Evidence map›Paper›PMID 32337213›Full record

ArticleERJ open research2020

A microsimulation model to assess the economic impact of immunotherapy in non-small cell lung cancer.

Clémence Legoupil, Didier Debieuvre, Aurelien Marabelle, Stefan Michiels, Raïssa Kapso, Benjamin Besse, Julia Bonastre

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 at 3 institutions in 1 country.

Clémence LegoupilGustave Roussy, Service de Biostatistique et d'Epidémiologie, Villejuif, France.ORCID https://orcid.org/0000-0002-0743-2805
Didier DebieuvreGHRMSA, Service de Pneumologie, Mulhouse, France.ORCID https://orcid.org/0000-0002-8016-7956
Aurelien MarabelleDépartement d'Innovation Thérapeutique et d'Essais Précoces, Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Stefan MichielsGustave Roussy, Service de Biostatistique et d'Epidémiologie, Villejuif, France.ORCID https://orcid.org/0000-0002-6963-2968
Raïssa KapsoGustave Roussy, Service de Biostatistique et d'Epidémiologie, Villejuif, France.
Benjamin BesseDept of Medical Oncology, Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Julia BonastreGustave Roussy, Service de Biostatistique et d'Epidémiologie, Villejuif, France.
Université Paris-Sud · FRGroupe Hospitalier de la Région de Mulhouse et Sud Alsace · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmunotherapy has become the standard of care in advanced non-small cell lung cancer (NSCLC). We aimed to quantify the economic impact, in France, of anti-PD-1 therapy for NSCLC.

methodsWe used patient-level data from the national ESCAP-2011-CPHG cohort study to estimate time to treatment failure and mean cost per patient for the four label indications approved by the European Medicines Agency (EMA) for NSCLC in May 2018. To compute the budget impact, we used a microsimulation model to estimate the target populations of anti-PD-1 therapy over a 3-year period, which were combined with the annual cost of treatment.

resultsOverall, 11 839 patients with NSCLC were estimated to be eligible for anti-PD-1 therapy 3 years after the introduction of anti-PD-1 therapies. The mean annual cost per patient in the control group ranged from €2671 (95% CI €2149-3194) to €6412 (95% CI €5920-6903) across the four indications. The mean annual cost of treatment for the four EMA-approved indications of anti-PD-1 therapy was estimated to be €48.7 million in the control group and at €421.8 million in the immunotherapy group. The overall budget impact in 2019 is expected to amount to €373.1 million. In the sensitivity analysis, flat doses and treatment effect had the greatest influence on the budget impact.

conclusionAnti-PD-1 agents for NSCLC treatment are associated with a substantial economic burden.

Identifiers

PMID32337213
PMCPMC7167209
OpenAlexW3016774822

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.