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Table 5 Incremental cost-effectiveness ratio (ICER) by regimen and sensitivity analysis

From: The addition of neoadjuvant pertuzumab for the treatment of HER2+ breast cancer: a cost estimate with real-world data

Regimen

Effectiveness

Total direct cost per patient

ICER

Cost per pathological complete response

No. of patients who needed to be treated to have a pathological complete response

Additional cost for pathological complete response

AC-DH

33%

40,393 €

 

121,180 €

3.0

 

AC-DHP

45%

56,375 €

1370 €

125,277 €

2.2

4097 €

Sensitivity analysis

Scenario 1. Clinical staging II and negative HR

  AC-DH

85%

40,393 €

 

47,640 €

1.2

 

  AC-DHP

90%

56,375 €

2955 €

62,502 €

1.1

14,862 €

Scenario 2. Clinical staging II and positive HR

  AC-DH

54%

40,393 €

 

74,493 €

1.8

 

  AC-DHP

66%

56,375 €

1338 €

85,205 €

1.5

10,711 €

Scenario 3. Clinical staging III and negative HR

  AC-DH

43%

40,393 €

 

93,682 €

2.3

 

  AC-DHP

56%

56,375 €

1282 €

101,427 €

1.8

7745 €

Scenario 4. Clinical staging III and positive HR

  AC-DH

14%

40,393 €

 

291,147 €

7.2

 

  AC-DHP

21%

56,375 €

2241 €

268,371 €

4.8

−22,775 €

  1. AC-DH, doxorubicin, cyclophosphamide, docetaxel plus trastuzumab. AC-DHP, doxorubicin, cyclophosphamide, docetaxel, trastuzumab plus pertuzumab. HR, hormonal receptors (include progesterone and estrogen). ICER, incremental cost-effectiveness ratio