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Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain

AIM: To analyze the cost–effectiveness of treatment of relapsing remitting multiple sclerosis (RRMS) with cladribine tablets (CladT) and dimethyl fumarate (DMF) from the perspective of the Spanish National Health System (NHS). METHODS: A probabilistic Markov model (second-order Monte Carlo simulatio...

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Autores principales: Ginestal, Ricardo, Rubio-Terrés, Carlos, Morán, Olga Durán, Rubio-Rodríguez, Darío, Los Santos, Heidi De, Ordoñez, Cristina, Sánchez-Magro, Isabel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Becaris Publishing Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288949/
https://www.ncbi.nlm.nih.gov/pubmed/36705064
http://dx.doi.org/10.2217/cer-2022-0193
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author Ginestal, Ricardo
Rubio-Terrés, Carlos
Morán, Olga Durán
Rubio-Rodríguez, Darío
Los Santos, Heidi De
Ordoñez, Cristina
Sánchez-Magro, Isabel
author_facet Ginestal, Ricardo
Rubio-Terrés, Carlos
Morán, Olga Durán
Rubio-Rodríguez, Darío
Los Santos, Heidi De
Ordoñez, Cristina
Sánchez-Magro, Isabel
author_sort Ginestal, Ricardo
collection PubMed
description AIM: To analyze the cost–effectiveness of treatment of relapsing remitting multiple sclerosis (RRMS) with cladribine tablets (CladT) and dimethyl fumarate (DMF) from the perspective of the Spanish National Health System (NHS). METHODS: A probabilistic Markov model (second-order Monte Carlo simulation) with a 10-year time horizon and annual Markov cycles was performed. RESULTS: CladT was the dominant treatment, with lower costs (-74,741 € [95% CI: -67,247; -85,661 €]) and greater effectiveness (0.1920 [95% CI: -0.1659; 0.2173] QALY) per patient, compared with DMF. CladT had a 95.1% probability of being cost-effective and a 94.1% chance of being dominant compared with DMF. CONCLUSION: CladT is the dominant treatment (lower costs, with more QALYs) compared with DMF in the treatment of RRMS in Spain.
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spelling pubmed-102889492023-08-11 Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain Ginestal, Ricardo Rubio-Terrés, Carlos Morán, Olga Durán Rubio-Rodríguez, Darío Los Santos, Heidi De Ordoñez, Cristina Sánchez-Magro, Isabel J Comp Eff Res Research Article AIM: To analyze the cost–effectiveness of treatment of relapsing remitting multiple sclerosis (RRMS) with cladribine tablets (CladT) and dimethyl fumarate (DMF) from the perspective of the Spanish National Health System (NHS). METHODS: A probabilistic Markov model (second-order Monte Carlo simulation) with a 10-year time horizon and annual Markov cycles was performed. RESULTS: CladT was the dominant treatment, with lower costs (-74,741 € [95% CI: -67,247; -85,661 €]) and greater effectiveness (0.1920 [95% CI: -0.1659; 0.2173] QALY) per patient, compared with DMF. CladT had a 95.1% probability of being cost-effective and a 94.1% chance of being dominant compared with DMF. CONCLUSION: CladT is the dominant treatment (lower costs, with more QALYs) compared with DMF in the treatment of RRMS in Spain. Becaris Publishing Ltd 2023-01-27 /pmc/articles/PMC10288949/ /pubmed/36705064 http://dx.doi.org/10.2217/cer-2022-0193 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under the Attribution-NonCommercial-NoDerivatives 4.0 Unported License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Research Article
Ginestal, Ricardo
Rubio-Terrés, Carlos
Morán, Olga Durán
Rubio-Rodríguez, Darío
Los Santos, Heidi De
Ordoñez, Cristina
Sánchez-Magro, Isabel
Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain
title Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain
title_full Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain
title_fullStr Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain
title_full_unstemmed Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain
title_short Cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in Spain
title_sort cost–effectiveness of cladribine tablets and dimethyl fumarate in the treatment of relapsing remitting multiple sclerosis in spain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10288949/
https://www.ncbi.nlm.nih.gov/pubmed/36705064
http://dx.doi.org/10.2217/cer-2022-0193
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