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. 2019 Nov 2;40(2):129–137. doi: 10.1007/s40261-019-00869-3

Table 1.

Base cases, ranges and distributional assumptions of parameters

Parameters Base case Range Distribution Source
Costs (US$)
 Nivolumab (4.5 mg/kg per unit) 60.0 26.0–60.0 Fixed in PSA Local charge
 Docetaxel (129 mg per unit) 193.0 154.4–231.6 Fixed in PSA Local charge
 Routine follow-up per unita 55.6 41.7–69.4 Lognormal [26]
 Subsequent systemic therapy in PS state per unitb 854.1 706.5–992.4 Lognormal [25]
 BSC per unitc 337.5 158.7–793.7 Lognormal [26]
 Terminal phase cost per unitd 2627.8 2291.8–2966.6 Lognormal [25]
 Neutropenia per event 461.5 415.4–507.7 Lognormal [23]
 Anemia per event 531.7 478.5–584.9 Lognormal [23]
 Fatigue per event 115.4 103.8–126.9 Lognormal [23]
 Rash per event 5.5 4.4–6.6 Lognormal [24]
Risk for treatment-related AEs
 Neutropenia in nivolumab arm 0.020 0.016–0.024 Beta [14]
 Neutropenia in docetaxel arm 0.200 0.160–0.240 Beta [14]
 Anemia in nivolumab arm 0.040 0.032–0.048 Beta [14]
 Anemia in docetaxel arm 0.260 0.208–0.312 Beta [14]
 Fatigue in nivolumab arm 0.100 0.008–0.120 Beta [14]
 Fatigue in docetaxel arm 0.250 0.200–0.300 Beta [14]
 Rash in nivolumab arm 0.120 0.096–0.144 Beta [14]
 Rash in docetaxel arm 0.030 0.024–0.036 Beta [14]
 Hair loss in nivolumab arm 0 [14]
 Hair loss in docetaxel arm 0.220 0.176–0.264 Beta [14]
Utilities
 PFS 0.804 0.643–0.965 Beta [20]
 PS 0.321 0.257–0.385 Beta [20]
 PFS plus rash 0.705 0.564–0.846 Beta [20]
 PFS plus fatigue 0.736 0.589–0.883 Beta [20]
 PFS plus neutropenia 0.604 0.483–0.725 Beta [20]
 PFS plus hair loss 0.746 0.597–0.895 Beta [20]
Parametric distribution
 Docetaxel, OS, scale (Weibull) 0.04848005 Fixed in PSA Estimated
 Docetaxel, OS, shape (Weibull) 1.252947 Fixed in PSA Estimated
 Docetaxel, PFS, scale (Weibull) 0.03381398 Fixed in PSA Estimated
 Docetaxel, PFS, shape (Weibull) 1.207347 Fixed in PSA Estimated
HR
 HR of OS 0.68 0.52–0.90 Lognormal [14]
 HR of PFS 0.77 0.62–0.95 Lognormal [14]
Discount rate (%) 3 0–8 Fixed in PSA [27]
Patient weight (kg) 65 52–78 Fixed in PSA [21]

AEs adverse effects, BSC best supportive care, HR hazard ratio, PFS progression-free survival, PS progression survival, OS overall survival

aThe cost of routine follow-up included the cost of outpatient physician visit, hospitalization, and laboratory tests

bSubsequent systemic therapy after PS included immunotherapy, targeted therapy and chemotherapy

cBSC referred to the intervention of clinical symptoms caused by cancer, including anti-inflammatory treatment, analgesic treatment, antiemetic treatment, thoracic and abdominal puncture decompression, blood transfusion and nutritional support

dThe terminal phase cost referred to the cost of palliative end-of-life