文献类型：期刊文献

英文题名：Cost-effectiveness analysis of etanercept plus methotrexate vs triple therapy in treating Chinese rheumatoid arthritis patients

作者：Shi, Zhi-Chao[1];Fei, Hong-Ping[2];Wang, Zhi-Liang[2]

机构：[1]Lishui Peoples Hosp, Dept Clin Pharm, Lishui, Peoples R China;[2]East China Univ Sci & Technol, Business Sch, Dept Business Adm, 130 Meilong Rd, Shanghai 200237, Peoples R China

年份：2020

卷号：99

期号：3

外文期刊名：MEDICINE

收录：;WOS:【SCI-EXPANDED(收录号:WOS:000524950700001)】；

语种：英文

外文关键词：etanercept; incremental cost-effectiveness ratio; quality-adjusted life year; rheumatoid arthritis; triple therapy

摘要：Objective: This study aimed to explore the cost-effectiveness of etanercept plus methotrexate (ETN+MTX) compared to triple disease-modifying anti-rheumatic drugs (DMARDs) in treating Chinese rheumatoid arthritis (RA) patients. Methods: The 134 Chinese RA patients who were about to initiate ETN+MTX or triple DMARDs therapy based on treat-to-target strategy were consecutively recruited and categorized into ETN+MTX group (N = 49) or triple DMARDs group (N = 85). Treatment efficacy was assessed at month 3 (M3)/M6/M9/M12 after initiation of treatment. Also, 1-year treatment cost was evaluated, and cost-effectiveness analysis and sensitivity analysis were conducted. Results: RA patients in ETN+MTX group exhibited similar disease activity and quality of life at each time point while elevated 28-joint disease activity score based on erythrocyte sedimentation rate (DAS28-ESR) change (M0-M12) and low disease activity rate compared with triple DMARDs group. For 1-year treatment cost, ETN+MTX required increased drug cost, decreased other medical cost, and finally elevated total cost compared with triple DMARDs. Meanwhile, compared to triple DMARDs, ETN+MTX produced an additional quality-adjusted life year (QALY) of 0.015, resulting in an incremental cost-effectiveness ratio (ICER) of yen 2,939,506.7 per QALY that was 53.1 folds of gross domestic product (GDP) per capita in China. More interestingly, sensitivity analysis revealed that the ETN price had to be reduced at least by 71.3% before ETN+MTX became cost-effectiveness compared to triple DMARDs. Conclusion: ETN+MTX is less cost-effective in treating Chinese RA patients compared with triple DMARDs.