Table 1.
Deterministic company and ERG base-case results
Assumed effectiveness of DEX | Analysis | Comparator | Fully incremental ICER (incremental £/QALY) | ICER of FAc versus comparator |
---|---|---|---|---|
DEX not considered | Company base-case | (L)CP | – | £7183 |
HR of 0.456 for DEX versus (L)CP | ERG base-case 1 | (L)CP | Cheapest | £12,325 |
DEX | Extendedly dominated | £5335 | ||
FAc | £12,325 | – | ||
ERG base-case 2 | (L)CP | Cheapest | £21,531 | |
DEX | Extendedly dominated | £9457 | ||
FAc | £21,531 | – | ||
ERG base-case 3 | (L)CP | Cheapest | £19,049 | |
DEX | Extendedly dominated | £13,856 | ||
FAc | £19,049 | – | ||
ERG base-case 4 | (L)CP | Cheapest | £30,153 | |
DEX | Extendedly dominated | £22,810 | ||
FAc | £30,153 | – | ||
HR of 1 for DEX versus FAc (i.e. same effectiveness) | ERG base-case 1 | (L)CP | Cheapest | £12,325 |
DEX | £12,283 | Dominated | ||
FAc | Dominated | – | ||
ERG base-case 2 | (L)CP | Cheapest | £21,531 | |
DEX | £21,457 | Dominated | ||
FAc | Dominated | – | ||
ERG base-case 3 | (L)CP | Cheapest | £19,049 | |
DEX | £18,710 | Dominated | ||
FAc | Dominated | – | ||
ERG base-case 4 | (L)CP | Cheapest | £30,153 | |
DEX | £29,617 | Dominated | ||
FAc | Dominated | – | ||
HR of 0.7 for DEX versus FAc | ERG base-case 1 | (L)CP | Cheapest | £12,325 |
FAc | Extendedly dominated | – | ||
DEX | £10,412 | £2297 | ||
ERG base-case 2 | (L)CP | Cheapest | £21,531 | |
FAc | Extendedly dominated | – | ||
DEX | £17,843 | £3643 | ||
ERG base-case 3 | (L)CP | Cheapest | £19,049 | |
FAc | Extendedly dominated | – | ||
DEX | £17,239 | £12,911 | ||
ERG base-case 4 | (L)CP | Cheapest | £30,153 | |
FAc | Extendedly dominated | – | ||
DEX | £25,074 | £15,730 |
Sources: Tables 5.5 and 5.11–5.13 of the ERG report [3]
DEX dexamethasone, ERG Evidence Review Group, FAc fluocinolone acetonide, HR hazard ratio, ICER incremental cost-effectiveness ratio, (L)CP (limited) clinical practice, QALY quality-adjusted life-year