Table 2 Basic parameters input to the model and the ranges of the sensitivity analyses. AEs adverse events, PFS progression free survival, PD progressive disease.
Model input | Base case | Distribution | Low | High | References |
|---|---|---|---|---|---|
Drug costs per cycle ($) | |||||
Abemaciclib | 670.08 | Gamma | 536.07 | 670.08 | YAOZH |
Ribociclib | 628.79 | Gamma | 503.04 | 628.79 | YAOZH |
Palbociclib | 509.07 | Gamma | 407.25 | 509.07 | YAOZH |
Follow-up cost | 125.60 | Gamma | 94.20 | 157.00 | |
Best supportive care cost | 783.64 | Gamma | 587.73 | 979.55 | |
End-of-life care cost | 1867.62 | Gamma | 1400.72 | 2334.53 | |
Costs of AEs per event | |||||
Neutropenia | 114.41 | Gamma | 91.53 | 137.29 | |
Leucopenia | 114.41 | Gamma | 91.53 | 137.29 | |
Diarrhea | 44.30 | Gamma | 35.44 | 53.16 | |
Anemia | 138.03 | Gamma | 110.42 | 165.64 | |
Hepatobiliary toxicity | 87.30 | Gamma | 69.84 | 104.76 | |
Infection | 225.24 | Gamma | 180.19 | 270.29 | Consulting expert |
Proportion of patients received subsequent treatment (%) | |||||
Abemaciclib | 0.762 | Beta | 0.716 | 0.808 | |
Ribociclib | 0.815 | Beta | 0.766 | 0.864 | |
Palbociclib | 0.769 | Beta | 0.723 | 0.815 | |
Risk of AEs in Palbociclib | |||||
Neutropenia | 0.696 | Beta | 0.557 | 0.835 | |
Leucopenia | 0.383 | Beta | 0.306 | 0.46 | |
Infections | 0.052 | beta | 0.042 | 0.062 | |
Anemia | 0.043 | Beta | 0.034 | 0.052 | |
Risk of AEs in Ribociclib | Beta | ||||
Neutropenia | 0.571 | Beta | 0.457 | 0.685 | |
Leucopenia | 0.155 | Beta | 0.124 | 0.186 | |
Hepatobiliary toxicity | 0.137 | Beta | 0.11 | 0.164 | |
Infections | 0.077 | Beta | 0.062 | 0.092 | |
Anemia | 0.039 | Beta | 0.031 | 0.047 | |
Risk of AEs in Abemaciclib | Beta | ||||
Neutropenia | 0.297 | Beta | 0.238 | 0.356 | |
Leucopenia | 0.111 | Beta | 0.089 | 0.133 | |
Diarrhea | 0.145 | Beta | 0.116 | 0.174 | |
Anemia | 0.09 | Beta | 0.072 | 0.108 | |
Utility | |||||
PFS | 0.837 | Beta | 0.753 | 0.921 | |
PD | 0.443 | Beta | 0.399 | 0.487 | |
Disutilities of AEs | |||||
Neutropenia | −0.13 | Constant | −0.104 | −0.156 | |
Leucopenia | −0.13 | Constant | −0.104 | −0.156 | |
Diarrhea | −0.103 | Constant | −0.077 | −0.129 | |
Anemia | −0.073 | Constant | −0.058 | −0.088 | |
Infections | −0.15 | Constant | −0.12 | −0.18 | |
Hepatobiliary toxicity | −0.12 | Constant | −0.096 | −0.144 | |
Discount | 0.05 | Constant | 0 | 0.08 | |