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