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.

From: Cost-effectiveness of CDK4/6 inhibitors for second-line HR+/HER2− advanced or metastatic breast cancer in China

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

29

Best supportive care cost

783.64

Gamma

587.73

979.55

30

End-of-life care cost

1867.62

Gamma

1400.72

2334.53

31

Costs of AEs per event

Neutropenia

114.41

Gamma

91.53

137.29

28

Leucopenia

114.41

Gamma

91.53

137.29

28

Diarrhea

44.30

Gamma

35.44

53.16

27

Anemia

138.03

Gamma

110.42

165.64

28

Hepatobiliary toxicity

87.30

Gamma

69.84

104.76

28

Infection

225.24

Gamma

180.19

270.29

Consulting expert

Proportion of patients received subsequent treatment (%)

Abemaciclib

0.762

Beta

0.716

0.808

15,16

Ribociclib

0.815

Beta

0.766

0.864

12,14

Palbociclib

0.769

Beta

0.723

0.815

9,11

Risk of AEs in Palbociclib

Neutropenia

0.696

Beta

0.557

0.835

9,11

Leucopenia

0.383

Beta

0.306

0.46

9,11

Infections

0.052

beta

0.042

0.062

9,11

Anemia

0.043

Beta

0.034

0.052

9,11

Risk of AEs in Ribociclib

 

Beta

   

Neutropenia

0.571

Beta

0.457

0.685

12,14

Leucopenia

0.155

Beta

0.124

0.186

12,14

Hepatobiliary toxicity

0.137

Beta

0.11

0.164

12,14

Infections

0.077

Beta

0.062

0.092

12,14

Anemia

0.039

Beta

0.031

0.047

12,14

Risk of AEs in Abemaciclib

 

Beta

   

Neutropenia

0.297

Beta

0.238

0.356

15,16

Leucopenia

0.111

Beta

0.089

0.133

15,16

Diarrhea

0.145

Beta

0.116

0.174

15,16

Anemia

0.09

Beta

0.072

0.108

15,16

Utility

PFS

0.837

Beta

0.753

0.921

32,33

PD

0.443

Beta

0.399

0.487

34

Disutilities of AEs

Neutropenia

−0.13

Constant

−0.104

−0.156

35,36

Leucopenia

−0.13

Constant

−0.104

−0.156

35,36

Diarrhea

−0.103

Constant

−0.077

−0.129

34

Anemia

−0.073

Constant

−0.058

−0.088

35,36

Infections

−0.15

Constant

−0.12

−0.18

35,36

Hepatobiliary toxicity

−0.12

Constant

−0.096

−0.144

34

Discount

0.05

Constant

0

0.08