Evidence map›Paper›PMID 35971638›Full record

ArticleThoracic cancer2022

Cost-effectiveness analysis of the new oncological drug durvalumab in Italian patients with stage III non-small cell lung cancer.

Alessandra Buja, Giulia Pasello, Marco Schiavon, Giuseppe De Luca, Michele Rivera, Claudia Cozzolino, Anna De Polo, Manuela Scioni, Alberto Bortolami, Vincenzo Baldo and 1 more

Abstract read
In one paragraph

Article in Thoracic cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

11 authors.

Alessandra BujaDepartment of Cardiac, Thoracic, and Vascular Sciences and Public Health, University of Padua, Padua, Italy.ORCID 0000-0003-2216-3807
Giulia PaselloDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Marco SchiavonDepartment of Cardiac, Thoracic, and Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Giuseppe De LucaDepartment of Cardiac, Thoracic, and Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Michele RiveraDepartment of Cardiac, Thoracic, and Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Claudia CozzolinoSurgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Anna De PoloDepartment of Cardiac, Thoracic, and Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Manuela ScioniStatistics Department, University of Padua, Padua, Italy.
Alberto BortolamiRete Oncologica Veneta (ROV), Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Vincenzo BaldoDepartment of Cardiac, Thoracic, and Vascular Sciences and Public Health, University of Padua, Padua, Italy.
PierFranco ConteDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.ORCID 0000-0002-5210-5344

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe monoclonal antibody durvalumab, an immune-checkpoint inhibitor (ICI) antiprogrammed death ligand 1 (PD-L1), is available for unresectable stage III NSCLC patients as consolidation therapy following induction chemoradiotherapy, with very promising overall survival (OS) and progression-free survial (PFS) results in registration trials. The purpose of this study was to provide policymakers with an estimate of the cost-effectiveness of durvalumab in the treatment of non-small cell lung cancer (NSCLC).

methodsThe study developed a Markov model covering a 5-year period to compare costs and outcomes of treating PD-L1 positive patients with or without durvalumab. We conducted a series of sensitivity analyses (Tornado analysis and Monte Carlo simulation) by varying some parameters to assess the robustness of our model and identify the parameters with the greatest impact on cost-effectiveness.

resultsPrior to the release of durvalumab, the management of NSCLC over a 5-year period cost €33 317 per patient, with an average life expectancy of 2.01 years. After the introduction of the drug, this increased to €37 317 per patient, with an average life expectancy of 2.13 years. Treatment with durvalumab led to an incremental cost-effectiveness ratio (ICER) of €35 526 per year. OS is the variable that contributes the most to the variability of the ICER.

conclusionsThe study observed that durvalumab is a cost-effective treatment option for patients with unresectable stage III NSCLC.

Indexed as

Antineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungLung NeoplasmsAntibodies, MonoclonalB7-H1 AntigenChemoradiotherapyCost-Benefit AnalysisHumansImmune Checkpoint InhibitorsAntibodies, MonoclonalAntineoplastic Agents, ImmunologicalB7-H1 AntigendurvalumabImmune Checkpoint Inhibitorscost-effectiveness analysisdurvalumabeconomic burden of cancernew oncologic drugsNSCLC

Identifiers

PMID35971638
PMCPMC9527163

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.