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. 2013 Nov 9;34(2):107–115. doi: 10.1007/s40261-013-0151-4

Table 4.

Incremental cost-effectiveness results

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