Evidence map›Paper›PMID 39575411›Full record

ArticleRisk management and healthcare policy2024

Economic Evaluation of Adding Daratumumab to Carfilzomib and Dexamethasone for Relapsed or Refractory Multiple Myeloma.

Lidan Yi, Qiao Liu, Chongqing Tan, Xiaomin Wan, Xia Luo, Yinbo Li, Haiying Li, Xiaohui Zeng

Abstract read
In one paragraph

Article in Risk management and healthcare policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Lidan Yi *Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.
Qiao Liu *Department of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.ORCID 0000-0001-8739-6236
Chongqing TanDepartment of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.
Xiaomin WanDepartment of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.
Xia LuoDepartment of Pharmacy, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.
Yinbo LiHunan Center for Drug Evaluation and Adverse Reaction Monitoring, Hunan Provincial Food and Drug Administration, Changsha, People's Republic of China.
Haiying LiDepartment of Nuclear Medicine/PET Image Center, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.
Xiaohui ZengDepartment of Nuclear Medicine/PET Image Center, The Second Xiangya Hospital of Central South University, Changsha, People's Republic of China.ORCID 0000-0001-6050-4137

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the cost-effectiveness of adding daratumumab to carfilzomib and dexamethasone (KdD) in patients with relapsed or refractory multiple myeloma (RRMM). Materials and Methods: A Markov model was established to estimate health and economic outcomes of carfilzomib and dexamethasone (Kd) with or without daratumumab for RRMM patients over a lifetime horizon. The patients and intervention of the two arms were modeled according to the CANDOR trial. Costs were collected from the Chinese health system perspective. One-way sensitivity analysis and probabilistic sensitivity analysis were performed to evaluate the robustness of our conclusions. Results: Compared with the Kd arm, KdD achieved an additional 0.537 quality-adjusted life-years (QALYs) at an incremental cost of $138,084, resulting in an incremental cost-utility ratios (ICURs) of $257,319 per QALY. Uncertainty analyses revealed that the model is robust to all the input parameters. Conclusion: From the Chinese healthcare system perspective, adding daratumumab to the Kd regimen for patients with RRMM appears to lack cost-effectiveness. Exploring alternative avenues such as negotiating for a more favorable price or introducing a financial assistance program dedicated to daratumumab and/or carfilzomib could prove to be an effective strategy in enhancing accessibility of this combination.

Indexed as

Chinacost-effectivenessdaratumumabMarkov modelmultiple myeloma

Identifiers

PMID39575411
PMCPMC11579591

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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.