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
- Mar 2006Recommended
vs best supportive care and docetaxel
- PBS listing · Authority Required
RecommendedDeferredNot recommended
Cost-effectiveness
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
| Decided | Outcome | Comparator | ICER | Evidence |
|---|---|---|---|---|
| Mar 2006 | Recommended | best supportive care and docetaxel | $45k–75k | RCT · OS |