Evidence map›Paper›PMID 36831518›Full record

ArticleCancers2023

The Value of Tucatinib in Metastatic HER2-Positive Breast Cancer Patients: An Italian Cost-Effectiveness Analysis.

Ippazio Cosimo Antonazzo, Paolo Angelo Cortesi, Gerardo Miceli Sopo, Giampiero Mazzaglia, Pierfranco Conte, Lorenzo Giovanni Mantovani

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 3 institutions in 1 country.

Ippazio Cosimo AntonazzoResearch Centre on Public Health, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0001-8046-4574
Paolo Angelo CortesiResearch Centre on Public Health, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0001-5241-4473
Gerardo Miceli SopoUOC Farmacia Ospedaliera OP-Continuità Ospedale Territorio e Distribuzione Diretta, ASL Roma 2, Roma Ospedaliera OP-Continuità Ospedale Territorio e Distribuzione, 00157 Ariccia, Italy.
Giampiero MazzagliaResearch Centre on Public Health, University of Milan-Bicocca, 20900 Monza, Italy.ORCID 0000-0003-2728-2485
Pierfranco ConteSan Camillo Hospital, IRCCS, Venezia Lido, 30126 Venice, Italy.ORCID 0000-0002-5210-5344
Lorenzo Giovanni MantovaniResearch Centre on Public Health, University of Milan-Bicocca, 20900 Monza, Italy.
University of Milano-Bicocca · ITIRCCS Istituto Auxologico Italiano · ITIRCCS San Camillo Hospital · IT

Funding

The study was supported by Seagen Italy S.r.l. in the form of a grant. There are no grant numbers to declare. The funders had no role in study design, data collection and analysis, decision to pub-lish, or preparation of the manuscript. No number
6 · The paper itself

Abstract

backgroundThis study was aimed at estimating the appropriate price of tucatinib plus trastuzumab and capecitabine (TXC), as third-line treatment, in HER2

methodsA partitioned survival model with three mutually exclusive health states (i.e., progression-free survival (PFS), progressive disease (PD), and death) was used to estimate the price of tucatinib vs trastuzumab emtansine (TDM-1), considering a willingness to pay (WTP) of 60,000 EUR. Data from the HER2CLIMB trial, the Italian population, and the literature were used as input. The model also estimated the total costs and the life-years (LY) of TXC and TDM1. Deterministic and probabilistic (PSA) sensitivity analyses were conducted to evaluate the robustness of the model.

resultsIn the base case scenario, the appropriate price of tucatinib was 4828.44 EUR per cycle. The TXC resulted in +0.28 LYs and +16,628 EUR compared with TDM-1. Results were mainly sensitive to therapy intensity variation. In PSA analysis, TXC resulted cost-effective in 53% of the simulations. Assuming a WTP ranging 20,000-80,000 EUR, the tucatinib price ranged from 4090.60 to 5197.41 EUR.

conclusionsThis study estimated the appropriate price for tucatinib according to different WTP in order to help healthcare decision makers to better understand the treatment value.

Indexed as

breast cancercost-effectiveness analysisItalyTDM-1tucatinib

Identifiers

PMID36831518
PMCPMC9953803
OpenAlexW4320494348

What OpenQuestion holds

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LicenceCC BY
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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.