COST-EFFECTIVENESS OF SEQUENTIAL TREATMENT WITH FIRST-LINE AFATINIB VERSUS OSIMERTINIB IN NON-SMALL CELL LUNG CANCER WITH EGFR MUTATION IN VIETNAM

Thế Duệ Ong 1, Lâm Tới Phùng 1,, Quỳnh Trang Đỗ1, Trà My Đỗ1, Tuấn Việt Nguyễn1
1 Institute of Health Strategy & Policy - Ministry of Health

Main Article Content

Abstract

Objective: To evaluate the cost-effectiveness of sequential treatment with first-line Afatinib versus Osimertinib in the treatment of non-small cell lung cancer with EGFR mutation in Vietnam. Methods: The decision tree model was built to estimate the cost-effectiveness of two treatment sequences, applying the payer's perspective. Clinical efficacy parameters are compiled from published clinical trials to estimate progression-free survival and treatment costs of each treatment line. Treatment cost parameters and adverse event management are collected based on clinical expert consultation. Results: The sequential treatment with first-line Afatinib had a greater mean time on treatment than that of Osimertinib, at 29.2 months and 24.8 months, respectively. Compared to the sequential treatment with first-line Osimertinib, the sequential treatment with first-line Afatinib is cost-effective. Conclusion: The sequential treatment with first-line Afatinib is cost-effective when compared to that of Osimertinib in the treatment of non-small cell lung cancer with EGFR mutation in Vietnam

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References

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