | 653,341 | 876,748 |
TAS-BEV | 333,405 | 1.01 | 1.59 | 472,816 | 462,290 |
Scenario 4: Change utilities | |||||
BSC | 41,242 | 0.45 | 0.69 | / | / |
TAS-102 | 140,656 | 0.76 | 1.10 | 321,344 | / |
REDo | 177,069 | 0.66 | 0.99 | 620,769 | dominated |
Regorafenib | 218,487 | 0.57 | 0.85 | 1,382,855 | dominated |
Fruquintinib | 334,799 | 0.99 | 1.39 | 541,896 | 835,551 |
TAS-BEV | 320,452 | 1.10 | 1.59 | 425,831 | 519,172 |
Scenario 5: Assuming cost of BSC to be 0 | |||||
BSC | 37,423 | 0.39 | 0.69 | / | / |
TAS-102 | 138,077 | 0.68 | 1.10 | 353,613 | / |
REDo | 174,190 | 0.59 | 0.99 | 687,260 | dominated |
Regorafenib | 218,044 | 0.53 | 0.85 | 1,342,479 | dominated |
Fruquintinib | 332,132 | 0.89 | 1.39 | 590,656 | 905,500 |
TAS-BEV | 319,589 | 1.01 | 1.59 | 456,637 | 544,627 |