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Erlotinib Hydrochloride

Recommended OncologyAuthority RequiredLater-line line

Treatment of patients with locally advanced or metastatic non-small cell lung cancer who have previously received chemotherapy.

1
Submissions
2006–06
On the record
$45k–75k
ICER range
1 sourced ICER · 2006
ICER stated
Cost basis

Access path

1 submission · public record
  1. Mar 2006
    Recommended

    vs best supportive care and docetaxel

  2. PBS listing · Authority Required
RecommendedDeferredNot recommended

Cost-effectiveness

1 sourced ICER · 2006

ICER is modelled base case; trial-based preliminary analysis ranged $75,000–$105,000 to >$200,000 with considerable uncertainty. PBAC noted these ratios would be even higher if quality-adjusted.

The PBAC also noted that the modelled ICER was sensitive to the time horizon and health care resources. These cost-effectiveness ratios were considered high and uncertain and would be even higher if quality adjusted. PBAC · 2006

Decision context

PopulationAdults with locally advanced or metastatic non-small cell lung cancer who have previously received chemotherapy, with WHO performance status of 3 or less.

Why it was knocked back

  • equi-effectiveness with docetaxel not demonstrated, uncertain cost-effectiveness versus best supportive care, high and uncertain ICERs, lack of conclusive evidence for EGFR-status-based targeting, survival advantage for docetaxel could not be excluded in indirect comparison

Submission history

1 entries
DecidedOutcomeComparatorICEREvidence
Mar 2006 Recommended best supportive care and docetaxel $45k–75k RCT · OS