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艾日布林与达卡巴嗪治疗晚期脂肪肉瘤患者的成本效益分析。

Cost-effectiveness analysis of eribulin versus dacarbazine in patients with advanced liposarcoma.

作者信息

Zhang Miaomiao, Huang Jinlong, Zheng Xiaochun, Huang Ping, Yang Xiuli

机构信息

School of Pharmacy, Hangzhou Normal University, Hangzhou, Zhejiang, China.

Center for Clinical Pharmacy, Cancer Center, Department of Pharmacy, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, 158 Shangtang Rd, Gongsu District, Hangzhou, 310014, Zhejiang, China.

出版信息

Sci Rep. 2025 Jan 15;15(1):2084. doi: 10.1038/s41598-024-84247-w.

Abstract

A subgroup analysis of a randomized study demonstrated that patients with advanced or metastatic liposarcoma treated with eribulin had longer overall survival and progression-free survival compared to those treated with dacarbazine, suggesting eribulin as a therapeutic option for advanced liposarcoma. Therefore, this study aims to evaluate the cost-effectiveness of eribulin versus dacarbazine in the treatment of advanced liposarcoma. We established a 10-year Markov model to compare the cost-effectiveness of eribulin and dacarbazine regimens. Clinical data were sourced from a subgroup analysis of a multicenter, randomized, open-label phase 3 trials. Quality-adjusted life years (QALYs), and incremental cost-effectiveness ratios (ICERs) were computed. The total cost of the dacarbazine scheme was $10,895.558, with a QALY of 0.533. In contrast, the total cost of the eribulin scheme was $16,961.891, with a QALY of 0.698. The ICER between the eribulin and dacarbazine schemes was $36,736.467, which is below the willingness-to-pay (WTP) threshold in China ($37,877.469). From the perspective of the Chinese healthcare system, eribulin is cost-effective compared to dacarbazine at the WTP threshold.

摘要

一项随机研究的亚组分析表明,与接受达卡巴嗪治疗的患者相比,接受艾瑞布林治疗的晚期或转移性脂肪肉瘤患者的总生存期和无进展生存期更长,这表明艾瑞布林可作为晚期脂肪肉瘤的一种治疗选择。因此,本研究旨在评估艾瑞布林与达卡巴嗪治疗晚期脂肪肉瘤的成本效益。我们建立了一个10年的马尔可夫模型,以比较艾瑞布林和达卡巴嗪治疗方案的成本效益。临床数据来自一项多中心、随机、开放标签3期试验的亚组分析。计算了质量调整生命年(QALY)和增量成本效益比(ICER)。达卡巴嗪方案的总成本为10895.558美元,QALY为0.533。相比之下,艾瑞布林方案的总成本为16961.891美元,QALY为0.698。艾瑞布林和达卡巴嗪方案之间的ICER为36736.467美元,低于中国的支付意愿(WTP)阈值(37877.469美元)。从中国医疗保健系统的角度来看,在WTP阈值下,与达卡巴嗪相比,艾瑞布林具有成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d99/11735621/4edfbb8f14af/41598_2024_84247_Fig2_HTML.jpg

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