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. 2017 Oct 3;34(10):2316–2332. doi: 10.1007/s12325-017-0614-8

Table 2.

Estimated 5-year discounted health outcomes and cost-effectiveness results of the current treatment mix (week 24 response assessment) and certolizumab pegol risk-sharing scheme (week 12 response assessment)

Current treatment mix CZP RSS Difference
Mean 95% CI Mean 95% CI Mean 95% CI
Life yearsa 4.522 4.487 4.548 4.526 4.494 4.550 0.004 −0.004 0.017
Proportion of time with response
 No ACR20 48% 42% 54% 43% 38% 49% −5%-units −13%-units 3%-units
 ACR20 (or better) 52% 46% 58% 57% 51% 62% 5%-units −3%-units 13%-units
 ACR50 (or better) 34% 27% 41% 40% 32% 47% 6%-units −5%-units 17%-units
 ACR70 (or better) 17% 9% 24% 18% 6% 30% 1%-units −12%-units 14%-units
QALYsa 2.304 2.086 2.505 2.332 2.120 2.545 0.028 −0.047 0.093
Work days losta 393.0 360.3 441.8 369.5 340.9 396.9 −23.5 −80.9 19.9
Cost per patient (€)a 139,967 133,929 151,717 132,101 127,024 137,244 −7866 −20,410 −60
 Abatacept (first line) 1306 974 1601 0 0 0 −1306 −1601 −974
 Adalimumab (first line) 12,694 10,764 14,303 0 0 0 −12,694 −14,303 −10,764
 CZP (first line) 1127 1010 1216 25,632 20,889 29,582 24,505 19,747 28,450
 Etanercept (first line) 8970 7006 10,612 0 0 0 −8970 −10,612 −7006
 Golimumab (first line) 3490 2616 4333 0 0 0 −3490 −4333 −2616
 Other first-line costsb 3271 2976 3541 2796 2267 3237 −475 −1075 48
 Subsequent treatment 27,650 25,552 30,418 28,319 25,036 32,379 669 −3581 5280
 Hospitalizations, travel 9288 8836 10,087 8975 8613 9352 −313 −1154 206
 Productivity losses 72,171 66,166 81,121 67,850 62,597 72,875 −4321 −14,861 3647
 RSS refund 0 0 0 −1472 −2163 −899 −1472 −2163 −899

CI confidence interval, CZP certolizumab pegol, QALYs quality-adjusted life years, RSS risk-sharing scheme

aDiscounted

bIncludes administration, monitoring, and adverse event costs