Evidence map›Paper›PMID 33284424›Full record

ArticleTargeted oncology2021

Real-World Healthcare Resource Utilization in Patients with Classical Hodgkin Lymphoma Treated with Pembrolizumab and Nivolumab in the USA.

François Laliberté, Monika Raut, Xiaoqin Yang, Guillaume Germain, Akash Nahar, Kaushal D Desai, Sean D MacKnight, Shuvayu S Sen, Mei Sheng Duh

Open access · hybridAbstract read
In one paragraph

Article in Targeted oncology, 2021. 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 41% 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

9 authors at 2 institutions in 1 country.

François LalibertéGroupe d'analyse, Ltée, Montréal, QC, Canada.
Monika RautMerck & Co., Inc., Center for Observational and Real-world Evidence, Kenilworth, NJ, USA.
Xiaoqin YangMerck & Co., Inc., Center for Observational and Real-world Evidence, Kenilworth, NJ, USA.
Guillaume GermainGroupe d'analyse, Ltée, Montréal, QC, Canada. guillaume.germain@analysisgroup.com.
Akash NaharMerck & Co., Inc., Center for Observational and Real-world Evidence, Kenilworth, NJ, USA.
Kaushal D DesaiMerck & Co., Inc., Center for Observational and Real-world Evidence, Kenilworth, NJ, USA.
Sean D MacKnightGroupe d'analyse, Ltée, Montréal, QC, Canada.
Shuvayu S SenMerck & Co., Inc., Center for Observational and Real-world Evidence, Kenilworth, NJ, USA.
Mei Sheng DuhAnalysis Group, Inc., Boston, MA, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USAnalysis Group (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with classical Hodgkin lymphoma (cHL) relapsed or refractory (R/R) disease who relapse after or are ineligible for autologous stem cell transplantation have a poor prognosis. Recently, the anti-PD1 monoclonal antibodies nivolumab and pembrolizumab were approved by the US Food and Drug Administration (FDA; May 2016 and March 2017, respectively) as treatment options for R/R cHL patients.

objectiveIn the absence of comparative clinical trials between these agents, this observational study was conducted to evaluate the healthcare resource utilization (HRU) of patients with cHL initiated on pembrolizumab compared to nivolumab in the USA. PATIENTS AND

methodHealthcare insurance claims from Symphony Health's IDV® (Integrated Dataverse) (July 2014-June 2018) were used in this retrospective study. The study population included adult patients with cHL initiated on pembrolizumab or nivolumab (index date). Inverse probability of treatment weighting was used to adjust for differences in patient characteristics between cohorts. All-cause and cHL-related hospitalizations and outpatient visits were measured during the observation (post-index) period and reported per patient-year (PPY). Rates of HRU were compared between cohorts using rate ratios (RRs).

resultsA total of 92 and 218 patients initiated on pembrolizumab and nivolumab, respectively, were included in the study population. After weighting, the mean age was similar at 55 years in both cohorts, while the proportion of females was lower in the pembrolizumab cohort (35.3%) compared to the nivolumab cohort (44.1%). Mean Quan-Charlson Comorbidity Index score was well balanced after weighting in the pembrolizumab and nivolumab cohorts (4.2 and 4.3, respectively). During the observation period, patients in the pembrolizumab cohort had significantly lower rates of all-cause hospitalizations (RR [95% CI] 0.33 [0.09-0.80]) and cHL-related hospitalizations (RR [95% CI] 0.14 [0.02-0.37]) than those in the nivolumab cohort. Rates of all-cause and cHL-related outpatient visits were not statistically different between patients in the pembrolizumab and nivolumab cohorts.

conclusionsIn this real-world study, adult cHL patients initiated on pembrolizumab had significantly lower rates of all-cause and cHL-related hospitalizations compared to patients initiated on nivolumab.

Indexed as

Antibodies, Monoclonal, HumanizedFemaleHodgkin DiseaseHumansMaleMiddle AgedNivolumabQuality Indicators, Health CareRetrospective StudiesUnited StatesAntibodies, Monoclonal, HumanizedNivolumabpembrolizumab

Identifiers

PMID33284424
PMCPMC7810643
OpenAlexW3111069302

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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.