Table 2. Summary of economic findings.
Biological | Cost per PASI 75a | References | Cost per DLQI MIDa | References | Cost per QALYa | Referen-ces |
---|---|---|---|---|---|---|
Adalimumab | 7,325–92,871 | [28, 29, 32, 34, 36, 40, 48–50, 52, 53, 56, 58, 63, 64, 67–70, 72, 75, 76, 79] | 3,655–26,871 | [28, 64, 75] | 39,952–48,341 | [55, 73, 74] |
Alefacept | 36,430–200,734 | [28, 42, 49, 50, 61, 63, 64, 66, 67, 75, 80] | 28,167–155,255 | [28, 63, 64, 75] | NR | NA |
Apremilastb | 47,960–157,309 | [31, 32] | NR | NA | NR | NA |
Efalizumab | 15,524–78,937 | [34, 49, 50, 61, 63, 64, 66, 67] | 5,478–6,831 | [63, 64] | 59,009 | [73] |
Etanercept | 11,590–138,009 | [28, 29, 32, 34, 36, 37, 40, 42, 48–51, 56, 58, 60, 61, 63, 64, 66–70, 72, 75, 76, 79, 80] | 2,342–44,796 | [28, 63, 64, 75] | 6,347–59,069 | [37, 51, 55, 59, 73, 74] |
Infliximab | 8,077–229,392 | [28, 29, 32, 34, 36, 40, 42, 48–50, 52, 53, 56, 58, 63, 64, 66–70, 72, 75, 76] | 3,652–11,348 | [28, 63, 64, 75] | 62,767–73,021 | [73, 74] |
Ixekizumab | 62,707 | [32] | ||||
Ustekinumab | 10,151–136,075 | [28, 29, 32, 36, 38, 40, 48, 52, 53, 56, 58, 60, 67–70, 72, 75, 76, 79] | 15,500–32,144 | [28, 75] | NR | NA |
Secukinumab | 10,654–113,858 | [32, 38, 53] | NR | NA | 56,380–72,544 | [39, 57] |
a Cost per outcome in USD is presented as compared to non-biologic therapy or placebo. Incremental analyses results comparing two biologicals are not included in this table. In addition, studies evaluating treatment sequences are not considered.
b Apremilast was compared to methotrexate.
DLQI MID: minimal important difference in the Dermatology Life Quality Index; NA: not assessed; NR: not reported; PASI 75: reduction of the Psoriasis Area and Severity Index by 75%; QALY: Quality-Adjusted Life Year.