Evidence map›Paper›PMID 25489263›Full record

ArticleCurrent oncology (Toronto, Ont.)2014

Cost-effectiveness of pazopanib in advanced soft-tissue sarcoma in Canada.

T E Delea, J Amdahl, H R Nakhaipour, S C Manson, A Wang, N Fedor, A Chit

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Pazopanib in the management of advanced soft tissue sarcomas.Therapeutics and clinical risk management · 2016
    Review
  5. Article
  6. Pazopanib in advanced soft tissue sarcomas.Signal transduction and targeted therapy
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

T E DeleaPolicy Analysis Inc. ( pai ), Brookline, MA, U.S.A.
J AmdahlPolicy Analysis Inc. ( pai ), Brookline, MA, U.S.A.
H R NakhaipourHealth Outcomes-Oncology, Medical Division, GlaxoSmithKline, Mississauga, ON.
S C MansonGlobal Health Outcomes-Oncology, GlaxoSmith-Kline, Stockley Park, Uxbridge, Middlesex, U.K.
A WangPolicy Analysis Inc. ( pai ), Brookline, MA, U.S.A.
N FedorPolicy Analysis Inc. ( pai ), Brookline, MA, U.S.A.
A ChitHealth Outcomes-Oncology, Medical Division, GlaxoSmithKline, Mississauga, ON. ; University of Toronto, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the phase iii palette trial of pazopanib compared with placebo in patients with advanced or metastatic soft-tissue sarcoma (sts) who had received prior chemotherapy, pazopanib treatment was associated with improved progression-free survival (pfs). We used an economic model and data from palette and other sources to evaluate the cost-effectiveness of pazopanib in patients with advanced sts who had already received chemotherapy.

methodsWe developed a multistate model to estimate expected pfs, overall survival (os), lifetime sts treatment costs, and quality-adjusted life-years (qalys) for patients receiving pazopanib or placebo as second-line therapy for advanced sts. Cost-effectiveness was calculated alternatively from the health care system and societal perspectives for the province of Quebec. Estimated pfs, os, incidence of adverse events, and utilities values for pazopanib and placebo were derived from the palette trial. Costs were obtained from published sources.

resultsCompared with placebo, pazopanib is estimated to increase qalys by 0.128. The incremental cost of pazopanib compared with placebo is CA$20,840 from the health care system perspective and CA$15,821 from the societal perspective. The cost per qaly gained with pazopanib in that comparison is CA$163,336 from the health care system perspective and CA$124,001 from the societal perspective.

conclusionsCompared with placebo, pazopanib might be cost-effective from the Canadian health care system and societal perspectives depending on the threshold value used by reimbursement authorities to assess novel cancer therapies. Given the unmet need for effective treatments for advanced sts, pazopanib might nevertheless be an appropriate alternative to currently used treatments.

Indexed as

Cost-effectivenesspalliative carepartitioned-survival analysispazopanibpost-progression survivalquality-adjusted life-yearssoft-tissue sarcoma

Identifiers

PMID25489263
PMCPMC4257119

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.