CAR-T Therapies Not Cost-Effective for Diffuse Large B-Cell Lymphoma
www.drugs.com
Dec. 8, 2023, 3:35 p.m.
The researchers found that in the base-case analysis, the increase in median overall survival was four and one months for axi-cel and liso-cel, respectively. The incremental cost-effectiveness ratio was $684,225 and $1,171,909, respectively, per quality-adjusted life year (QALY) for axi-cel and liso-cel; the corresponding incremental net monetary benefit was −$107,642 and −$102,477. In sensitivity analysis, to be cost-effective with a willingness-to-pay threshold of $200,000 per QALY, the cost of CAR-T would need to be reduced to $321,123 and $313,730 for axi-cel and liso-cel, respectively. During a five-year period, implementation in high-risk patients would increase U.S. health care spending by about $6.8 billion.