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Cost–effectiveness analysis of serplulimab as first-line treatment for advanced esophageal squamous cell carcinoma

    Zhiwei Zheng‡

    Department of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, 515041, China

    ‡Authors contributed equally

    Search for more papers by this author

    ,
    Ling Fang‡

    Department of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, 515041, China

    ‡Authors contributed equally

    Search for more papers by this author

    ,
    Hongfu Cai

    *Author for correspondence:

    E-mail Address: caihongfu31@126.com

    Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, 350001, China

    &
    Huide Zhu

    **Author for correspondence:

    E-mail Address: zhuhuide_2009@163.com

    Department of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, 515041, China

    Published Online:https://doi.org/10.2217/imt-2023-0059

    Objective: To evaluate the cost–effectiveness of serplulimab as first-line treatment for patients with advanced esophageal squamous cell carcinoma from the perspective of the Chinese healthcare system. Materials & methods: A partitioned survival model was created to evaluate costs and health outcomes. The model's robustness was evaluated using one-way and probabilistic sensitivity analyses. Results: Serplulimab demonstrated an incremental cost–effectiveness ratio of $104,537.375/quality-adjusted life-year in the overall population group. Subgroup analysis showed that serplulimab had incremental cost–effectiveness ratios of $261,750.496/quality-adjusted life-year and $68,107.997/quality-adjusted life-year in the populations with PD-L1 1 ≤ combined positive score <10 and PD-L1 combined positive score ≥10, respectively. Conclusion: Incremental cost–effectiveness ratios of serplulimab therapy were found to exceed the willingness-to-pay threshold of $37,304.34. Thus, serplulimab is not cost-effective compared with chemotherapy as a first-line treatment for esophageal squamous cell carcinoma patients.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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