Evidence map›Paper›PMID 36897427›Full record

ArticlePharmacoEconomics - open2023

Economic Evaluation of Nivolumab Versus Docetaxel for the Treatment of Advanced Squamous and Non-squamous Non-small Cell Lung Cancer After Prior Chemotherapy in China.

Shanlian Hu, Zhiliu Tang, James P Harrison, Nadine Hertel, John R Penrod, Jessica R May, Ariadna Juarez-Garcia, Orban Holdgate

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PharmacoEconomics - open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT01642004 phase3completednot on this map

An Open-Label Randomized Phase III Trial of BMS-936558 (Nivolumab) Versus Docetaxel in Previously Treated Advanced or Metastatic Squamous Cell Non-small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsorBristol-Myers SquibbRan2012 to 2021Enrolled272ConditionsSquamous Cell Non-small Cell Lung CancerArmsNivolumab, Docetaxel
NCT01673867 phase3completednot on this map

An Open-Label Randomized Phase III Trial of BMS-936558 (Nivolumab) Versus Docetaxel in Previously Treated Metastatic Non-squamous Non-small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsorBristol-Myers SquibbRan2012 to 2021Enrolled582ConditionsNon-Squamous Cell Non-small Cell Lung CancerArmsNivolumab, Docetaxel
NCT02613507 phase3completednot on this map

An Open-label Randomized Multinational Phase 3 Trial of Nivolumab Versus Docetaxel in Previously Treated Subjects With Advanced or Metastatic Non-small Cell Lung Cancer (CheckMate 078: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 078)

TypeinterventionalSponsorBristol-Myers SquibbRan2015 to 2023Enrolled504ConditionsNon-Small Cell Lung CancerArmsNivolumab, Docetaxel
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

8 authors at 4 institutions in 3 countries.

Shanlian HuSchool of Public Health, Fudan University, Dong'an Rd, Xuhui Qu, Shanghai, 200333, China.
Zhiliu TangSino-American Shanghai Squibb Pharmaceuticals Ltd, 1315 Jianchuan Rd, Minhang Qu, Shanghai, 201401, China. justin_julie@sina.com.
James P HarrisonBristol Myers Squibb, 3401 Princeton Pike, Lawrenceville, NJ, USA.
Nadine HertelBristol Myers Squibb, Sanderson Rd, Uxbridge, UB8 1DH, UK.
John R PenrodBristol Myers Squibb, 3401 Princeton Pike, Lawrenceville, NJ, USA.
Jessica R MayBristol Myers Squibb, Sanderson Rd, Uxbridge, UB8 1DH, UK.
Ariadna Juarez-GarciaBristol Myers Squibb, Sanderson Rd, Uxbridge, UB8 1DH, UK.
Orban HoldgateParexel International, Evergreen House North, Grafton Place, 160 Euston Road, London, NW1 2DX, UK.
Bristol-Myers Squibb (United Kingdom) · GBBristol-Myers Squibb (United States) · USFudan University · CNPAREXEL International (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the economic value of nivolumab versus docetaxel for advanced non-small cell lung cancer (aNSCLC) treatment after platinum-based chemotherapy in adults without epidermal growth factor receptor/anaplastic lymphoma kinase aberrations in China.

methodsPartitioned survival models evaluated lifetime costs and benefits of nivolumab versus docetaxel by squamous and non-squamous histologies from a Chinese healthcare payer perspective. Progression-free disease, progressed disease, and death health states were considered over a 20-year time horizon. Clinical data were derived from the CheckMate pivotal Phase III trials (ClinicalTrials.gov identifiers: NCT01642004, NCT01673867, NCT02613507); patient-level survival data were extrapolated using parametric functions. China-specific health state utilities, healthcare resource utilisation, and unit costs were applied. Sensitivity analyses explored uncertainty.

resultsNivolumab resulted in extended survival (1.489 and 1.228 life-years [1.226 and 0.995 discounted]) and quality-adjusted survival benefits (1.034 and 0.833 quality-adjusted life-years) at additional costs of ¥214,353 (US$31,829) and ¥158,993 (US$23,608) versus docetaxel in squamous and non-squamous aNSCLC, respectively. Nivolumab was associated with higher acquisition costs, lower subsequent treatment costs, and lower adverse event management costs than docetaxel in both histologies. Drug acquisition costs, discount rate for outcomes, and average body weight were key model drivers. Stochastic results aligned with the deterministic results.

conclusionsNivolumab yielded survival and quality-adjusted survival benefits at incremental cost versus docetaxel in aNSCLC. As a traditional healthcare payer perspective was applied, the true economic benefit of nivolumab may be underestimated as not all treatment benefits and costs of relevance to society were considered.

Identifiers

PMID36897427
PMCPMC10043099
OpenAlexW4323808989

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.