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 |
WTP CET is particular to each country.
Percentages in brackets refers to PD‐L1 expression cut‐off.
ICER not reported and calculated from reported costs and LYG and/or QALY.