Table 5.
Sensitivity Analysis: 3-Year Cumulative Budget | ||||
---|---|---|---|---|
Costs, $a | Current Market | New Market | Difference | Change, % |
Base case | 33,632,943 | 29,052,813 | -4,580,130 | -13.6 |
Patient weight increased 20% (86.4 kg) | 40,161,965 | 33,069,366 | -7,092,599 | -17.7 |
Patient dose increased 20% (56.9 U/kg) | 40,161,965 | 33,069,366 | -7,092,599 | -17.7 |
Adherence at 100% (ERT = 26 infusion per year; SRT = MPR 100%) | 36,545,241 | 31,542,542 | -5,002,699 | -13.7 |
Scenario Analysis: 3-Year Cumulative Results | ||||
Scenario | Incremental Results, $ (%) (Reduction Compared to the Current Market) | PMPM, $ | ||
Scenario 1: Mature shift to eliglustat: 50%b | -5,162,841 (-15.4) | -0.029 | ||
Scenario 1: Mature shift to eliglustat: 100%b | -7,700,456 (-22.9) | -0.043 | ||
Scenario 2: Conservative markup: ERT cost markup is 20% at all sites of care. | -3,228,312 (-10.7) | -0.018 | ||
Scenario 3: Site of care management: The share of patients receiving ERT infusions in a hospital setting for the current and new market is reduced to 10% from 32% in the base case. | -2,490,957 (-8.9) | -0.014 |
aAll costs are expressed in 2017 U.S. dollars.
bPercentage of patients receiving ERT infusions in the hospital outpatient setting were shifted to eliglustat in the new market.
ERT = enzyme replacement therapy; MPR = medication possession ratio; PMPM = per member per month; SRT = substrate reduction therapy; U = unit.