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Table 2 Cost-effectiveness of bevacizumab in the front-line treatment of ovarian cancer [13]

From: Will bevacizumab biosimilars impact the value of systemic therapy in gynecologic cancers?

Citation

Treatment regimen

Total/Incremental costs (USD)

Effectiveness/Incremental effectiveness

ICER

Key findings

Cohn et al. 2011

PAC + CAR

2.5 milliona

10.3 monthsb

Referent

Addition of BEV and maintenance BEV was not cost-effective

PAC + CAR + BEV

21.4 milliona

11.2 monthsb

USD479,712 per PFLY gained

(PAC + CAR + BEV) + maintenance BEV

78.3 milliona

14.1 monthsb

USD401,088 per PFLY gained

Barnett et al. 2013

PAC + CAR

PAC + CAR + BEV

PAC + CAR + BEV for high-risk patients

6220c

20,751c

56,351c

2.80d

2.89d

2.88d

Referent

USD168,610 per QALY

Dominated

Use of BEV with standard first-line taxane was not cost-effective in stage III/IV ovarian cancer. May be suitable in high-risk patients although ICER exceeded thresholds

Chan et al. 2014

PAC + CAR

535e

10.5b

Referent

For high-risk, advanced ovarian cancer patients, ICER was almost USD170,000 per life-year saved

 

PAC + CAR + BEV plus maintenance BEV

3760 (3225 for maintenance)e

15.9b

USD167,771 per LYG

 
  1. BEV bevacizumab; CAR carboplatin; ICER incremental cost-effectiveness ratio; LYG life-year gained; PAC paclitaxel; PFLY progression-free life-year; QALY quality-adjusted life-year; USD United States dollars
  2. aTotal cost for 600 patients
  3. bMedian progression-free survival
  4. cMean cost
  5. dQALY
  6. eTotal cost per cycle
  7. Dominated: BEV was more costly and less effective