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Related Experiment Videos

Capecitabine plus docetaxel combination therapy.

Shailendra Verma1, Dominique Maraninchi, Joyce O'Shaughnessy

  • 1Department of Medical Oncology, Ottawa Regional Cancer Centre, Ottawa, Canada. sverma@ottawahospital.on.ca

Cancer
|May 14, 2005
PubMed
Summary

Capecitabine plus docetaxel demonstrated improved survival for metastatic breast cancer patients. This combination therapy proved cost-effective, offering a favorable incremental cost-effectiveness ratio compared to docetaxel alone.

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Area of Science:

  • Oncology
  • Pharmacoeconomics
  • Clinical Trial Analysis

Background:

  • Metastatic breast carcinoma patients pretreated with anthracyclines often receive docetaxel.
  • Capecitabine in combination with docetaxel showed improved overall survival compared to docetaxel monotherapy.

Purpose of the Study:

  • To evaluate the cost-effectiveness of capecitabine plus docetaxel versus docetaxel monotherapy.
  • To compare the gain in quality-adjusted survival and associated healthcare costs.

Main Methods:

  • A randomized trial comparing capecitabine/docetaxel combination therapy with docetaxel monotherapy.
  • Prospective collection of survival time and medical resource utilization data.
  • Calculation of the incremental cost-effectiveness ratio (ICER) per quality-adjusted life year (QALY) gained.

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Main Results:

  • Capecitabine/docetaxel increased median overall survival by 3 months (14.5 vs. 11.5 months).
  • Mean quality-adjusted survival increased by 1.8 months with the combination therapy.
  • The mean cost per QALY gained was $13,558, with cost savings from reduced docetaxel dose and hospital use.

Conclusions:

  • Capecitabine/docetaxel is a cost-effective treatment option for anthracycline-pretreated advanced breast carcinoma.
  • The incremental cost-effectiveness ratio is highly favorable compared to other oncology therapies.