PharmacoEconomics & Outcomes News 804, p32 - 2 Jun 2018 Stopping TNF inhibitors worth considering in stable RA Withdrawing tumour necrosis-factor (TNF) inhibitors in patients with rheumatoid arthritis (RA) with low disease activity can save considerable costs while resulting in only a small loss of QALYs. This is the main finding of an economic evaluation that used data from the POET trial to assess the cost effectiveness of withdrawing TNF inhibitors in patients with RA with low disease activity. In the 1-year trial, patients with RA, who had been treated with TNF inhibitors for ≥ 1 year, were randomised to the Stop group (n = 531) or the Continuation group (286). The data analysis showed that mean drug costs were substantially lower in the Stop group (€4894 vs €12 450 per patient per year) but non-drug healthcare costs were higher (€2122 vs €1663 per patient per year; 2016 values). The mean cost savings in the Stop group were estimated at €7133 per year, and mean QALY loss at 0.022, compared with the Continuation group. The mean saved cost per QALY lost in the Stop group was estimated at €368 269. Withdrawal of TNF inhbitors had a 100% probability of being cost effective at a willingness-to-accept of €98 438 per QALY lost, while continuation of TNF inhbitors was not cost effective at a willingness-to-pay of €100 000 per QALY gained. * Potential Optimalisation of Expediency and Effectiveness of TNFis Tran-Duy A, et al. An Economic Evaluation of Stopping versus Continuing TNF- Inhibitor Treatment in Rheumatoid Arthritis Patients in Remission or Low Disease Activity: results from the POET randomized trial. Arthritis and Rheumatology : 9 May 2018. Available from: URL: http://doi.org/10.1002/art.40546 803322516 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804
PharmacoEconomics & Outcomes News – Springer Journals
Published: Jun 2, 2018
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