TABLE 1.
Parameter | Base case | Lower limit | Upper limit | Distribution | Source |
---|---|---|---|---|---|
Clinical inputs | |||||
Progression‐free survival | |||||
Toripalimab: Log Normal‐Lambda | 2.567 | 2.310 | 2.824 | Lognormal |
Extrapolated from published KM curves from JUIPTER‐02 |
Toripalimab: Log Normal‐Gamma | 0.913 | 0.822 | 1.005 | Lognormal | |
Chemotherapy: Log Logistic‐Lambda | 2.118 | 1.906 | 2.330 | Lognormal | |
Chemotherapy: Log Logistic‐Gamma | 0.341 | 0.307 | 0.375 | Lognormal | |
Overall survival | |||||
Toripalimab: Log Logistic – Lambda | 4.094 | 3.685 | 4.504 | Lognormal |
Extrapolated from published KM curves from JUIPTER‐02 |
Toripalimab: Log Logistic – Gamma | 0.701 | 0.631 | 0.772 | Lognormal | |
Chemotherapy: Log Normal – Lambda | 3.438 | 3.095 | 3.783 | Lognormal | |
Chemotherapy: Log Normal – Gamma | 0.842 | 0.758 | 0.927 | Lognormal | |
Utility inputs | |||||
Toripalimab: PFS | 0.68 | 0.61 | 0.75 | Beta | 21 |
Toripalimab: PD | 0.66 | 0.59 | 0.73 | Beta | 21 |
Chemotherapy: PFS | 0.61 | 0.55 | 0.67 | Beta | 21 |
Chemotherapy: PD | 0.47 | 0.42 | 0.52 | Beta | 21 |
Discount rate, % | |||||
Cost | 3 | 0 | 8 | Beta | 17 |
QALY | 3 | 0 | 8 | Beta | 17 |
Costs inputs (per cycle/ per event), $ | |||||
Costs of medication | |||||
Toripalimab | 8892 | 8803 | 9781 | Gamma | 22 |
Cisplatin | 33 | 29 | 36 | Gamma | 22 |
Gemcitabine | 73 | 66 | 80 | Gamma | 22 |
Costs of progressive disease | |||||
Toripalimab | 73,143 | 65,829 | 80,457 | Gamma | 18, 22–24 |
Chemotherapy | 88,914 | 80,023 | 97,806 | Gamma | 18, 22–24 |
Costs of disease management | 637 | 573 | 701 | Gamma | 25 |
Costs of drug administration | 651 | 586 | 716 | Gamma | 25, 26 |
Costs of terminal care | 11,126 | 10,013 | 12,239 | Gamma | 26 |
Costs of adverse events | |||||
Neutropenia | 10,073 | 9066 | 11,081 | Gamma | 25 |
Leukopenia | 10,073 | 9066 | 11,081 | Gamma | 25 |
Anemia | 8072 | 7264 | 8879 | Gamma | 25 |
Thrombocytopenia | 9546 | 8592 | 10,501 | Gamma | 25, 27 |
Lymphopenia | 19,805 | 17,824 | 21,785 | Gamma | 26 |
Hypokalemia | 11,889 | 10,700 | 13,078 | Gamma | 27 |
Hyponatremia | 8186 | 7368 | 9005 | Gamma | 27 |
Pneumonia | 16,681 | 15,013 | 18,349 | Gamma | 27 |
Abbreviations: PD, progressive disease; PFS, progression‐free survival; QALY, quality‐adjusted life year.