Table 4.
Effectiveness measure | Difference in costs (C p − C c) [US$]a |
Difference in effectiveness (E p − E c)b |
ICER (C p − C c)/(E p − E c) |
Probability that paricalcitol is dominant [%]c |
---|---|---|---|---|
Primary endpoint | ||||
iPTH level 150–300 pg/mLd | −5,814 | 0.23 | Dominant | 99.1 |
Secondary endpoints | ||||
≥30 % reduction in iPTH levele | −5,814 | 0.35 | Dominant | 100 |
≥50 % reduction in iPTH levelf | −5,814 | 0.43 | Dominant | 100 |
Calcium level 8.4–10.5 mg/dLg | −5,814 | 0.39 | Dominant | 100 |
iPTH level 150–300 pg/mL and calcium level 8.4–10.5 mg/dLh | −5,814 | 0.36 | Dominant | 100 |
C c cost in the cinacalcet group, C p cost in the paricalcitol group, E c effectiveness in the cinacalcet group, E p effectiveness in the paricalcitol group, ICER incremental cost-effectiveness ratio, iPTH intact parathyroid hormone
aDifference in the total annualized drug cost between treatment groups [i.e. the cost in the paricalcitol group (C p) minus the cost in the cinacalcet group (C c)]. This is the numerator of the ICER. Note that the difference is the same regardless of which measure of effectiveness is analysed
bDifference in the effectiveness endpoint between treatment groups [i.e. the proportion of patients achieving the endpoint in the paricalcitol group (E p) minus the proportion of patients achieving the endpoint in the cinacalcet group (E c)]. This is the denominator of the ICER
cDerived from the bootstrap analysis
dProportion of subjects achieving a mean iPTH level of 150–300 pg/mL during the evaluation period (weeks 21–28)
eProportion of subjects achieving ≥30 % reduction in the mean iPTH level during the evaluation period compared with baseline
fProportion of subjects achieving ≥50 % reduction in the mean iPTH level during the evaluation period compared with baseline
gProportion of subjects with a mean calcium level of 8.4–10.5 mg/dL during the evaluation period
hProportion of subjects achieving both a mean iPTH level of 150–300 pg/mL and a mean calcium level of 8.4–10.5 mg/dL during the evaluation period