Evidence map›Paper›PMID 33911887›Full record

ArticleClinicoEconomics and outcomes research : CEOR2021

Cost-Effectiveness Analysis of Gemtuzumab Ozogamicin for First-Line Treatment of Patients with Cd-33 Positive Acute Myeloid Leukaemia in Spain.

Maria Mareque, Pau Montesinos, Patricia Font, José María Guinea, Adolfo de la Fuente, Javier Soto, Itziar Oyagüez, James Brockbank, Tamara Iglesias, Julia Llinares and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Antibody-drug conjugates come of age in oncology.Nature reviews. Drug discovery · 2023
    Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Maria MarequePharmacoeconomics & Outcomes Research Iberia (PORIB), Madrid, Spain.
Pau MontesinosHospital Universitario La Fe, Valencia, Spain.
Patricia FontHospital General Universitario Gregorio Marañón, Madrid, Spain.
José María GuineaOrganización Sanitaria Integrada Araba, País Vasco, Spain.
Adolfo de la FuenteHospital MD Anderson, Madrid, Spain.
Javier SotoPfizer, Madrid, Spain.ORCID 0000-0001-7726-9030
Itziar OyagüezPharmacoeconomics & Outcomes Research Iberia (PORIB), Madrid, Spain.ORCID 0000-0002-3047-6152
James BrockbankRTI Health Solutions, Manchester, UK.ORCID 0000-0002-5349-6017
Tamara IglesiasPfizer, Madrid, Spain.
Julia LlinaresPfizer, Madrid, Spain.
Jorge SierraHospital Universitario de La Santa Creu i Sant Pau, Barcelona, Spain.
Pfizer (Spain) · ESPharmacoeconomics and Health Outcomes Research Iberia (Spain) · ESHospital de Sant Pau · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari i Politècnic La Fe · ESMD Anderson Cancer Center Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the incremental cost-utility ratio (ICUR) of gemtuzumab ozogamicin (GO) + standard of care (SOC) vs SOC alone for treatment of patients with

methodsA cohort state-transition model, with 12 health-states, was used to estimate the lifetime accumulated cost and benefits in terms of quality-adjusted-life-years (QALYs) in AML patients with favourable, intermediate, and unknown cytogenetic profiles. Patient profile was defined based on the ALFA-0701 trial. Therapeutic regimens were defined by 5 haematologists. SOC was assumed to be idarubicin and cytarabine, the combination most used in Spain. QALYs were estimated by applying utilities for the time spent by the cohort in each health-state and utility decrements associated with adverse events (AE). Total cost (€,2020) included drug-acquisition, hematologic stem-cell transplantation, disease management, AE management and end-of-life costs. Unit costs were derived from local databases. All parameters were validated by haematologist. Costs and outcomes were discounted (3%/year).

resultsHigher cost/patient (€177,618 vs €151,434) and greater QALYs (5,70 vs 4,62) were obtained with GO+SOC vs SOC. The ICUR was €24,203/QALY gained.

conclusionThis simulation suggests that GO + SOC could be a cost-effective option for treatment of patients with

Indexed as

acute myeloid leukaemiacost-effectivenessgemtuzumab ozogamicinSpain

Identifiers

PMID33911887
PMCPMC8075179
OpenAlexW3156916747

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.