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Cost-effectiveness analysis of ribociclib plus fulvestrant for hormone receptor-positive/human EGF receptor 2-negative breast cancer.

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机构: [1]Department of Pharmacy, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510030, China [2]College of Pharmacy, Jinan University, Guangzhou 510632, China [3]International Cooperative Laboratory of Traditional Chinese Medicine Modernization & Innovative Drug Development of Chinese Ministry of Education (MOE), Jinan University, Guangzhou 510632, China [4]Guangzhou Huabo Biopharmaceutical Research Institute, Guangzhou 510010, China [5]Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics & Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510030, China [6]Breast Tumor Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510030, China [7]Dongguan Institute of Jinan University, Dongguan 523808, China
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关键词: breast cancer • cost–effectiveness analysis • cyclin-dependent kinases 4 and 6 inhibitor • economic evaluation • fulvestrant • Markov • ribociclib

摘要:
Aim: To evaluate the cost-effectiveness of ribociclib plus fulvestrant versus fulvestrant in hormone receptor-positive/human EGF receptor 2-negative advanced breast cancer. Materials & methods: A three-state Markov model was developed to evaluate the costs and effectiveness over 10 years. Direct costs and utility values were obtained from previously published studies. We calculated incremental cost-effectiveness ratio to evaluate the cost-effectiveness at a willingness-to-pay threshold of $150,000 per additional quality-adjusted life year. Results: The incremental cost-effectiveness ratio was $1,073,526 per quality-adjusted life year of ribociclib plus fulvestrant versus fulvestrant. Conclusions: Ribociclib plus fulvestrant is not cost-effective versus fulvestrant in the treatment of advanced hormone receptor-positive/human EGF receptor 2-negative breast cancer. When ribociclib is at 10% of the full price, ribociclib plus fulvestrant could be cost-effective.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 免疫学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 免疫学
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出版当年[2019]版:
Q3 IMMUNOLOGY
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Q3 IMMUNOLOGY

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第一作者机构: [1]Department of Pharmacy, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510030, China
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通讯机构: [2]College of Pharmacy, Jinan University, Guangzhou 510632, China [3]International Cooperative Laboratory of Traditional Chinese Medicine Modernization & Innovative Drug Development of Chinese Ministry of Education (MOE), Jinan University, Guangzhou 510632, China [7]Dongguan Institute of Jinan University, Dongguan 523808, China
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