Table 2 Base-case scenario results

From: Cost-effectiveness of HLA-DQB1/HLA-B pharmacogenetic-guided treatment and blood monitoring in US patients taking clozapine

Outcomes

Current US strategy

Genetically guided strategy

Clozapine substitution strategy

Cumulative mortality (%)

1.70 (1.48–1.92)

1.71 (1.49–1.93)

1.78 (1.54–2.02)

Mean survival time per patient adjusted for quality of life (quality-adjusted life-days)

669.9 (618.4–719.1)

669.8 (618.3–719.0)

660.2 (603.7–713.7)

Cost per patient (US$)

   Total

$13,694 (7752–19,626)

$13,091 (7154–19,023)

$13,738 (7240–20210)

   Sepsis

$98 (60–140)

$163 (100–230)

$123 (73–180)

Clozapine treatment

$1453 (1442–1464)

$1453 (1442–1464)

$1234 (1157–1301)

Substitute treatment

$11 122 (5189–17,057)

$11,120 (5188–17,052)

$12,181 (5671–18,648)

   ANCM

$1021 (1015–1027)

$154 (108–207)

0

   Genetic testing

0

$200

$200

ICER (million US$ per QALY)a

$3.93 (2.01–8.17)

 

Dominated

  1. Data in brackets show 95% CIs from probabilistic analyses
  2. aThe genetically guided strategy was the reference strategy