Evidence map›Paper›PMID 33236329›Full record

Trial reportPharmacoEconomics2021

Budget Impact Analysis of Gemtuzumab Ozogamicin for the Treatment of CD33-Positive Acute Myeloid Leukemia.

Carla Mamolo, Verna Welch, Roland B Walter, Joseph C Cappelleri, James Brockbank, Matthew Cawson, Chris Knight, Michele Wilson

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PharmacoEconomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 1 country.

Carla MamoloPatient & Health Impact, Pfizer Inc, 445 Eastern Point Road, Groton, CT, 06833, USA. carla.mamolo@pfizer.com.ORCID http://orcid.org/0000-0001-5321-561X
Verna WelchPatient & Health Impact, Pfizer Inc, New York, NY, USA.
Roland B WalterClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Joseph C CappelleriStatistics, Pfizer Inc, Groton, CT, USA.
James BrockbankRTI Health Solutions, Manchester, UK.
Matthew CawsonRTI Health Solutions, Manchester, UK.
Chris KnightRTI Health Solutions, Manchester, UK.
Michele WilsonRTI Health Solutions, Research Triangle Park, NC, USA.
Pfizer (United States) · USTriangle · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGemtuzumab ozogamicin (GO) was approved in 2017 in the US for the treatment of adults with newly diagnosed CD33-positive (CD33+) acute myeloid leukemia (AML), and adults and pediatric patients with CD33+ relapsed/refractory (R/R) AML.

objectiveThe aim of this study was to estimate the budgetary impact of introducing GO to a 1-million-member US health plan over a 5-year period.

methodsWe developed models to estimate the impact of introducing GO in combination with conventional induction chemotherapy or as monotherapy for newly diagnosed AML, and as monotherapy for R/R AML. Models were built using data on drug costs and treatment-related outcomes obtained from published clinical trials and other publicly available sources. Results were reported on a per member/per year and per member/per month (PMPM) basis.

resultsBase-case results of the newly diagnosed model indicated that the addition of GO in the combination setting reduced the overall budget of a 1-million-member health plan. The estimated net cost (US$) savings ranged from $72,969 ($0.006 PMPM) in year 1 to $745,426 ($0.062 PMPM) in year 5. In the monotherapy setting, GO was associated with increased net costs ranging from $4118 (0.0003 PMPM) in year 1 to $31,885 ($0.003 PMPM) in year 5. Base-case results of the R/R AML model demonstrated increased net costs that ranged from $17,326 ($0.001 PMPM) in year 1 to $46,163 ($0.004 PMPM) in year 5. Scenario analyses in all settings indicated the budget impact was not overly sensitive to the selected input assumptions, with the exception of the scenario considering only the pharmacy budget impact in the combination setting.

conclusionsThe introduction of GO for newly diagnosed and R/R AML would have a minimal impact on the budget of a US health plan and could result in cost savings in the combination therapy setting for newly diagnosed AML.

Indexed as

GemtuzumabLeukemia, Myeloid, AcuteAdultBudgetsChildCost SavingsDrug CostsHumansSialic Acid Binding Ig-like Lectin 3CD33 protein, humanGemtuzumabSialic Acid Binding Ig-like Lectin 3

Identifiers

PMID33236329
PMCPMC7790788
OpenAlexW3108979464

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.