Evidence map›Paper›PMID 38699428›Full record

ArticleFrontiers in public health2024

The cost-effectiveness of iruplinalkib versus alectinib in anaplastic lymphoma kinase-positive crizotinib-resistant advanced non-small-cell lung cancer patients in China.

Zhanjing Dai, Jiayi Xu, Feng Chang, Wanxin Zhou, Ting Ren, Jiaxin Qiu, Yun Lu, Yuqiong Lu

Abstract read
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Zhanjing Dai *School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Jiayi Xu *School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Feng ChangSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Wanxin ZhouSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Ting RenSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Jiaxin QiuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Yun LuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
Yuqiong LuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Iruplinalkib is a second-generation anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitor (TKI) with efficacy in patients with ALK-positive crizotinib-resistant advanced non-small cell lung cancer (NSCLC), which is independently developed by a Chinese pharmaceutical company. This study examined the cost-effectiveness of iruplinalkib versus alectinib in the Chinese healthcare setting. Methods: A partitioned survival model was developed to project the economic and health outcomes. Efficacy was derived using unanchored matching-adjusted indirect comparison (MAIC). Cost and utility values were obtained from the literature and experts' opinions. Deterministic and probabilistic sensitivity analyses (PSA) were carried out to evaluate the model's robustness. Results: Treatment with iruplinalkib versus alectinib resulted in a gain of 0.843 quality-adjusted life years (QALYs) with incremental costs of $20,493.27, resulting in an incremental cost-effectiveness ratio (ICER) of $24,313.95/QALY. Parameters related to relative efficacy and drug costs were the main drivers of the model outcomes. From the PSA, iruplinalkib had a 90% probability of being cost-effective at a willingness-to-pay threshold of $37,863.56/QALY. Conclusion: Compared to alectinib, iruplinalkib is a cost-effective therapy for patients with ALK-positive crizotinib-resistant advanced NSCLC.

Indexed as

Anaplastic Lymphoma KinaseCarbazolesCarcinoma, Non-Small-Cell LungCost-Benefit AnalysisCrizotinibDrug Resistance, NeoplasmLung NeoplasmsPiperidinesQuality-Adjusted Life YearsChinaFemaleHumansMaleMiddle AgedProtein Kinase InhibitorsalectinibALK protein, humanAnaplastic Lymphoma KinaseCarbazolesCrizotinibPiperidinesProtein Kinase Inhibitorsalectinibanaplastic lymphoma kinaseChinacost-effectivenessiruplinalkibnon-small cell lung cancer

Identifiers

PMID38699428
PMCPMC11064164

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.