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. 2021 Jul 19;15(10):2672–2687. doi: 10.1002/1878-0261.13038

Table 3.

Study characteristics and outcomes of immunotherapy guided by PD‐L1 positivity versus immunotherapy for all patients. Negative ICER can infer favourable or unfavourable treatment options depending on where it lies on the cost‐effectiveness plane. A dominated strategy is one which is clinically inferior and more expensive. CN, China; NR, not reported; US$, US dollars.

Author Year Country NSCLC stage Therapy Biomarker (methodology) Change in LYG Change in QALY ICER (LYG) ICER (QALY) WTP CETa NMB
Matter‐Walstra et al. [22] 2016 Switzerland NR Nivolumab

PD‐L1 ≥ 1%, IHC

PD‐L1 ≥ 10%, IHC

IHC ‐ 22C3 pharmDx

(1%) 0.153b

(10%) 0.118b

0.100

0.090

CHF45,366c

CHF31,229c

CHF65 774

CHF37 860

CHF100,000

CHF86

CHF2779

Wan et al. [21] 2019 China Advanced Pembrolizumab

US: PD‐L1 ≥ 1%

US: PD‐L1 ≥ 50%

CN: PD‐L1 ≥ 1%

CN: PD‐L1 ≥ 50%

IHC ‐ 22C3 pharmDx

NR

NR

NR

NR

US (1%) 0.270b

US (50%) 0.140b

CN (1%) 0.160b

CN (50%) 0.050b

NR

NR

NR

NR

Dominated

Dominated

Dominated

Dominated

US: US$100,000

CN: US$27 351

US$32 604

US$56 889

US$27 039

US$52 120

a

WTP CET is particular to each country.

b

Percentages in brackets refers to PD‐L1 expression cut‐off.

c

ICER not reported and calculated from reported costs and LYG and/or QALY.