Table 2.
Parameter values for the model development
| Variable name coded in R | Value | Description |
|---|---|---|
| Costs | ||
| cPFS | 500 | State cost of one cycle in the progression-free disease state |
| cPD | 3000 | State cost of one cycle in the progressive disease state |
| cDrug | 1000 | State cost of drug for one cycle |
| cTest | 100 | State cost of biomarker testing for one cycle |
| cDead | 0 | State cost of one cycle in the death |
| Quality-of-life adjustments | ||
| uPFS.UC | 0.75 | Quality-of-life weight for one cycle in PFS for patients treated with usual care |
| uPD.UC | 0.65 | Quality-of-life weight for one cycle in PD for patients treated with usual care |
| uPFS.TC | 0.80 | Quality-of-life weight for one cycle in PFS for patients treated with targeted care |
| uPD.TC | 0.70 | Quality-of-life weight for one cycle in PD for patients treated with targeted care |
| Biomarker-related parameters | ||
| disutility.Test | 0.05 | Disutility value of testing a biomarker status |
| pBiomarker | 0.74 | Biomarker prevalence/frequency |
| tp | 0.285 | Biomarker testing accuracy (true positive) |
| fp | 0.245 | Biomarker testing accuracy (false positive) |
| tn | 0.015 | Biomarker testing accuracy (true negative) |
| fn | 0.455 | Biomarker testing accuracy (false negative) |
| Transition probabilities | ||
| pPFS2PD | 0.2 | Probability of entering the PD state |
| pPD2D | 0.25 | Probability of dying from PD |
| pPFS2D | 0.05 | Probability of dying from PFS |
| pPD2PFS | 0 | Recovery from PD to PFS is not permitted in the model |
| Other parameters | ||
| eff | 0.25 |
Targeted drug reduces the likelihood of being progressed by 25% Relative risk of disease progression from using the drug Targeted drug is discontinued upon progression |
| rDiscount | 0.035 | Discount rate for outcomes and costs 3.5% |
PFS progression-free survival, PD progressed disease