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Table 1 Summary of model inputs

From: Cost-effectiveness analysis of ceritinib vs. crizotinib in previously untreated anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) in Hong Kong

Model input

Value

Notes/sources

Utility inputs for disease states

 Stable disease: ceritinib

0.81

ASCEND-4 (Soria et al. [5])

 Treatment response: Ceritinib

0.81

 Stable disease: crizotinib

0.81

Felip et al. [22, 26]

 Treatment response: Crizotinib

0.81

 Disease progression: all treatments

0.64

Chouaid et al. [27]

Hazard ratios

 PFS: Ceritinib vs. Crizotinib

0.64 (0.47, 0.87)

Li et al. [17]

 OS: Ceritinib vs. Crizotinib

0.82 (0.54, 1.27)

Unit cost

 Ceritinib (450 mg)

$52.77 per pill

Hong Kong Hospital Authority [1]

 Crizotinib (250 mg)

$113.21 per pill

Relative dose intensity

 Ceritinib

92.2%

ASCEND-8 [6]

 Crizotinib

92.0%

PROFILE 1014 (Australian Department of Health) [15]

Monthly medical costs/ pre-progression frequency/post-progression frequency

 Cancer nurse

$12.82/ 0.1 time per month/0.1 time per month

Hong Kong Hospital Authoritya

 Outpatient visit

$142.31/ 1 time per month / 1.08 times per month

 Pharmacist

$49.36/ 1 time per month /0.1 time per month

 Complete blood count

$17.31 / 1 time per month / 1.08 times per month

 CT scan

$1,730.77/ 0.25 time per month / 0.18 time per month

 MRI

$602.56/ 0.17 time per month /0.12 time per month

 X-Ray

$24.36/ 1 time per month / 1.08 times per month

 Serum chemistry

$116.03/ 1 time per month / 1.08 times per month

Total post-progression treatment costs

 Ceritinib

$11,142.92

ASCEND-4; PROFILE 1014 [15]; Hong Kong Hospital Authority [1] and literature

 Crizotinib

$10,385.68

 Terminal care cost

$24,089.00

Wong et al. [25]

Costs associated with AEs

 Ceritinib

$2,024.93

ASCEND-8 (Cho et al. [6] PROFILE 1014 (Solomon et al. [15]) Hong Kong Hospital Authority [1]

 Crizotinib

$1,236.39

  1. AE, adverse event; CT, computed tomography; MRI, magnetic resonance imaging; OS, overall survival; PFS, progression-free survival
  2. All costs were converted to 2018 US Dollars (USD) from Hong Kong Dollars (HKD) using a prevailing exchange rate obtained from the Linked Exchange Rate System in Hong Kong (1 USD = 7.8 HKD)
  3. aHong Kong Monetary Authority. Fees and Charges. https://www.ha.org.hk/visitor/ha_visitor_index.asp?Content_ID=10045&Lang=ENG Accessed January 10, 2020