Table 1.
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