Table 10.
Scenario analyses – deterministic results
| Optimal threshold LDL-C (mmol/L) | Mean QALYs | % on ezetimibe | % on inclisiran | |
|---|---|---|---|---|
| Base-case | 2.2 | 6.046 | 31.2% | 13.2% |
| £15,000 per QALY | 2.4 | 6.021 | 22.4% | 7.8% |
| £30,000 per QALY | 1.7 | 6.136 | 61.3% | 32.9% |
| CVD mortality RR | 2.7 | 5.986 | 9.8% | 3.7% |
| Only PCSK9i | 3.2 | 5.969 | 4.2% | 1.5% |
| PCSK9i at > 3.5 mmol/L | 2.2 | 6.047 | 31.2% | 13.2% |
| Atorvastatin cholesterol distribution | 2.2 | 7.753 | 20.7% | 8.9% |
| Exclude unstable angina | 2.2 | 6.059 | 31.2% | 13.2% |
| Exclude TIA | 2.2 | 6.046 | 31.2% | 13.2% |
| Previous statin model utilities | 2.2 | 5.800 | 31.2% | 13.2% |
| Inclisiran TA Utilities | 2.0 | 6.338 | 42.3% | 18.8% |
| Ezetimibe 80% adherence | 2.4 | 6.021 | 17.9% | 9.8% |
| Ezetimibe 50% adherence | 2.7 | 5.993 | 4.9% | 5.9% |
| Ezetimibe 0% adherence | 3.1 | 5.985 | 0% | 5.9% |
| Injectables 80% adherence | 2.0 | 6.063 | 42.3% | 15% |
| Injectables 50% adherence | 1.9 | 6.053 | 50.6% | 11.8% |
| Injectables 0% adherence | 0.8 | 6.042 | 99.6% | 0% |
| Different CVD event costs | 2.2 | 6.202 | 31.0% | 12.9% |
| Volume discounted inclisiran price | 1.9 | 6.095 | 50.6% | 23.7% |
| Higher inclisiran escalation cost | 2.2 | 6.046 | 31.2% | 13.2% |
| Pharmacist fee with ezetimibe | 2.2 | 6.046 | 31.2% | 13.2% |
| Three-cycles LDL-C change adjusted for gender and baseline LDL-C | 2.1 | 6.053 | 32.9% | 14.0% |
| Statin intolerance | 2.2 | 6.044 | 37.5% | 15.0% |
Note: costs are not reported in the table due to the confidentiality of the price of inclisiran and the PCSK9 inhibitors