Table 3.
Deterministic and probabilistic base case results
| Sotatercept plus background therapy | Background therapy alone | Difference | Interpretation | |
|---|---|---|---|---|
| Deterministic outcome | ||||
| Total LYs, per patient | ||||
| By health state | 16.5 | 5.1 | 11.5 | Favoring sotatercept plus background therapy |
| Low risk | 13.3 | 1.5 | 11.9 | |
| Intermediate-low risk | 2.7 | 1.2 | 1.6 | |
| Intermediate-high risk | 0.5 | 0.8 | − 0.4 | |
| High risk | 0.04 | 1.6 | − 1.5 | |
| Lung/heart-lung transplant | 0.01 | 0.04 | − 0.03 | |
| By infused prostacyclin use | 16.5 | 5.1 | 11.5 | Favoring sotatercept plus background therapy |
| Infused prostacyclin-use | 1.9 | 2.0 | − 0.1 | |
| Infused prostacyclin-free | 14.7 | 3.1 | 11.6 | |
| Landmark survival | ||||
| 1 year | 96.4% | 91.9% | 4.5% | Favoring sotatercept plus background therapy |
| 3 years | 89.1% | 67.2% | 21.9% | |
| 5 years | 83.0% | 45.9% | 37.2% | |
| 7 years | 76.5% | 27.1% | 49.3% | |
| 10 years | 67.5% | 11.0% | 56.5% | |
| 15 years | 53.5% | 1.8% | 51.7% | |
| 20 years | 41.5% | 0.3% | 41.2% | |
| 25 years | 30.2% | 0.1% | 30.2% | |
| 30 years | 20.5% | 0.0% | 20.5% | |
| Clinical events, per 1000 patients | ||||
| PAH hospitalization | 121 | 804 | 683** | Favoring sotatercept plus background therapy |
| Lung/heart-lung transplant | 1 | 6 | 4** | Favoring sotatercept plus background therapy |
| Probabilistic outcome, mean (95% Crl) | ||||
| Total LYs, per patient |
15.9 (10.3, 18.0) |
5.3 (4.3, 6.8) |
10.6 (4.9, 13.2) |
Favoring sotatercept plus background therapy |
| Total infused prostacyclin–free LYs, per patient |
13.9 (8.9, 16.5) |
3.3 (2.2, 4.9) |
10.6 (5.2, 13.6) |
Favoring sotatercept plus background therapy |
All outcomes were discounted at 3% annually, as commonly adopted in population health models [14]
**The number of hospitalizations and lung/heart-lung transplants averted was rounded down to the nearest integer to be conservative regarding the clinical benefit of sotatercept. Also, half-cycle correction was applied
Crl credible interval; LY life-year; PAH pulmonary arterial hypertension