PMS37 Health-Economic Analysis of Tocilizumab in Patients with Rheumatoid Arthritis and Systemic Juvenile Arthritis

托珠单抗 类风湿性关节炎 医学 关节炎 少年 青少年类风湿关节炎 内科学 生物 遗传学
作者
А. С. Колбин,А. А. Курылев,Yu. Е. Balykina,М. А. Проскурин,S.A. Mishinova
出处
期刊:Value in Health [Elsevier BV]
卷期号:23: S599-S599
标识
DOI:10.1016/j.jval.2020.08.1168
摘要

Rheumatoid arthritis (RA) and systemic juvenile arthritis (sJA) are the most frequent rheumatic diseases in adults and adolescents, consequently. Biologics disease modifying antirheumatic drugs (bDMARDs) are effective in treatment of RA and sJA. The aim of the study was to perform health-economic analysis of tocilizumab for subcutaneous and intravenous injections in patients with RA and sJA comparing to TNF-α inhibitors. Latest meta-analyses do not show significant differences between bDMARDs in the effectiveness in treatment RA and sJA. Cost-minimizing analysis was used from the perspective of healthcare system (direct medical costs) with the modelling horizon – 1 year. We included into the model cost of RA and sJA bDMARDs, cost of adverse events correction (including reactivation of tuberculosis) and costs of laboratory and instrumental diagnostics. Sensitivity analysis was done to assess how the changes in model parameters influence the results. Cost minimizing ratio of tocilizumab (subcutaneous form) in RA patients comparing to adalimumab (Humira), сertolizumab pegol, golimumab were 111536 RUR; 129094 RUR; 85244 RUR, consequently favor to tocilizumab. Tocilizumab was less costly comparing to adalimumab (Humira), certolizumab pegol, golimumab by 12.8%, 14.5%, 10,0%, consequently. Cost minimizing ratio of tocilizumab in RA patients comparing to adalimumab (Dalibra), etanercept, infliximab (Remicade) were 40497; 54355; 28419 RUR in favour to comparators. Tocilizumab was more costly comparing to adalimumab (Dalibra) etanercept, infliximab (Remicade) by 5.6%, 7.7%, 3.9 %, consequently. Cost minimizing ratio of tocilizumab in sJA patients comparing to kanakinumab, adalimumab (Humira) and adalimumab (Dalibra) were 6535234 RUR; 478297 RUR and 323263 RUR. Tocilizumab was less costly comparing to kanakinumab, adalimumab (Humira) and adalimumab (Dalibra) by 93.3%; 50.6% and 41.1 %, consequently. The share of bDMARDs in total costs structure was 84%-96%. Tocilizumab is economically reasonable comparing to others TNF-α inhibitors in patients with RA and sJA.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
孟浩关注了科研通微信公众号
1秒前
晓天完成签到,获得积分10
2秒前
泽烺木完成签到,获得积分10
4秒前
落寞白曼完成签到,获得积分10
4秒前
人间不清醒完成签到,获得积分20
4秒前
欢欢发布了新的文献求助10
4秒前
快乐的奕涵完成签到,获得积分10
5秒前
zongzi12138完成签到,获得积分0
6秒前
6秒前
王哈哈完成签到,获得积分10
6秒前
香蕉觅云应助人间不清醒采纳,获得30
8秒前
11秒前
12秒前
bzdjsmw完成签到 ,获得积分10
12秒前
WebCasa应助旦皋采纳,获得10
12秒前
路易斯完成签到,获得积分10
13秒前
颜愫发布了新的文献求助10
13秒前
萌萌完成签到,获得积分10
14秒前
研友_X89o6n完成签到,获得积分10
16秒前
Ther发布了新的文献求助10
18秒前
哈哈哈完成签到,获得积分10
19秒前
21秒前
诚心的初露完成签到,获得积分10
21秒前
lyb完成签到 ,获得积分10
23秒前
风中方盒完成签到,获得积分20
23秒前
布丁圆团完成签到,获得积分10
24秒前
yikeshu完成签到,获得积分10
24秒前
Zoe完成签到 ,获得积分10
25秒前
27秒前
星辰大海应助do0采纳,获得10
28秒前
tt完成签到 ,获得积分10
29秒前
浅辰完成签到,获得积分10
30秒前
大气萤完成签到,获得积分20
31秒前
31秒前
我ppp完成签到 ,获得积分10
31秒前
32秒前
易燃物品完成签到,获得积分10
32秒前
Hello应助Ther采纳,获得10
34秒前
CherylZhao完成签到,获得积分10
35秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038368
求助须知:如何正确求助?哪些是违规求助? 3576068
关于积分的说明 11374313
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029