Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries

Purpose To compare the short-term cost and effectiveness of calcipotriol/betamethasone dipropionate (Cal/BD) cutaneous foam against nonbiologic systemics in psoriasis patients for whom oral systemic or topical therapy is considered appropriate in seven European countries. Methods Matching-adjusted i...

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Main Authors: Deepak M. W. Balak, Jose-Manuel Carrascosa, Stamatis Gregoriou, Piergiacomo Calzavara-Pinton, Anthony Bewley, Joana Antunes, Martin E. Nyeland, Marta G. Viola, Laura M. Sawyer, Lidia Becla
Format: Article
Language:English
Published: Taylor & Francis Group 2021-10-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2019.1707754
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author Deepak M. W. Balak
Jose-Manuel Carrascosa
Stamatis Gregoriou
Piergiacomo Calzavara-Pinton
Anthony Bewley
Joana Antunes
Martin E. Nyeland
Marta G. Viola
Laura M. Sawyer
Lidia Becla
author_facet Deepak M. W. Balak
Jose-Manuel Carrascosa
Stamatis Gregoriou
Piergiacomo Calzavara-Pinton
Anthony Bewley
Joana Antunes
Martin E. Nyeland
Marta G. Viola
Laura M. Sawyer
Lidia Becla
author_sort Deepak M. W. Balak
collection DOAJ
description Purpose To compare the short-term cost and effectiveness of calcipotriol/betamethasone dipropionate (Cal/BD) cutaneous foam against nonbiologic systemics in psoriasis patients for whom oral systemic or topical therapy is considered appropriate in seven European countries. Methods Matching-adjusted indirect comparisons of four-week PASI-75 responses of Cal/BD foam were performed versus 12-week responses of methotrexate, acitretin, fumaric acid esters (FAE) and 16-week responses of apremilast. Analyses took a payer perspective and included drug, physician visit and monitoring costs. Results In all countries, Cal/BD foam generated the lowest cost per responder (CPR). Against methotrexate, apremilast and acitretin, Cal/BD foam generated response for less than €190 in Italy, €195 in Portugal, €216 in Greece, £218 in the United Kingdom, €250 in Belgium, €319 in Spain, and €359 in the Netherlands. Relative to treatment with FAE, Cal/BD foam resulted in response for less than €298, €430, €382 and £262 in Belgium, the Netherlands, Spain and the United Kingdom, respectively. For Cal/BD foam, apremilast and FAE, total costs were driven by drug costs; for methotrexate and acitretin, by monitoring. Conclusions Driven by its lower costs and high response rates, Cal/BD foam is likely to be a cost-effective option over the short-term in the investigated psoriasis population.
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spelling doaj.art-e7f575431899423e9eb44d7c0f95e1262023-09-15T14:23:04ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532021-10-0132770170810.1080/09546634.2019.17077541707754Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countriesDeepak M. W. Balak0Jose-Manuel Carrascosa1Stamatis Gregoriou2Piergiacomo Calzavara-Pinton3Anthony Bewley4Joana Antunes5Martin E. Nyeland6Marta G. Viola7Laura M. Sawyer8Lidia Becla9Department of Dermatology and Allergology, University Medical Centre UtrechtDermatology Department, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de BarcelonaDepartment of Dermatology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros HospitalDermatology Department, University of BresciaBarts Health NHS Trust and Queen Mary University of LondonServiço de Dermatologia, Hospital de Santa Maria - Centro Hospitalar Lisboa Norte, EPELEO Pharma A/SSymmetron LimitedSymmetron LimitedLEO Pharma A/SPurpose To compare the short-term cost and effectiveness of calcipotriol/betamethasone dipropionate (Cal/BD) cutaneous foam against nonbiologic systemics in psoriasis patients for whom oral systemic or topical therapy is considered appropriate in seven European countries. Methods Matching-adjusted indirect comparisons of four-week PASI-75 responses of Cal/BD foam were performed versus 12-week responses of methotrexate, acitretin, fumaric acid esters (FAE) and 16-week responses of apremilast. Analyses took a payer perspective and included drug, physician visit and monitoring costs. Results In all countries, Cal/BD foam generated the lowest cost per responder (CPR). Against methotrexate, apremilast and acitretin, Cal/BD foam generated response for less than €190 in Italy, €195 in Portugal, €216 in Greece, £218 in the United Kingdom, €250 in Belgium, €319 in Spain, and €359 in the Netherlands. Relative to treatment with FAE, Cal/BD foam resulted in response for less than €298, €430, €382 and £262 in Belgium, the Netherlands, Spain and the United Kingdom, respectively. For Cal/BD foam, apremilast and FAE, total costs were driven by drug costs; for methotrexate and acitretin, by monitoring. Conclusions Driven by its lower costs and high response rates, Cal/BD foam is likely to be a cost-effective option over the short-term in the investigated psoriasis population.http://dx.doi.org/10.1080/09546634.2019.1707754psoriasiscalcipotriol/betamethasone dipropionate cutaneous foamtopical therapysystemic therapycost per response
spellingShingle Deepak M. W. Balak
Jose-Manuel Carrascosa
Stamatis Gregoriou
Piergiacomo Calzavara-Pinton
Anthony Bewley
Joana Antunes
Martin E. Nyeland
Marta G. Viola
Laura M. Sawyer
Lidia Becla
Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries
Journal of Dermatological Treatment
psoriasis
calcipotriol/betamethasone dipropionate cutaneous foam
topical therapy
systemic therapy
cost per response
title Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries
title_full Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries
title_fullStr Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries
title_full_unstemmed Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries
title_short Cost per PASI-75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven European countries
title_sort cost per pasi 75 responder of calcipotriol plus betamethasone dipropionate cutaneous foam versus nonbiologic systemic therapies for the treatment of plaque psoriasis in seven european countries
topic psoriasis
calcipotriol/betamethasone dipropionate cutaneous foam
topical therapy
systemic therapy
cost per response
url http://dx.doi.org/10.1080/09546634.2019.1707754
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