Table 4.
Cost-impact analysis using response-guided therapy with sofosbuvir in combination of simeprevir, daclatasvir or ledipasvir.
| HCV RNA <15 IU/ml [days] |
n (%) | Therapy duration [weeks] |
Projected outcome using response-guided therapy (RGT) n [outcome] |
Estimated treatment cost saving (in France#) using RGT compared to standard 12 weeks of therapy [x1000€] |
Estimated treatment cost saving using RGT compared to standard 12 weeks of therapy in 100 subjects |
|---|---|---|---|---|---|
| 14 | 28(48%) | 6 | 26* [SVR] + 2** [non-SVR] | 698@ | 43% |
| 28 | 23(40%) | 10 | 23 [SVR] | 223 | 17% |
| 42 | 7(12%) | 12 | 6 [SVR] + 1*** [non-SVR] | 0& | 0% |
| Total | 921 | 16% |
Assuming that the 3 and 1 patients who had HCV<15 at days 2 and 7, respectively, in which modeling could not be performed (Table 3), would have achieved cure with 6 weeks of therapy;
projected relapsers since modeling projected more than 6 weeks to reach cure (Table 3);
observed relapser in the current study;
Assuming extra cost to re-treat the 2 non-SVR with a 12 week course of dual therapy;
no difference since one patient was a relpaser;
Average cost (58,167€) of DAA therapy as in Table 3.