Pharmacoeconomic report: Brolucizumab (Beovu) (Novartis Pharmaceuticals Canada Inc.) indication: treatment of neovascular (wet) age-related macular degeneration (AMD)

CADTH undertook reanalyses to address limitations that included bevacizumab as a relevant comparator, applying equal treatment discontinuation, adjusting vision impairment costs, and applying a pooled, long-term treatment effect. Using the CADTH base-case reanalyses, brolucizumab would not be consid...

Full description

Bibliographic Details
Corporate Author: Canadian Agency for Drugs and Technologies in Health
Format: eBook
Language:English
Published: Ottawa Canadian Agency for Drugs and Technologies in Health 2020, July 2020
Edition:Version: Final
Series:CADTH common drug review
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
LEADER 02340nam a2200253 u 4500
001 EB002191806
003 EBX01000000000000001329271
005 00000000000000.0
007 tu|||||||||||||||||||||
008 240105 r ||| eng
245 0 0 |a Pharmacoeconomic report: Brolucizumab (Beovu) (Novartis Pharmaceuticals Canada Inc.)  |h Elektronische Ressource  |b indication: treatment of neovascular (wet) age-related macular degeneration (AMD) 
246 3 1 |a Pharmacoeconomic review report for Brolucizumab (Beovu) 
246 3 1 |a Brolucizumab (Beovu) (Novartis Pharmaceuticals Canada Inc.) 
250 |a Version: Final 
260 |a Ottawa  |b Canadian Agency for Drugs and Technologies in Health  |c 2020, July 2020 
300 |a 1 PDF file (32 pages)  |b illustration 
505 0 |a Includes bibliographical references 
710 2 |a Canadian Agency for Drugs and Technologies in Health 
041 0 7 |a eng  |2 ISO 639-2 
989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a CADTH common drug review 
856 4 0 |u https://www.ncbi.nlm.nih.gov/books/NBK565513  |3 Volltext 
082 0 |a 610 
520 |a CADTH undertook reanalyses to address limitations that included bevacizumab as a relevant comparator, applying equal treatment discontinuation, adjusting vision impairment costs, and applying a pooled, long-term treatment effect. Using the CADTH base-case reanalyses, brolucizumab would not be considered cost-effective treatment at a willingness-to-pay (WTP) threshold of $50,000 per quality-adjusted life-year (QALY). The probability of brolucizumab being considered the most cost-effective intervention was 0% at a threshold of $50,000 per QALY (and even at a threshold of $100,000 per QALY). Price reductions can improve the cost-effectiveness of brolucizumab in patients with neovascular age-related macular degeneration (nAMD). At a WTP threshold of $50,000 per QALY, a respective price reduction of 85% is required for brolucizumab to be considered cost-effective compared to bevacizumab. No price reduction would be required for brolucizumab if bevacizumab was unavailable as a treatment option. While some uncertainties remain in the model, it is highly unlikely that brolucizumab would be considered a cost-effective intervention relative to bevacizumab based on the efficacy estimates and price submitted by the sponsor