Table 2.
Input Parameters: Hepatitis C Model
Model Inputs | Parameters Value | PSA distribution (if applicable) | Source |
---|---|---|---|
Cohort characteristics | |||
Age | 40 | Wright et al.27 | |
Average weight | 79.8 kg | Fried et al.28 | |
% male | 61 | Wright et al.27 | |
Genotype, % | |||
1 | 66 | ||
2 and 3 | 31 | Fried et al.28 | |
4 | 3 | ||
Natural history data | |||
Mild-moderate fibrosis | 0.025 | Dirichlet | Wright et al.27 |
Moderate fibrosis-compensated cirrhosis | 0.037 | ||
Cirrhosis-decompensated cirrhosis | 0.04 | ||
Cirrhosis-HCC | 0.14 | ||
Decompensated cirrhosis/HCC-LT | 0.02 | ||
Decompensated cirrhosis-death | 0.13 | ||
HCC-death | 0.43 | ||
LT-Death | 0.15 | ||
Post-LT-death | 0.03 | ||
All-cause mortality | Range from 0.014 to 0.335 | Interim life table England and Wales, 2008-2010 |
SVR Rate | |||||
---|---|---|---|---|---|
Treatment | Dosage (mg) | Duration (weeks) | SVR Rate (%) | Source | |
Genotype 1: treatment naïve | Peg-IFN-α-2a | 180 (weekly) | 48 | NICE HTA 25213 | |
RBV | 1,200 (daily) | 48 | 75 | ||
TVR | 2,250 (daily | 12 | |||
Genotype 1: treatment naïve | Peg-IFN-α-2b | 120 (weekly) | 48 | NICE HTA 25312 | |
RBV | 1,000 (daily) | 48 | 66.1 | ||
BOC | 2,400 (daily) | 32 | |||
Genotype 1: patients with cirrhosis (treatment naïve) | Peg-IFN-α-2b | 120 (weekly) | 48 | NICE HTA 25312 | |
RBV | 1,000 (daily) | 48 | 41.7 | ||
BOC | 2,400 (daily) | 36 | |||
Genotypes 2 and 3 (treatment naïve) | Peg-IFN-α-2a | 180 (weekly) | 24 | 76 | Fried et al.28 |
RBV | 1,200 (daily) | 24 | |||
Peg-IFN-α-2b | 120 (weekly) | 24 | 82 | Manns et al.29 | |
RBV | 1,000 (daily) | 24 | |||
Genotype 4 (treatment naïve) | Peg-IFN-α-2a | 180 (weekly) | 48 | 77 | Fried et al.28 |
RBV | 1,200 (daily) | 48 | |||
Peg-IFN-α-2b | 120 (weekly) | 48 | 69 | Kamal et al.30 | |
RBV | 1,000 (daily) | 48 |
Health State Costs | |||||
---|---|---|---|---|---|
Mean | Standard Error | PSA Distribution | Source | ||
Mild fibrosis | 185 | 36.39 | Wright et al.27 | ||
Moderate fibrosis | 959 | 101.69 | Gamma | ||
Compensated cirrhosis | 1,521 | 309.05 | |||
Decompensated cirrhosis | 38,871 | 9410.46 | Longworth et al.17 | ||
HCC | 38,871 | 9410.46 | |||
LT | 69,174 | 7054.86 | |||
Post-LT | 4,356 | 861.57 |
Treatment Costs | |||||
---|---|---|---|---|---|
Treatment | Cost | Source | |||
Genotype 1: treatment naïve | Peg-IFN-α-2a and RBV/TVR | 32,809 | British National Formulary 64 http://www.bnf.org/bnf/index.htm | ||
Genotype 1: treatment naïve | Peg-IFN-α-2b and RBV/BOC | 33,270 | |||
Genotype 1: patients with cirrhosis | Peg-IFN-α-2b and RBV/BOC | 41,670 | |||
Genotypes 2 and 3 | Peg-IFN-α-2a and RBV | 4,446 | |||
Genotypes 2 and 3 | Peg-IFN-α-2b and RBV | 5,435 | |||
Genotype 4 | Peg-IFN-α-2a and RBV | 10,411 | |||
Genotype 4 | Peg-IFN-α-2b and RBV | 10,870 |
Utilities | |||||
---|---|---|---|---|---|
Mean | Standard Error | PSA Distribution | Source | ||
Without treatment with antiviral agents | |||||
Mild fibrosis | 0.77 | 0.035 | Beta | Wright et al.27 | |
Moderate fibrosis | 0.66 | 0.018 | |||
Compensated cirrhosis | 0.55 | 0.032 | |||
Decompensated cirrhosis | 0.49 | 0.056 | Longworth et al.17 | ||
HCC | 0.49 | 0.056 | |||
LT | 0.51 | 0.053 | |||
Post-LT | 0.52 | 0.061 | |||
Death | 0 | 0 | |||
During treatment with antiviral agents | |||||
Mild fibrosis (during treatment) | 0.65 | 0.035 | Beta | Wright et al.27 | |
Moderate fibrosis (during treatment) | 0.55 | 0.018 | |||
Compensated cirrhosis (during treatment) | 0.44 | 0.04 | Grishchenko et al.31 | ||
After successful response to treatment with antiviral agents | |||||
Mild fibrosis (SVR after treatment) | 0.82 | 0.04 | Beta | Wright et al.27 | |
Moderate fibrosis (SVR after treatment) | 0.71 | 0.05 | |||
Compensated cirrhosis (SVR after treatment) | 0.60 | 0.04 | Grishchenko et al.31 |