Literature DB >> 27065315

Modeling of the clinical and economic impact of a risk-sharing agreement supporting a treat-to-target strategy in the management of patients with rheumatoid arthritis in France.

Francis Fagnani1, Thao Pham2, Pascal Claudepierre3, Francis Berenbaum4, Thibault De Chalus5, Carine Saadoun5, Jean-Michel Joubert5, Bruno Fautrel6.   

Abstract

OBJECTIVES: To evaluate the cost-effectiveness of a Treat-to-Target strategy with certolizumab pegol in patients with rheumatoid arthritis in the context of a pay-for-performance agreement in which medication costs are refunded in case of discontinuation during the first 3 months of treatment.
METHODS: The Treat-to-Target strategy consisted of a systematic switch to second-line tumor necrosis factor (TNF)α inhibitor in case of an unmet ACR50 response at 3 months compared to current routine clinical practice. A reference cohort treated first-line with certolizumab pegol according to current practice without systematic switching was considered as the comparator. A decision-tree model was constructed to estimate clinical outcome (health assessment questionnaire-disability index or HAQ-DI score), time spent in ACR50 response (ACR 50), and direct costs of treatment over a 2-year period. HAQ scores were derived from American College of Rheumatology 50 (ACR50) responses. All TNFα inhibitors were assumed to have equivalent efficacy and tolerability. Costs were estimated at 2013 French retail prices (date of the pay-for-performance agreement).
RESULTS: The mean duration of an ACR50 response was 1.23 years in the Treat-to-Target strategy certolizumab pegol cohort vs 0.98 years in the reference cohort, resulting in a mean gain in HAQ at 24 months of 0.117. The Treat-to-Target strategy with a mix of TNFα inhibitors as second-line therapy was more expensive than the reference strategy in absolute terms, but this difference was entirely offset by the pay-for-performance agreement. The Treat-to-Target strategy was, thus, cost-neutral over a 2-year period after the payback of CZP cost for patients not achieving the target at 3 months.
CONCLUSIONS: In the context of a pay-for-performance agreement, the management of patients with rheumatoid arthritis using a Treat-to-Target strategy with certolizumab pegol in first line is dominant compared to standard use of this drug in the French setting in 2013.

Entities:  

Keywords:  ACR50; Certolizumab pegol; Cost-effectiveness; Pay-for-performance; Rheumatoid arthritis; Risk-sharing; Treat-to-Target strategy

Mesh:

Substances:

Year:  2016        PMID: 27065315     DOI: 10.1080/13696998.2016.1176576

Source DB:  PubMed          Journal:  J Med Econ        ISSN: 1369-6998            Impact factor:   2.448


  6 in total

Review 1.  The Use of Risk-Sharing Contracts in Healthcare: Theoretical and Empirical Assessments.

Authors:  Fernando Antonanzas; Carmelo Juárez-Castelló; Reyes Lorente; Roberto Rodríguez-Ibeas
Journal:  Pharmacoeconomics       Date:  2019-12       Impact factor: 4.981

2.  A comprehensive care program achieves high remission rates in rheumatoid arthritis in a middle-income setting. Experience of a Center of Excellence in Colombia.

Authors:  Pedro Santos-Moreno; Nelson J Alvis-Zakzuk; Laura Villarreal-Peralta; Maria Carrasquilla-Sotomayor; Angel Paternina-Caicedo; Nelson Alvis-Guzmán
Journal:  Rheumatol Int       Date:  2017-12-16       Impact factor: 2.631

3.  Defining response to TNF-inhibitors in rheumatoid arthritis: the negative impact of anti-TNF cycling and the need for a personalized medicine approach to identify primary non-responders.

Authors:  Keith J Johnson; Helia N Sanchez; Nancy Schoenbrunner
Journal:  Clin Rheumatol       Date:  2019-09-13       Impact factor: 2.980

Review 4.  Call for action: how to improve use of patient-reported outcomes to guide clinical decision making in rheumatoid arthritis.

Authors:  Bruno Fautrel; Rieke Alten; Bruce Kirkham; Inmaculada de la Torre; Frederick Durand; Jane Barry; Thorsten Holzkaemper; Walid Fakhouri; Peter C Taylor
Journal:  Rheumatol Int       Date:  2018-03-21       Impact factor: 2.631

5.  Impact of Managed Entry Agreements on availability of and timely access to medicines: an ex-post evaluation of agreements implemented for oncology therapies in four countries.

Authors:  Olina Efthymiadou; Panos Kanavos
Journal:  BMC Health Serv Res       Date:  2022-08-20       Impact factor: 2.908

6.  How Risky Is That Risk Sharing Agreement? Mean-Variance Tradeoffs and Unintended Consequences of Six Common Risk Sharing Agreements.

Authors:  Gregory S Zaric
Journal:  MDM Policy Pract       Date:  2021-02-09
  6 in total

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