A LITERATURE REVIEW OF THE COST-EFFECTIVENESS OF TARGETED THERAPIES IN THE TREATMENT OF NON-SMALL CELL LUNG CANCER (NSCLC)
Main Article Content
Abstract
Objects: Targeted therapy in the treatment of non-small cell lung cancer will prolong the patient's life longer than chemotherapy option, but its cost is higher. Therefore, in this study, we will find evidences on the cost-effectiveness of targeted therapy compared with chemotherapy method to provide recommendations in choosing the appropriate treatment. Methods: Conducting a systematic literature review on cost-effectiveness, QALYs,... based on Pubmed, Embase and Cochrane database,... from 2000 to August 2021. Studies used the CHEERS checklist. Results: Six out of 128 results having the full criterions were suitable for the CHEERS checklist and were included in the study. The ICERs of erlotinib, afatinib and osimertinib were $85927.4/QALY, $20758–33416.39/QALY, and $23760.1–51615.1/QALY respectively compared to other chemotherapy treatment options. Conclusion: Erlotinib and afatinib for first-line treatment and osimertinib for second-line treatment options are more cost-effective than chemotherapy methods. Reducing the price of targeted drugs lower than the payment threshold of each country will play a vital value for non-small cell lung cancer patients to have access and the economic outcome could become more favorable.
Article Details
Keywords
Non-small cell lung cancer, cost effectiveness, targeted therapy method
References

2. Wang S, Peng L, Li J, et al (2018). A trial-based cost-effectiveness analysis of erlotinib alone versus platinum-based doublet chemotherapy as first-line therapy for Eastern Asian nonsquamous non-small-cell lung cancer. PLoS One, 8(3), e55917.

3. Gu X, Zhang Q, Chu YB, et al (2018). Cost-effectiveness of afatinib, gefitinib, erlotinib and pemetrexed-based chemotherapy as first-line treatments for advanced non-small cell lung cancer in China. Lung Cancer, 127, 84-89.

4. You R, Liu J, Wu DB, et al (2019). Cost-Effectiveness Analysis Of EGFR Mutation Testing And Afatinib Versus Gemcitabine-Cisplatin As First-Line Therapy For Advanced Non-Small-Cell Lung Cancer In China. Cancer Manag Res, 11, 10239-10248.

5. Bertranou E, Bodnar C, Dansk V, et al (2019). Cost-effectiveness of osimertinib in the UK for advanced EGFR-T790M non-small cell lung cancer. J Med Econ; 21(2), 113-121.

6. Guan H, Liu G, Xie F, et al (2019). Cost-effectiveness of Osimertinib as a Second-line Treatment in Patients With EGFR-mutated Advanced Non-Small Cell Lung Cancer in China. Clin Ther, 41(11), 2308-2320.

7. Organisation for Economic Co-Operation and Development (OECD): StatExtracts: PPPs and Exchange Rates. http://stats.oecd.org/Index.aspx?DatasetCode=SNA_TABLE 4.

8. Husereau, Drummond, Petrou, et al (2013). Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Statement. BMJ 2013, 346, f1049–f1049.
