Evidence map›Paper›PMID 40383966›Full record

ArticleFuture oncology (London, England)2025

Cost-effectiveness of cetuximab-containing regimens for squamous cell carcinoma of the head and neck in Italy.

Philipp Ivanyi, Ash Bullement, Andrea Botticelli, Francesco Perri, Giorgio L Colombo, Viviana Annibali, Anita Gandola, Jaesh Naik, Michael Schlichting, Chris P Pescott

Erratum issuedAbstract read
In one paragraph

Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Philipp IvanyiDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Claudia von Schelling Comprehensive Cancer Center, Hannover Medical School, Hannover, Germany.
Ash BullementRadiological, Oncological, Pathological Sciences, Delta Hat, Ltd, Nottingham, UK.ORCID 0000-0001-7091-0972
Andrea BotticelliSapienza Università di Roma, Rome, Italy.
Francesco PerriIstituto Nazionale dei Tumori, IRCCS Pascale, Naples, Italy.
Giorgio L ColomboCEFAT-Center of Pharmaceuticals Economics and Medical Technologies Evaluation, Department of Drug Sciences, University of Pavi, Pavia, Italy.
Viviana AnnibaliMedical Affairs, Oncology, Merck S.p.A, Rome, Italy.ORCID 0000-0002-1972-9075
Anita GandolaAres Trading SA, An Affiliate of Merck Healthcare KGaA, Global Market Access & Pricing Oncology (GVAP), Darmstadt, Germany.
Jaesh NaikRadiological, Oncological, Pathological Sciences, Delta Hat, Ltd, Nottingham, UK.ORCID 0000-0002-6581-350X
Michael SchlichtingMerck KGaA, Advanced Biostatistical Sciences, Darmstadt, Germany.
Chris P PescottMerck Healthcare KGaA, Global Value Demonstration Oncology (GVAP), Darmstadt, Germany.ORCID 0000-0002-7763-9326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo investigate the differences in clinical outcomes and costs for the treatment of recurrent and/or metastatic squamous cell carcinoma of the head and neck (R/M SCCHN) with a combined positive score (CPS) of 1-19, with pembrolizumab ± chemotherapy or a cetuximab-containing regimen (CCR) in Italy.

methodsA naïve indirect treatment comparison was conducted, and outcomes were incorporated into a newly developed cost-utility model. Inputs were derived from clinical trials, technology appraisal reports, and published literature. Scenario analyses were undertaken to explore key areas of uncertainty.

resultsAcross the comparisons of pembrolizumab ± chemotherapy versus CCRs, incremental life-years ranged from - 0.502 to 0.155, while incremental quality-adjusted life years (QALYs) ranged from - 0.379 to 0.085. In some scenarios, CCRs dominated pembrolizumab ± chemotherapy (i.e. more QALYs at lower costs). In others, CCRs yielded similar estimates of QALYs at lower costs.

conclusionCCRs are likely to represent a comparable or more effective treatment option compared to pembrolizumab ± chemotherapy. Model results consistently demonstrated that CCRs are a cost-effective treatment strategy. CCRs remain a relevant treatment option for R/M SCCHN and a CPS of 1-19, for whom a targeted, patient-focused approach is warranted.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCetuximabHead and Neck NeoplasmsSquamous Cell Carcinoma of Head and NeckAntibodies, Monoclonal, HumanizedCost-Benefit AnalysisHumansItalyQuality-Adjusted Life YearsTreatment OutcomeAntibodies, Monoclonal, HumanizedCetuximabpembrolizumabcetuximabcost-effectiveness analysisHead and neck cancer

Identifiers

PMID40383966
PMCPMC12150647

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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.