Zhuravleva MV, Chulanov VP, Gagarina JV, Shabalina EA. Pharmacoeconomic evaluation of the tixagevimab and cilgavimab combination using for pre-exposure prophylaxis of COVID-19. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(1):66–77. DOI: 10.26442/00403660.2023.01.202065
Клинико-экономический анализ применения комбинации тиксагевимаб + цилгавимаб для профилактики новой коронавирусной инфекции COVID-19
Журавлева М.В., Чуланов В.П., Гагарина Ю.В., Шабалина Е.А. Клинико-экономический анализ применения комбинации тиксагевимаб + цилгавимаб для профилактики новой коронавирусной инфекции COVID-19. Терапевтический архив. 2023;95(1):66–77. DOI: 10.26442/00403660.2023.01.202065
Zhuravleva MV, Chulanov VP, Gagarina JV, Shabalina EA. Pharmacoeconomic evaluation of the tixagevimab and cilgavimab combination using for pre-exposure prophylaxis of COVID-19. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(1):66–77. DOI: 10.26442/00403660.2023.01.202065
Цель. Анализ клинико-экономической эффективности препарата тиксагевимаб + цилгавимаб для доконтактной профилактики COVID-19 у лиц c противопоказаниями к вакцинации. Материалы и методы. Оценку клинико-экономической эффективности проводили с позиции системы здравоохранения для пациентов старше 12 лет, с массой тела более 40 кг, имеющих противопоказания к вакцинации, на основании результатов исследования III фазы PROVENT. Использовали метод клинико-экономического анализа «затраты–эффективность», рассчитывали количество лет жизни и количество лет жизни с поправкой на ее качество. Учитывали прямые медицинские затраты, ассоциированные с профилактикой COVID-19 и с последующей терапией инфицированных пациентов, а также затраты на реабилитацию и лечение постковидного синдрома. Результаты сравнивали с порогом готовности платить, рассчитанным согласно рекомендациям Всемирной организации здравоохранения как троекратный внутренний валовой продукт на душу населения – 2,69 млн руб. в 2022 г. Результаты. Доконтактная профилактика COVID-19 препаратом тиксагевимаб + цилгавимаб дает дополнительные 0,0287 года жизни, или 0,0247 года жизни с поправкой на качество. Стоимость одного добавленного года жизни оказалась равна 1,12 млн руб., а с учетом качества – 1,30 млн руб. Стоимость добавленного года жизни и добавленного года жизни с поправкой на качество оказались значительно ниже порога готовности платить. Заключение. Доконтактная профилактика COVID-19 комбинацией тиксагевимаб + цилгавимаб является экономически целесообразной и может быть рекомендована для широкого применения в условиях российской системы здравоохранения.
Aim. To evaluate pharmacoeconomic feasibility using of the tixagevimab and cilgavimab combination for pre-exposure prophylaxis of COVID-19 in immunocompromised patients. Materials and methods. Cost-effectiveness of tixagevimab and cilgavimab in persons ≥12 years old who weigh ≥40 kg and have either a history of allergy that prevents their vaccination against COVID-19 or moderate or immunocompromised was assessed based on PROVENT phase III study results. The quantity of life years or quality-adjusted life years gained was calculated. Direct medical cost associated with prophylaxis of COVID-19, treatment of infected patients and those experiencing long COVID post infection were assessed. Results were compared with wiliness-to-pay threshold, measured as tripled gross domestic product per capita and equal to 2.69 mln RUB in 2022. Results. Pre-exposure prophylaxis of COVID-19 results in additional 0.0287 life years or 0.0247 quality-adjusted life years. The cost of additional life year gained is equal to 1.12 mln RUB, the cost of additional quality-adjusted life years is 1.30 mln RUB. Both costs of additional life year and cost of quality-adjusted life years appeared to be significantly less compared to wiliness-to-pay threshold. Conclusion. Pre-exposure prophylaxis of COVID-19 with combination of tixagevimab and cilgavimab is economically feasible and may be recommended for wide use in Russian healthcare system.
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1 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
2 ФГБУ «Научный центр экспертизы средств медицинского применения» Минздрава России, Москва, Россия;
3 ФГБУ «Национальный медицинский исследовательский центр фтизиопульмонологии и инфекционных заболеваний» Минздрава России, Москва, Россия
*doc@pharmset.ru
________________________________________________
Marina V. Zhuravleva1,2, Vladimir P. Chulanov*1,3, Julia V. Gagarina1, Elena A. Shabalina1
1 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia;
2 Scientific Centre for Expert Evaluation of Medicinal Products, Moscow, Russia;
3 National Medical Research Center for Phthisiopulmonology and Infectious Diseases, Moscow, Russia
*doc@pharmset.ru