Budget impact analysis of pasireotide in the treatment of agromegaly patients from the italian national health service perspective
DOI:
https://doi.org/10.14600/irpps_wps.101.2017Keywords:
Health Technology Assessment, Budget Impact, Acromegaly, SigniforAbstract
Background: The objective of this study was to estimate the economic impact, from the perspective of the National Health Service (NHS), of pasireotide in the treatment of adult patients with acromegaly. Methods:. The epidemiological and cost data for Budget Impact (BI) implementation were obtained through a systematic review of the literature. BI were estimated comparing a a scenario with pasireotide and a scenario without from the NHS perspective. A deterministic sensitivity analysis (DSA) and a BI possible value with pay-off method were performed. Results: The model estimated a total of 2,314 patients with acromegaly with a second-line drug in Italy. The introduction of pasireotide for the treatment of acromegaly reduce cost for € 662,095 in the 5 years considered. DSA and pay-off demonstrate the robustness of the results. Conclusions: The introduction on the market of pasireotide reduce real costs from the NHS perspective.References
Ayuk, J., and M. C. Sheppard. 2008. 'Does acromegaly enhance mortality?', Reviews in Endocrine and Metabolic Disorders, 9: 33-39.
Broder, M. S., E. Chang, D. Cherepanov, MP. Neary, and W. H. Ludlam. 2016. 'Incidence and prevalence of Acromegaly in the United States: a claims-based analysis', Endocrine Practice.
Brown, C. K., M. J. Sampson, R. H. Greenwood, P. J. Heyburn, and R. C. Temple. 2003. 'Acromegaly: A study of epidemiological characteristics and treatment outcomes', Endocrine Abstracts, 5: 124.
Casagrande, A., M. D. Bronstein, R. S. Jallad, J. I. Mota, A. Tabet, and J. Abucham. 2016. 'Remission of acromegaly after treatment withdrawal in patients controlled by cabergoline alone or in combination with octreotide: results from a multicenter study', J Endocrinol Invest.
Chanson, P., and S. Salenave. 2008. 'Acromegaly', Orphanet Journal of Rare Diseases.
Colao, A. 2009. '5 Long-term acromegaly and associated cardiovascular complications: a case-based review', Best Practice & Research Clinical Endocrinology & Metabolism, 23, Supplement 1: S31-S38.
Colao, A., R. S. Auriemma, G. Lombardi, and R. Pivonello. 2011. 'Resistance to Somatostatin Analogs in Acromegaly', Endocrine Reviews, 32.
Colao, A., D. Ferone, P. Marzullo, and G. Lombardi. 2004. 'Systemic Complications of Acromegaly: Epidemiology, Pathogenesis, and Management', Endocrine Reviews, 25: 102-52.
Collan, M., T. Haahtela, and K. Kyläheiko. 2016. 'On the usability of real option valuation model types under different types of uncertainty', Int. J. Business Innovation and Research, 11.
Daly, A.F., P. Petrossians, and A. Beckers. 2005. 'An overview of the epidemiology and genetics of acromegaly', Journal of Endocrinological Investigation, 28: 67-9.
Didoni, G., S. Grottoli, V. Gasco, M. Battistini, D. Ferone, M. Giusti, F. Ragazzoni, P. Ruffo, E. Ghigo, and F. Minuto. 2004. 'Cost-of-illness study in acromegalic patients in Italy', Journal of Endocrinological Investigation, 27: 1034-9.
Favato, G., G. Baio, A. Capone, A. Marcellusi, and F. S. Mennini. 2013. 'A novel method to value real options in health care: the case of a multicohort human papillomavirus vaccination strategy', Clinical Therapeutics, 35: 904-14.
Fernandez, A., N. Karavitaki, and J. A. Wass. 2010. 'Prevalence of pituitary adenomas: a community-based, cross-sectional study in Banbury (Oxfordshire, UK)', Clinical Endocrinology, 72: 377–82.
Gadelha, M. R., M. D. Bronstein, T. Brue, M. Coculescu, M. Fleseriu, M. Guitelman, V. Pronin, G. Raverot, I. Shimon, K. K. Lievre, J. Fleck, M. Aout, A. M. Pedroncelli, A. Colao, and C. Study Group Pasireotide. 2014. 'Pasireotide versus continued treatment with octreotide or lanreotide in patients with inadequately controlled acromegaly (PAOLA): a randomised, phase 3 trial', Lancet Diabetes Endocrinol, 2: 875-84.
Giustina, A., P. Chanson, M. D. Bronstein, A. Klibanski, S. Lamberts, F.F. Casanueva, P. Trainer, K. Ghigo, K. Ho, and S. Melmed. 2010. 'A consensus on Criteria for Cure of Acromegaly', The Journal of Clinical Endocrinology & Metabolism, 95: 3141–48.
Grottoli, S., P. Maffei, F. Bogazzi, S. Cannavo, A. Colao, E. Ghigo, R. Gomez, E. Graziano, M. Monterubbianesi, P. Jonsson, and L. De Marinis. 2015. 'ACROSTUDY: the Italian experience', Endocrine, 48: 334-41.
Istituto Nazionale di Statistica (ISTAT). 2015. 'Popolazione residente al 1 Gennaio 2014'. http://demo.istat.it/.
Jallad, R. S., and M. D. Bronstein. 2009. 'Optimizing medical therapy of acromegaly: beneficial effects of cabergoline in patients uncontrolled with long-acting release octreotide', Neuroendocrinology, 90: 82-92.
Mauskopf, J. A., S. D. Sullivan, L. Annemans, J. Caro, C. D. Mullins, M.
Nuijten, E. Orlewska, J. Watkins, and P. Trueman. 2007. 'Principles of good practice for budget impact analysis: report of the ISPOR Task Force on good research practices--budget impact analysis', Value Health, 10: 336-47.
Melmed, S., A. Colao, A. Barkan, M. Molitch, A. B. Grossman, D. Kleinberg, D. Clemmons, P. Chanson, E. Laws, J. Schlechte, M. L. Vance, K. Ho, and A. Giustina. 2009. 'Guidelines for Acromegaly Management: An Update', The Journal of Clinical Endocrinology & Metabolism, 94: 1509–17.
Mercieca, C., M. Gruppetta, and J. Vassallo. 2012. 'Epidemiology, treatment trends and outcomes of acromegaly', European Journal of Internal Medicine, 23: e206-7.
Pereira, A. M., S. W. van Thiel, J. R. Lindner, F. Roelfsema, E. E. van der Wall, H. Morreau, J. W. Smit, J. A. Romijn, and J. J. Bax. 2004. 'Increased prevalence of regurgitant valvular heart disease in acromegaly', The Journal of Clinical Endocrinology & Metabolism, 89: 71-5.
Petersenn, S., J. Schopohl, A. Barkan, P. Mohideen, A. Colao, R. Abs, A. Buchelt, Y. Y. Ho, K. Hu, A. J. Farrall, S. Melmed, and B.M. Biller. 2010. 'Pasireotide (SOM230) demonstrates efficacy and safety in patients with acromegaly: a randomized, multicenter, phase II trial', The Journal of Clinical Endocrinology & Metabolism, 95: 2781-9.
Rowles, S. V., L. Prieto, X. Badia, S. M. Shalet, S. M. Webb, and P. J. Trainer. 2005. 'Quality of life (QOL) in patients with acromegaly is severely impaired: use of a novel measure of QOL: acromegaly quality of life questionnaire', The Journal of Clinical Endocrinology & Metabolism, 90: 3337-41.
Suda, K., N. Inoshita, G. Iguchi, H. Fukuoka, M. Takahashi, H. Nishizawa, M. Yamamoto, S. Yamada, and Y. Takahashi. 2013. 'Efficacy of combined octreotide and cabergoline treatment in patients with acromegaly: a retrospective clinical study and review of the literature', Endocr J, 60: 507-15.
Sullivan, S. D., J.A. Mauskopf, F. Augustovski, J. Jaime Caro, K. M. Lee, M. Minchin, E. Orlewska, P. Penna, J. M. Rodriguez Barrios, and W. Y. Shau. 2014. 'Budget impact analysis-principles of good practice: report of the ISPOR 2012 Budget Impact Analysis Good Practice II Task Force', Value Health, 17: 5-14.
Trainer, P. J., S. Ezzat, G. A. D'Souza, G. Layton, and C.J. Strasburger. 2009. 'A randomized, controlled, multicentre trial comparing pegvisomant alone with combination therapy of pegvisomant and long-acting octreotide in patients with acromegaly', Clinical Endocrinology (Oxf), 71: 549-57.
Vilar, L., M. F. Azevedo, L. A. Naves, L. A. Casulari, J. L. Albuquerque, R. M. Montenegro, R. M. Montenegro, Jr., P. Figueiredo, G. C. Nascimento, and M. S. Faria. 2011. 'Role of the addition of cabergoline to the management of acromegalic patients resistant to longterm treatment with octreotide LAR', Pituitary, 14: 148-56.
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