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Budget impact of bimonthly use of cetuximab in patients diagnosed with metastatic colorectal cancer.

Abstract
Aim: Cetuximab is used for the treatment of RAS wild-type metastatic colorectal cancer patients. Standard administration schedule is once a week; however, the bioequivalence of an every-other-week (EOW) schedule was demonstrated. Methods: We compared a base case scenario of 100% weekly administration to an EOW at 50 or 100%. Medical examinations, patient management and loss of productivity were considered. Results: Base case was estimated at €100.6 million versus €92.8 million and €84.9 million of EOW 50 and 100%, which showed a cost reduction of 8 and 16%, respectively. Indirect costs accounted for 65% in both scenarios. Conclusion: The adoption of an EOW administration schedule of cetuximab reduced direct and indirect costs substantially.
AuthorsFrancesco Saverio Mennini, Andrea Marcellusi, Gianluca Fabiano, Lorenza Rimassa, Armando Santoro, Nicola Personeni
JournalFuture oncology (London, England) (Future Oncol) Vol. 15 Issue 18 Pg. 2107-2112 (Jun 2019) ISSN: 1744-8301 [Electronic] England
PMID31161795 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents, Immunological
  • Cetuximab
Topics
  • Antineoplastic Agents, Immunological (administration & dosage, therapeutic use)
  • Cetuximab (administration & dosage, therapeutic use)
  • Colorectal Neoplasms (diagnosis, drug therapy, epidemiology)
  • Drug Administration Schedule
  • Female
  • Health Care Costs
  • Health Expenditures
  • Humans
  • Incidence
  • Male
  • Neoplasm Metastasis
  • Neoplasm Staging
  • Population Surveillance

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