Table 4.
Patient-specific decisions for two patients using data from a hypothetical phase 3 randomized controlled trial that reported a hazard ratio of 0.5, favoring superlumab over nivolumab across all International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) prognostic subgroups.
Parameter | Patient A | Patient B | Conclusions | ||
---|---|---|---|---|---|
IMDC prognostic subgroup | Favorable risk | Poor risk | The two patients differ only in their prognostic status | ||
Nivolumab | Superlumab | Nivolumab | Superlumab | ||
Median overall survival (months) | 18 | 36 | 2 | 4 | The median and mean survival differences are more pronounced for patient A compared with patient B |
Mean overall survival (months) | 26 | 52 | 5.8 | 2.9 | |
Survival probablity at 3 months | 89% | 94% | 35% | 60% | The absolute risk reduction at 3 months is more pronounced for patient B compared with patient A |
Utilities based on the first joint utility function (Figure 5A and Table 2) | 100 | 85 | 76 | 80 | Choose nivolumab for patient A and superlumab for patient B |
Utilities based on the second joint utility function (Figure 5B and Table 3) | 96 | 109 | 62 | 56 | Choose superlumab for patient A and nivolumab for patient B |