A multi-criteria decision analysis on the value of nintedanib for interstitial lung diseases.

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Zozaya, Neboa
  • Arrizubieta Basterrechea, Maria Iciar
  • Bollo, Elena
  • Castellvi, Ivan
  • Espin, Jaime
  • Ortego, Norberto
  • Rodriguez Portal, Jose Antonio
  • Rivero, Agustin
  • Marcos-Rodríguez JA
  • Verde, Luis

Grupos

Abstract

Objectives Our aim was to assess the value of nintedanib for non-idiopathic progressive fibrosing interstitial lung disease (non-IPF PF-ILD) and systemic sclerosis-associated ILD (SSc-ILD) in the Spanish context, using a multi-criteria decision analysis (MCDA). Methods Following an adaptation of the Evidence and Value: Impact on DEcision Making (EVIDEM) MCDA methodology, the estimated value of nintedanib was obtained by means of an additive linear model that combined individual weights (100-points distribution) of criteria with the individual scoring of nintedanib in each criterion for every indication, assigned by a multidisciplinary committee of twelve clinicians, patients, pharmacists, and decision-makers. To assess the reproducibility, an alternative weighting method was applied, as well as a re-test of weights and scores at a different moment of time. Results The experts committee recognized nintedanib as an intervention with a positive value contribution in comparison to placebo for the treatment of non-IPF PF-ILD (0.50 +/- 0.16, on a scale from -1 to 1) and SSc-ILD (0.40 +/- 0.12), diseases which were considered as very severe and with high unmet needs. The drug was perceived as a treatment that provides an added therapeutic benefit for patients (0.06-0.07), given its proven clinical efficacy (0.05-0.06), slight improvements in patient-reported outcomes (0.01-0.02), and similar safety profile than placebo (-0.04-0.00), which will likely be positioned as a recommended therapy in the next clinical practice guidelines updates. Conclusions Under this increasingly used methodology, nintedanib has shown to provide a positive value estimate for non-IPF PF-ILD and SSc-ILD when compared to placebo in Spain.

Datos de la publicación

ISSN/ISSNe:
0266-4623, 1471-6348

INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE  CAMBRIDGE UNIV PRESS

Tipo:
Article
Páginas:
64-64
PubMed:
35912833
Factor de Impacto:
0,772 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 2

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Keywords

  • Interstitial lung diseases; Systemic sclerosis; Pulmonary fibrosis; Multi-criteria decision analysis

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