Real-world cost-effectiveness of primary prophylaxis with G-CSF biosimilars in patients at intermediate/high risk of febrile neutropenia

Background: Real-world data suggests superiority of pegfilgrastim (PEG) over filgrastim (FIL) in reducing the incidence of chemotherapy-induced febrile neutropenia (FN), probably attributable to underdosed FIL in practice. We used real-world data to assess the cost-effectiveness of primary prophylax...

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Bibliographic Details
Main Authors: Cornes, P. (Author), Kelton, J. (Author), Liu, R. (Author), Stephens, J. (Author), Yang, J. (Author), Zaidi, O. (Author)
Format: Article
Language:English
Published: Future Medicine Ltd. 2022
Subjects:
Online Access:View Fulltext in Publisher
LEADER 01750nam a2200265Ia 4500
001 10.2217-fon-2022-0095
008 220706s2022 CNT 000 0 und d
020 |a 14796694 (ISSN) 
245 1 0 |a Real-world cost-effectiveness of primary prophylaxis with G-CSF biosimilars in patients at intermediate/high risk of febrile neutropenia 
260 0 |b Future Medicine Ltd.  |c 2022 
856 |z View Fulltext in Publisher  |u https://doi.org/10.2217/fon-2022-0095 
520 3 |a Background: Real-world data suggests superiority of pegfilgrastim (PEG) over filgrastim (FIL) in reducing the incidence of chemotherapy-induced febrile neutropenia (FN), probably attributable to underdosed FIL in practice. We used real-world data to assess the cost-effectiveness of primary prophylaxis with PEG versus FIL in cancer patients at intermediate-to-high risk of FN from a US payer perspective. Methods: A Markov model with lifetime horizon. Results: For the high-risk group, PEG (vs FIL) biosimilars resulted in 0.43 FN events prevented (FNp), 0.27 quality-adjusted life-years gained (QALYg) and a cost saving of USD  |5 703. For the intermediate-risk group, PEG biosimilar led to 0.18 FNp and 0.12 QALYg, at USD  |9 674/FNp and USD  |1 4,502/QALYg. Conclusion: PEG biosimilars may provide opportunities to optimize FN management in patients with intermediate-to-high FN risk. © 2022 Pfizer Inc. 
650 0 4 |a Biosimilar 
650 0 4 |a Cancer 
650 0 4 |a Cost-effectiveness analysis 
650 0 4 |a Filgrastim 
650 0 4 |a G-CSF 
650 0 4 |a Pegfilgrastim 
700 1 0 |a Cornes, P.  |e author 
700 1 0 |a Kelton, J.  |e author 
700 1 0 |a Liu, R.  |e author 
700 1 0 |a Stephens, J.  |e author 
700 1 0 |a Yang, J.  |e author 
700 1 0 |a Zaidi, O.  |e author 
773 |t Future Oncology