瑞非尼或卡博赞替尼在索拉非尼之后用于治疗晚期肝细胞癌的二线或后续治疗。选择哪条路?

J. Giuliani, F. Fiorica, A. Bonetti
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摘要

本文的目的是评估瑞非尼和卡博赞布在索拉非尼治疗晚期肝细胞癌(HCC)后的成本-效果。考虑了关键III期随机对照试验(rct)。计算两种治疗的增量成本-效果比(ICER)。纳入了两项III期随机对照试验,包括1274例患者。Regorafenib更便宜,每月总生存期(OS)为2771欧元,而卡博赞替尼为5309欧元。结合药物的药理学成本和以OS为代表的疗效衡量,瑞非尼是继索拉非尼之后治疗晚期HCC的一种具有成本效益的药物。
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Regorafenib or Cabozantinib in second or subsequent lines after Sorafenib in advanced hepatocellular carcinoma. Which way to chose?
The aim of this paper is to assess the cost-effectivess of regorafenib and cabozantib in the treatment of advanced hepatocellular carcinoma (HCC) after sorafenib. Pivotal phase III randomized controlled trials (RCTs) were considered. Incremental cost-effectiveness ratio (ICER) was calculated for both treatments. Two phase III RCTs, including 1274 patients, were considered. Regorafenib resulted the less expensive, with 2771 € per month overall survival (OS)-gained versus 5309 € of cabozantinib. Combining pharmacological costs of drugs with the measure of efficacy represented by the OS, regorafenib is a cost-effective for the treatment of advanced HCC after sorafenib.
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