Evidence map›Paper›PMID 42151238›Full record

ArticleScientific reports2026

Cost-effectiveness analysis of toripalimab and bevacizumab versus sorafenib for advanced hepatocellular carcinoma in China.

Zhiwei Zheng, Tian Liu, Yuling Zhang, Huide Zhu, Ling Fang

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

5 authors.

Zhiwei ZhengDepartment of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, Guangdong Province, China.
Tian LiuDepartment of Pediatric Cardiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangdong Cardiovascular Institute, Southern Medical University, Guangzhou, China.
Yuling ZhangPharmacy department, Shantou University Medical College, Shantou, Guangdong Province, China.
Huide ZhuDepartment of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, Guangdong Province, China. zhuhuide_2009@163.com.
Ling FangDepartment of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, Guangdong Province, China. lfang1@stu.edu.cn.

Funding

Bethune Public Welfare Foundation Z04J2025E170
6 · The paper itself

Abstract

This study was to evaluate the cost-effectiveness of toripalimab with bevacizumab compared to sorafenib for advanced hepatocellular carcinoma (HCC) from the Chinese healthcare system perspective. To assess the cost and health outcomes of first-line advanced HCC therapy, we used a partitioned survival model.The model clinical dates were base on the Phase III HEPATORCH trials.The costs considered in this analysis such as drug costs, subsequent therapy cost, and the management of adverse events cost.Quality-adjusted life years (QALY) were used to measure health outcomes and the main economic assessment parameter was the incremental cost-effectiveness ratio (ICER).The willing to pay (WTP) level was 41,876.05 USD per QALY.The robustness and reliability of the model were evaluated using sensitivity analysis. The total cost of toripalimab plus bevacizumab treatment were 45,516.45 USD, while the sorafenib incurred costs of 24,579.02 USD. In compared to sorafenib, the toripalimab plus bevacizumab group achieved an additional 1.35 QALYs and an additional cost of 120,937.43 USD. The ICER was 15,509.21 USD per QALY for the toripalimab plus bevacizumab.One-way sensitivity analysis showed that our results were not reversed when the input paramete fluctuated ± 25%.Toripalimab plus bevacizumab had a 99% chance of being cost-effective at the WTP level. The therapy of toripalimab and bevacizumab was found to be a cost-effective treatment option for patients with advanced HCC in China.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, HepatocellularLiver NeoplasmsSorafenibChinaCost-Benefit AnalysisCost-Effectiveness AnalysisHumansQuality-Adjusted Life YearsBevacizumabSorafenibAdvanced hepatocellular carcinomaBevacizumabCost-effectivenessSorafenibToripalimab

Identifiers

PMID42151238
PMCPMC13462540

What OpenQuestion holds

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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.