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Table 1 Included studies

From: A systematic review of the economic evaluations of Enzyme Replacement Therapy in Lysosomal Storage Diseases

Author

publication year

Country/

Perspective sponsored

Currency

Comparison

Treatment

Treatment Incremental Costs

Costs converted to PPP Euro 2022 Netherlands

 

Time Horizon

Discounting

Model Type

Utility scores

(average)

LYG

gained

QALY’s

gained

ICER

Currency conversion to PPP 2022 Euro (Netherlands)

NCPE 2018

Societal perspective

2018 Euros

ERT compared to existing therapies

Sebelipase alfa

Weight based dose

Starting 0.35 mg/kg

N/R

  

Lifetime

NR

Cost-effectiveness

state-transition model

NR

LAL-CL03: 67% 12-month survival

LAL-CL02: N/A

LAL-1-NH01 (Cohort): 0% > 12 months survival

NR

ICER: € 2,813,000/QALY (infantile cohort)

€ 2,701,000/QALY (paediatric adult cohort)

ICER: € 2,940,582/QALY (infantile cohort)

2,823,502/

QALY (paediatric adult cohort

Castro Jaramillo 2012

Colombia

NHS perspective

No funding

2012GBP

ERT compared to supportive therapy. (IOPD)

Alglucosidase 20 mg/kg/2 weeks

£ £557,653

€755,875.60

 

20 years

5%

Cost-effectiveness micro-simulation model

0.700

NR

5.07

(ICER):

£ 109.991 per QALY earned

ICER

149,088 per QALY earned

Castro Jaramillo 2012

England

NHS perspective

No funding

201GBP

ERT compared to supportive therapy. (IOPD)

Alglucosidase 20 mg/kg/2 weeks

£ 1187.940

€1,610,203

 

20 years

5%

Cost-effectiveness

patient-simulation

model

0.700

NR

5.07

ICER

£234.308 per QALY earned

ICER 317,594

Kanters et al. 2014

Netherlands

Societal perspective

funded by the Netherlands Organization for Health Research and Development

2009 Euros

ERT compared to supportive therapy (IOPD)

Alglucosidase 20 mg/kg/2 weeks

€1,9 million

€2,130,300

 

Lifetime

4% cost and 1,5% effect

Cost-effectiveness patient-simulation model

0.24–0.82 (0.62)

13.39

6,75

ICER:

€ 286.114 per QALY

gained

320,794

Kanters et al. 2014

Netherlands

Societal perspective

funded by the Netherlands Organization for Health Research and Development

2009 Euros

ERT compared to

Supportive

therapy

(IOPD)

Alglucosidase 40 mg/kg/weeks

€7,032,899

€7,885,363

 

Lifetime

4% cost and 1,5% effect

Cost-effectiveness

patient-simulation

model

0.24–0.82 (0.62)

13.39

6.75

ICER

€1.043.868 per QALY gained

ICER €1,170,396 per QALY

Kanters et al. 2017

Netherlands

Societal perspective

funded by the Netherlands Organization for Health Research and Development

2014 Euros

ERT compared to

Supportive

therapy

(LOPD)

Alglucosidase 20 mg/kg/2 weeks

Sc.1: €6.5 million

Sc.2:€7.6 million

Sc 1: €7,117,241.Sc 2:€8,321,697

 

Lifetime

1,5% effects, 4.0% costs

Cost-effectiveness

patient-simulation

model

0,45

Scenario 1: 2.03

Scenario 2: 5.67

Scenario 1: 2.13

Scenario 2: 4.38

ICER (SCENARIO 1)

€3.167.914 million per QALY gained

SCENARIO 2

€1.774.390 million per QALY gained

ICER (SCENARIO 1)€3.468.739 per QALY gained

Scenario 2

€ 1.942.886 per QALY gained

Rombach et. Al. 2013

Netherlands

Societal perspective

Funded by a grant from the Ministry of Health

2009 Euros

ERT compared to

Standard medical care

(Fabry)

agalsidase alfa or beta

€ 2.420.956

€2,721,258

 

Lifetime

4% cost and 1,5% effect

Cost-effectiveness

state-transition model

NR

NR

0.7

YFEOD:0.7

ICER

€3.318.239 per YFEOD

€ 3.282.252 per QALY

ICER €3.729.842 per YFEOD

ICER € 3.689.391 per QALY

Van Dussen et. Al., 2014

Netherlands

Societal perspective

Funded by the Dutch Top Institute Pharma project nr T6-208

2009 Euros

ERT compared to

Standard medical care

(Gaucher)

imiglucerase vial of 400UI

€ 1.206.933

€1,353,226

 

Lifetime

4% cost and 1,5% effect

Cost-effectiveness

state-transition model

NR

NR

2.67

YFEOD: 5.8-

ICER

€199,559 per YFEOD gained

€ 432,540 per QALY gained

ICER €223.747 per YFEOD

ICER €484.968 per QALY gained