Table 1.
Base value (range) | Distribution in PSA | Source | |
---|---|---|---|
Distribution of patients with PTSD who receive MDMA-AT by severity | |||
Asymptomatic | 33.3 | NA | [24] |
Mild | 26.2 | NA | [24] |
Moderate | 26.2 | NA | [24] |
Severe | 11.9 | NA | [24] |
Extreme | 2.4 | NA | [24] |
Dead | 0 | NA | [24] |
Distribution of patients with PTSD who receive standard of care by severity | |||
Asymptomatic | 0 | NA | [24] |
Mild | 0 | NA | [24] |
Moderate | 0 | NA | [24] |
Severe | 71.4 | NA | [24] |
Extreme | 28.3 | NA | [24] |
Dead | 0 | NA | [24] |
Costs (in 2020 US$)b | |||
MDMA-AT (one-time) | 11,537 (8076–14,998) | Gamma | [55, 56]a |
Standard of care | 0 (0–13,256) | Gamma | [55, 56]a |
Medical care for asymptomatic PTSD | 5032 (3608–6456) | Gamma | [57–60]a |
Medical care for mild PTSD | 10,118 (7250–12,986) | Gamma | [57–60]a |
Medical care for moderate PTSD | 15,177 (10,855–19,469) | Gamma | [57–60]a |
Medical care for severe PTSD | 20,236 (14,512–25,960) | Gamma | [57–60]a |
Medical care for extreme PTSD | 24,283 (17,415–31,151) | Gamma | [57–60]a |
Health utilities | |||
Asymptomatic | 0.90 (0.81–0.99) | Beta | [24] |
Mild | 0.83 (0.75–0.91) | Beta | [24] |
Moderate | 0.74 (0.67–0.81) | Beta | [24] |
Severe | 0.61 (0.55–0.67) | Beta | [24] |
Extreme | 0.37 (0.33–0.41) | Beta | [24] |
Dead | 0 | NA | Assumed |
Other inputs and assumptions | |||
Cohort size (range) | 3,523,049 (2,110,743–4,735,640) | Normal | [16–18, 31–33]a |
Annual discount rate (%) | 3 (0.23–0.38) | Beta | Assumed |
Time horizon (years) | 30 (10–40) | Uniform | Assumed |
Mean age of cohort | 41 | NA | [22] |
Probability of death from all causes | 0.002 (0.0018–0.0022) | Beta | [61] |
MDMA-AT 3,4-methylenedioxymethamphetamine assisted-therapy, NA not applicable, PSA probabilistic sensitivity analysis, PTSD post-traumatic stress disorder
aBase-case value and range calculated by authors using the references listed
bCosts are annual unless otherwise noted