Table 4.
Drug | Comparator | Extracted data | Yeara | Converted to US$ | |||
---|---|---|---|---|---|---|---|
ICER (€ per QALY) | Incremental costs (€) | Incremental QALYs | ICER (2017 US$) | Incremental costs (2017 US$) | |||
Vemurafenib [31] | Dacarbazine | 131,883 | NR | NR | 2012 | 177,233 | NR |
Dabrafenib [30] | Dacarbazine | 84,473 | 113,613 | 1.35 | 2014 | 112,741 | 151,632 |
Dabrafenib [30] | Vemurafenib | Dominant | − 43,380 | 0.36 | 2014 | Dominant | − 57,897 |
Ipilimumab 2L [27] | BSC | 147,899 | NR | NR | 2011 | 202,168 | NR |
Pembrolizumab 1L [28] | Ipilimumab | Dominant | − 3093 | 0.42 | 2016 | Dominant | − 4140 |
Pembrolizumab 2L [29] | BSC | 85,766 | 72,280 | 0.84 | 2016 | 114,801 | 96,749 |
Nivolumab 1L [34] | Ipilimumab | 101,282 | NR | NR | 2016 | 135,569 | NR |
Nivolumab 1L [34] | Vemurafenib | 29,018 | NR | NR | 2016 | 38,842 | NR |
Nivolumab 1L [34] | Dabrafenib | 46,276 | NR | NR | 2016 | 61,942 | NR |
Nivo + Ipi [32] | Ipilimumab | 47,748 | 101,354 | 2.13 | 2016 | 63,912 | 135,666 |
Nivo + Ipi [32] | Nivolumab | Dominant | − 7,792 | 0.93 | 2016 | Dominant | − 10,430 |
Nivo + Ipi [32] | Pembrolizumab | Dominant | − 143,751 | 0.94 | 2016 | Dominant | − 192,416 |
Nivo + Ipi [32] | Dab + Tram | 14,850 | 21,454 | 1.45 | 2016 | 19,877 | 28,717 |
Dab + Tram [33] | Vemurafenib | 177,275 | 170,314 | 0.96 | 2017 | 236,367 | 227,085 |
Dab + Tram [33] | Dabrafenib | 244,822 | 182,417 | 0.75 | 2017 | 326,429 | 243,223 |
Dab + Tram [33] | Pembrolizumab | 126,128 | 56,299 | 0.45 | 2017 | 168,171 | 75,065 |
Vem + Cobi [26] | Vemurafenib | 326,868 | 168,266 | 0.51 | 2017 | 435,824 | 224,355 |
Vem + Cobi [26] | Dabrafenib | 324,192 | 189,936 | 0.59 | 2017 | 432,256 | 253,248 |
Vem + Cobi [26] | Dab + Tram | 108,284 | 15,806 | 0.15 | 2017 | 144,379 | 21,075 |
1L first line, 2L second line, BSC best supportive care, Dab + Tram dabrafenib in combination with trametinib, HTA health technology assessment, ICER incremental cost-effectiveness ratio, NCPE National Centre for Pharmacoeconomics, Nivo + Ipi nivolumab in combination with ipilimumab, NR not reported, QALY quality-adjusted life-year, Vem + Cobi vemurafenib in combination with cobimetinib
aYear of publication on NCPE website