评估 PD-1 抑制剂治疗对中国癌症患者关键健康结局的影响。
Evaluating the impact of PD-1 inhibitor treatment on key health outcomes for cancer patients in China.
机构信息
Department of Pharmaceutical Regulatory Science and Pharmacoeconomics, School of Pharmacy, Nanjing Medical University, Nanjing, 211166, China.
Department of Drug Clinical Trial Institution, Fujian Cancer Hospital, Fuzhou, 350014, China.
出版信息
Int J Clin Pharm. 2024 Apr;46(2):429-438. doi: 10.1007/s11096-023-01675-w. Epub 2024 Jan 2.
BACKGROUND
There is a lack of studies examining the influence of programmed cell death protein 1 (PD-1) inhibitors on the health outcomes of cancer patients in China.
AIM
This study aimed to evaluate prospective health outcomes associated with introducing PD-1 inhibitor treatment in China over five years.
METHOD
We constructed a partitioned survival model to assess disparities in health outcomes over a 5-year time frame between two scenarios: one involving the availability of PD-1 inhibitor class with standard of care and the other involving standard of care alone. The impact on various health outcomes were assessed, including life years (LYs) gained, quality-adjusted life years (QALYs) gained, progression-free survival (PFS) years gained, the reduction in the number of grade 3-5 adverse events (AEs), and the improvement in objective remission rates (ORR). A sensitivity analysis was conducted to assess the robustness and reliability of the model.
RESULTS
From 2023 to 2027, the incorporation of PD-1 inhibitor class treatments was anticipated to yield substantial improvements in health outcomes, with an estimated increase of 1,336,332 LYs (+ 24.7%), 1,065,359 QALYs (+ 30.3%), and 1,177,564 PFS years (+ 57.4%) compared to standard of care alone. Simultaneously, the number of grade 3-5 AEs decreased by 334,976 (- 13.0%), and the ORR saw a 19.1% increase (+ 105.6%) relative to standard of care treatment alone.
CONCLUSION
This study provides a analysis of the potential beneficial effects on health outcomes in the Chinese population after introducing PD-1 inhibitor class treatment. The findings suggest the PD-1 inhibitor class will significantly improve patient survival.
背景
缺乏研究考察程序性死亡蛋白 1(PD-1)抑制剂对中国癌症患者健康结果的影响。
目的
本研究旨在评估在中国引入 PD-1 抑制剂治疗后五年内与健康结果相关的前瞻性结果。
方法
我们构建了一个分区生存模型,以评估在 5 年时间框架内两种情况下健康结果的差异:一种情况是 PD-1 抑制剂类药物与标准治疗一起使用,另一种情况是仅使用标准治疗。评估了对各种健康结果的影响,包括获得的生命年(LYs)、获得的质量调整生命年(QALYs)、获得的无进展生存期(PFS)年数、3-5 级不良事件(AE)数量减少以及客观缓解率(ORR)提高。进行了敏感性分析以评估模型的稳健性和可靠性。
结果
从 2023 年到 2027 年,预计引入 PD-1 抑制剂类药物治疗将带来健康结果的显著改善,与单独使用标准治疗相比,预计将增加 1336332 个 LYs(+24.7%)、1065359 个 QALYs(+30.3%)和 1177564 个 PFS 年(+57.4%)。同时,3-5 级 AE 数量减少了 334976 例(-13.0%),ORR 相对于单独使用标准治疗增加了 19.1%(+105.6%)。
结论
本研究分析了在中国引入 PD-1 抑制剂类药物治疗后对中国人群健康结果的潜在有益影响。研究结果表明,PD-1 抑制剂类药物将显著改善患者的生存。