omalizumab: a cost-effective treatment for allergic asthma?

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PharmacoEconomics & Outcomes News 601 - 17 Apr 2010 Omalizumab: a cost-effective treatment for allergic asthma? A study published in Allergy has shown that omalizumab improves health outcomes and increases costs in patients with uncontrolled allergic asthma. * The study used a lifetime Markov state-transition model to estimate costs and outcomes for patients treated with omalizumab for 5 years followed by usual care compared with usual care alone. Costs (including physician visits, emergency room visits, hospital stays and drugs) from the US payer perspective were considered. In the base-case analysis, omalizumab was associated with an incremental cost of $US287 200 per QALY, compared with usual care. In a separate scenario analysis of omalizumab responders, this value decreased to $172 300 per QALY. The authors noted that the results were sensitive to exacerbation rates, response definition, omalizumab price, and exacerbation-associated mortality. "The cost-effectiveness of omalizumab is similar to other chronic disease biologics", say the researchers. * This study was funded by Novartis Pharmaceuticals Corporation. Campbell JD, et al. The costs and consequences of omalizumab in uncontrolled asthma from a USA payer perspective. Allergy : 10 Feb 2010. Available from: URL: http://dx.doi.org/10.1111/j.1398-9995.2010.02336.x 803006468 1 PharmacoEconomics & Outcomes News 17 Apr 2010 No. 601 1173-5503/10/0601-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved

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Page 1: Omalizumab: a cost-effective treatment for allergic asthma?

PharmacoEconomics & Outcomes News 601 - 17 Apr 2010

Omalizumab: a cost-effectivetreatment for allergic asthma?

A study published in Allergy has shown thatomalizumab improves health outcomes and increasescosts in patients with uncontrolled allergic asthma.*

The study used a lifetime Markov state-transitionmodel to estimate costs and outcomes for patientstreated with omalizumab for 5 years followed by usualcare compared with usual care alone. Costs (includingphysician visits, emergency room visits, hospital staysand drugs) from the US payer perspective wereconsidered.

In the base-case analysis, omalizumab was associatedwith an incremental cost of $US287 200 per QALY,compared with usual care. In a separate scenarioanalysis of omalizumab responders, this valuedecreased to $172 300 per QALY. The authors notedthat the results were sensitive to exacerbation rates,response definition, omalizumab price, andexacerbation-associated mortality.

"The cost-effectiveness of omalizumab is similar toother chronic disease biologics", say the researchers.* This study was funded by Novartis Pharmaceuticals Corporation.

Campbell JD, et al. The costs and consequences of omalizumab in uncontrolledasthma from a USA payer perspective. Allergy : 10 Feb 2010. Available from:URL: http://dx.doi.org/10.1111/j.1398-9995.2010.02336.x 803006468

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PharmacoEconomics & Outcomes News 17 Apr 2010 No. 6011173-5503/10/0601-0001/$14.95 © 2010 Adis Data Information BV. All rights reserved