Evidence map›Paper›PMID 37433888›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2024

Cost-effectiveness of encorafenib with binimetinib in unresectable or metastatic BRAF-mutant melanoma.

Jean-Baptiste Trouiller, Georgios F Nikolaidis, Bérengère Macabeo, Nicolas Meyer, Laetitia Gerlier, Max Schlueter, Philippe Laramee

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 3 institutions in 2 countries.

Jean-Baptiste TrouillerPierre Fabre Laboratories, 33 avenue Emile Zola, 92100, Boulogne-Billancourt, France. jbtrouiller@gmail.com.ORCID http://orcid.org/0000-0002-1055-9858
Georgios F NikolaidisIQVIA Ltd, 37 North Wharf Road, London, W2 AF, UK.ORCID http://orcid.org/0000-0001-9008-6896
Bérengère MacabeoPierre Fabre Laboratories, 33 avenue Emile Zola, 92100, Boulogne-Billancourt, France.
Nicolas MeyerCabinet médical, Clinique Médipôle Garonne, 45 rue de Gironis, 31067, Toulouse Cedex 1, France.
Laetitia GerlierIQVIA Ltd, Da Vincilaan 7, 1930, Zaventem, Belgium.
Max SchlueterIQVIA Ltd, 37 North Wharf Road, London, W2 AF, UK.ORCID http://orcid.org/0000-0003-1772-1421
Philippe LarameePierre Fabre Laboratories, 33 avenue Emile Zola, 92100, Boulogne-Billancourt, France.
Aix-Marseille Université · FRIQVIA (United Kingdom) · GBMédipole Garonne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the cost-effectiveness of encorafenib with binimetinib (EncoBini) as compared to other targeted double combination therapies, namely dabrafenib with trametinib (DabraTrame) and vemurafenib with cobimetinib (VemuCobi), for the treatment of BRAF V600-mutant unresectable or metastatic melanoma (MM) from the French payer perspective.

methodsA partitioned survival model was developed considering a lifetime horizon. The model structure simulated the clinical pathway of patients with BRAF V600-mutant MM. Clinical effectiveness and safety inputs were sourced from the COLUMBUS trial, a network meta-analysis and published literature. Costs, resource use, and the quality of life inputs were obtained from the literature and appropriate French sources.

resultsOver a lifetime horizon, EncoBini was associated, on average, with reduced costs and increased quality adjusted life years (QALYs), dominating both targeted double combination therapies. For a willingness-to-pay threshold of €90,000 per QALY, the probability of EncoBini being cost-effective against either comparator remained above 80%. The most influential model parameters were the hazard ratios for the overall survival of EncoBini vs DabraTrame and VemuCobi, the pre- and post-progression utility values, as well as treatment dosages and the relative dose intensity of all interventions.

conclusionEncoBini is associated with reduced costs and increased QALYs, dominating other targeted double combination therapies (DabraTrame, VemuCobi) for patients with BRAF V600-mutant MM in France. EncoBini is a highly cost-effective intervention in MM.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBenzimidazolesCarbamatesCost-Benefit AnalysisMelanomaProto-Oncogene Proteins B-rafQuality-Adjusted Life YearsSulfonamidesFranceHumansMutationOximesPyridonesQuality of LifeSkin NeoplasmsBenzimidazolesbinimetinibBRAF protein, humanCarbamatesencorafenibOximesProto-Oncogene Proteins B-rafPyridonesSulfonamidesBRAFCost-effectivenessEconomic analysisEncorafenibQALYUnresectable or metastatic melanoma

Identifiers

PMID37433888
OpenAlexW4383904006

What OpenQuestion holds

Textmetadata
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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.