Cost-comparison analysis of a multiplatform tumour profiling service to guide advanced cancer treatment

Gilbert Spizzo1,2, Uwe Siebert3, Guenther Gastl2

  • 1Department of Internal Medicine, Oncologic Day Hospital, Bressanone Hospital (SABES-ASDAA), Bressanone-Brixen, Italy.

Abstract

Insights

Caris Molecular Intelligence (CMI) tumor profiling is cost-effective for advanced cancer patients, with CMI-guided treatment costs comparable to standard options. This comprehensive profiling leads to improved survival outcomes, justifying its use.

Area of Science:

  • Oncology
  • Genomics
  • Health Economics

Background:

  • Tumor profiling is crucial for advanced cancer patients, especially those with refractory disease lacking standard treatments.
  • Caris Molecular Intelligence (CMI) offers comprehensive multiplatform tumor profiling, including next-generation sequencing (NGS), immunohistochemistry (IHC), and in situ hybridization (FISH).

Purpose of the Study:

  • To compare the costs of Caris Molecular Intelligence (CMI)-guided cancer treatment against prior or planned treatment options.
  • To evaluate the cost-effectiveness of CMI-guided treatment in correlation with patient outcome results, specifically overall survival.

Main Methods:

  • Retrospective analysis of treatment decisions from five clinical trials (n=137) before CMI profiling.
  • Systematic review of 11 clinical studies (n=385) comparing planned vs. actual CMI-guided treatment costs.
  • Comparison of prior treatment costs versus profiling-guided treatment costs.

Main Results:

  • Treatment plans were altered in 88% of cases following CMI profiling.
  • Actual CMI-guided treatment cost per cycle was £995.
  • Planned treatment costs (£979) were comparable to actual CMI-guided costs (£945), and prior treatment costs (£892) were not significantly different from profiling-guided treatments (£850).

Conclusions:

  • The cost per cycle for Caris Molecular Intelligence-guided treatment falls within the range of prior or planned treatment costs.
  • The additional expense of CMI's multiplatform testing is justified by improved overall survival, indicating cost-effectiveness.