Cost-effectiveness of adding quizartinib to induction chemotherapy for patients with FLT3-mutant acute myeloid leukemia.

Autor: Bewersdorf, Jan Philipp, Patel, Kishan K., Shallis, Rory M., Podoltsev, Nikolai A., Kewan, Tariq, Stempel, Jessica, Mendez, Lourdes, Stahl, Maximilian, Stein, Eytan M., Huntington, Scott F., Goshua, George, Zeidan, Amer M.
Předmět:
Zdroj: Leukemia & Lymphoma; Aug2024, Vol. 65 Issue 8, p1136-1144, 9p
Abstrakt: The FLT3 inhibitor quizartinib has been shown to improve overall survival when added to intensive induction chemotherapy ("7 + 3") in patients 18-75 years old with newly diagnosed AML harboring a FLT3-ITD mutation. However, the health economic implications of this approval are unknown. We evaluated the cost-effectiveness of quizartinib using a partitioned survival analysis model. One-way and probabilistic sensitivity analyses were conducted. In the base case scenario, the addition of quizartinib to 7 + 3 resulted in incremental costs of $289,932 compared with 7 + 3 alone. With an incremental gain of 0.84 quality-adjusted life years (QALYs) with quizartinib + 7 + 3 induction vs. 7 + 3 alone, the incremental cost-effectiveness ratio for the addition of quizartinib to standard 7 + 3 was $344,039/QALY. Only an 87% reduction in the average wholesale price of quizartinib or omitting quizartinib continuation therapy after completion of consolidation therapy and allogeneic hematopoietic cell transplant would make quizartinib a cost-effective option. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index