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. 2014 Jul 29;60(3):832–843. doi: 10.1002/hep.27296

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