Table 3.
Scenario | Treatment | Cost ($)* | QALY | Incremental Cost ($) | Incremental Effectiveness (QALY gained) |
ICER ($/QALY) |
---|---|---|---|---|---|---|
10-year time horizon | ||||||
Base-case | Usual care | 116,156 | 6.84 | 1,662,765 | 0.45 | 3,655,352 |
Lumacaftor/ivacaftor | 1,778,921 | 7.29 | ||||
Worst-case | Usual care | 116,156 | 6.84 | 1,677,901 | 0.20 | 8,480,265 |
Lumacaftor/ivacaftor | 1,794,056 | 7.04 | ||||
2-year time horizon | ||||||
Base-case | Usual care | 30,469 | 2.23 | 531,606 | 0.07 | 7,311,801 |
Lumacaftor/ivacaftor | 562,075 | 2.3 | ||||
Worst-case | Usual care | 30,469 | 2.23 | 532,262 | 0.06 | 9,292,285 |
Lumacaftor/ivacaftor | 562,731 | 2.28 | ||||
4-year time horizon | ||||||
Base-case | Usual care | 51,850 | 3.56 | 852,463 | 0.15 | 5,835,535 |
Lumacaftor/ivacaftor | 904,313 | 3.70 | ||||
Worst-case | Usual care | 51,850 | 3.56 | 855,802 | 0.09 | 9,554,343 |
Lumacaftor/ivacaftor | 907,652 | 3.65 | ||||
6-year time horizon | ||||||
Base-case | Usual care | 72,361 | 4.77 | 1,148,863 | 0.24 | 4,869,328 |
Lumacaftor/ivacaftor | 1,221,224 | 5.00 | ||||
Worst-case | Usual care | 72,361 | 4.77 | 1,155,718 | 0.12 | 9,263,760 |
Lumacaftor/ivacaftor | 1,228,079 | 4.89 | ||||
8-year time horizon | ||||||
Base-case | Usual care | 94,274 | 5.86 | 1,418,488 | 0.34 | 4,173,169 |
Lumacaftor/ivacaftor | 1,512,761 | 6.20 | ||||
Worst-case | Usual care | 94,274 | 5.86 | 1,429,656 | 0.16 | 8,861,944 |
Lumacaftor/ivacaftor | 1,523,930 | 6.02 |
QALY Quality adjusted life year, ICER Incremental-cost effectiveness ratio
*All costs are expressed in USD-2016