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Update on the treatment of non-small-cell lung cancer: focus on the cost-effectiveness of new agents

Authors Vergnenègre A, Borget I, Chouaid C

Received 27 November 2012

Accepted for publication 11 January 2013

Published 10 April 2013 Volume 2013:5 Pages 137—141

DOI https://doi.org/10.2147/CEOR.S30670

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

A Vergnenègre,1,4 I Borget,2 C Chouaid3,4

1Service de Pathologie Respiratoire et d'Allergologie, CHU Dupuytren, Limoges, France; 2Etudes et Recherche en Économie de la Santé, Institut Gustave Roussy, Villejuif, France; 3Service de Pneumologie, CHU Saint-Antoine, Paris, France; 4Inserm, U707, Paris, France

Background: The incidence of lung cancer and the cost of drug treatment have increased dramatically in the last decade. This article examines the costs of new target agents, such as tyrosine kinase inhibitors (TKIs) and anti-angiogenic drugs.
Methods: This study uses PubMed research to focus on the topics of lung cancer, economics, and new targeted therapies.
Results: The published papers only addressed TKIs and anti-angiogenic antibodies. For gefitinib, the results favored a clinical-based selection, despite the low number of studies. Erlotinib was studied in second line and as a maintenance treatment (with the studies reaching opposite conclusions in terms of cost-effectiveness). Economic analyses were not in favor of bevacizumab, but the studies on this topic were very heterogeneous.
Conclusion: The economic impact of a drug depends on the health care system organization. Future clinical trials must include economic analyses, particularly with TKIs in the first line.

Keywords: lung cancer, new target agents, tyrosine kinase inhibitors, anti-angiogenic, bevacizumab

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Cross-market cost-effectiveness analysis of erlotinib as first-line maintenance treatment for patients with stable non-small cell lung cancer

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