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Published in: Applied Health Economics and Health Policy 1/2010

01-01-2010 | Correspondence

Oral therapies for the treatment of pulmonary arterial hypertension: a population-based cost-minimization analysis

Authors: Marie-Claude Lefebvre, Elke Hunsche

Published in: Applied Health Economics and Health Policy | Issue 1/2010

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Excerpt

Dranitsaris and Mehta[1] reported that, for patients with New York Heart Association functional class (NYHA FC) II/III pulmonary arterial hypertension in Canada, ambrisentan provides the same clinical benefit and is less costly than the other endothelin receptor antagonists (ERAs), bosentan and sitaxentan, and therefore should be considered as the ERA of choice. Their findings were based on a cost-minimization analysis (CMA) and, as they acknowledge, “the primary requirement of a CMA is that all clinical outcomes be equivalent between comparator treatments.” …
Literature
1.
go back to reference Dranitsaris G, Mehta S. Oral therapies for the treatment of pulmonary arterial hypertension: a population-based cost-minimization analysis. Appl Health Econ Health Policy 2009; 7(1): 43–59PubMedCrossRef Dranitsaris G, Mehta S. Oral therapies for the treatment of pulmonary arterial hypertension: a population-based cost-minimization analysis. Appl Health Econ Health Policy 2009; 7(1): 43–59PubMedCrossRef
2.
go back to reference Galiè N, Olschewski H, Oudiz RJ, et al. Ambrisentan for the treatment of pulmonary arterial hypertension: results of the ambrisentan in pulmonary arterial hypertension, randomized, double-blind, placebo-controlled, multicenter, efficacy (ARIES) study 1 and 2. Circulation 2008; 117: 3010–9PubMedCrossRef Galiè N, Olschewski H, Oudiz RJ, et al. Ambrisentan for the treatment of pulmonary arterial hypertension: results of the ambrisentan in pulmonary arterial hypertension, randomized, double-blind, placebo-controlled, multicenter, efficacy (ARIES) study 1 and 2. Circulation 2008; 117: 3010–9PubMedCrossRef
3.
go back to reference Olschewski H, Galiè N, Kramer M, et al. Ambrisentan improves exercise capacity and time to clinical worsening in patients with pulmonary arterial hypertension: results of the ARIES-2 study [abstract]. 102nd International Conference of the American Thoracic Society; 2006 May 19–24; San Diego (CA) Olschewski H, Galiè N, Kramer M, et al. Ambrisentan improves exercise capacity and time to clinical worsening in patients with pulmonary arterial hypertension: results of the ARIES-2 study [abstract]. 102nd International Conference of the American Thoracic Society; 2006 May 19–24; San Diego (CA)
4.
go back to reference Channick RN, Simonneau G, Sitbon O, et al. Effects of the dual endothelin-receptor antagonist bosentan in patients with pulmonary hypertension: a randomized placebo-controlled study. Lancet 2001; 358: 1119–23PubMedCrossRef Channick RN, Simonneau G, Sitbon O, et al. Effects of the dual endothelin-receptor antagonist bosentan in patients with pulmonary hypertension: a randomized placebo-controlled study. Lancet 2001; 358: 1119–23PubMedCrossRef
5.
go back to reference Rubin L, Badesch DB, Barst RJ, et al. Bosentan therapy for pulmonary arterial hypertension. N Engl J Med 2002; 346: 896–903PubMedCrossRef Rubin L, Badesch DB, Barst RJ, et al. Bosentan therapy for pulmonary arterial hypertension. N Engl J Med 2002; 346: 896–903PubMedCrossRef
6.
go back to reference Galiè N, Beghetti M, Gatzoulis MA, et al. Bosentan therapy in patient with Eisenmenger syndrome: a multicenter, double-blind, randomized, placebo-controlled study. Circulation 2006; 114: 48–54PubMedCrossRef Galiè N, Beghetti M, Gatzoulis MA, et al. Bosentan therapy in patient with Eisenmenger syndrome: a multicenter, double-blind, randomized, placebo-controlled study. Circulation 2006; 114: 48–54PubMedCrossRef
7.
go back to reference Barst RJ, Langleben D, Frost A, et al. Sitaxsentan therapy for pulmonary arterial hypertension. Am J Respir Crit Care Med 2004; 169: 441–7PubMedCrossRef Barst RJ, Langleben D, Frost A, et al. Sitaxsentan therapy for pulmonary arterial hypertension. Am J Respir Crit Care Med 2004; 169: 441–7PubMedCrossRef
8.
go back to reference Barst RJ, Langleben D, Badesch D, et al. Treatment of pulmonary arterial hypertension with the selective endothelin-A receptor antagonist sitaxsentan. J Am Coll Cardiol 2006; 47: 2049–56PubMedCrossRef Barst RJ, Langleben D, Badesch D, et al. Treatment of pulmonary arterial hypertension with the selective endothelin-A receptor antagonist sitaxsentan. J Am Coll Cardiol 2006; 47: 2049–56PubMedCrossRef
9.
go back to reference Galiè N, Ghofrani HA, Torbicki A, et al. Sildenafil citrate therapy for pulmonary arterial hypertension. N Engl J Med 2005; 353: 2148–57PubMedCrossRef Galiè N, Ghofrani HA, Torbicki A, et al. Sildenafil citrate therapy for pulmonary arterial hypertension. N Engl J Med 2005; 353: 2148–57PubMedCrossRef
10.
go back to reference Lewis GD, Shah R, Shahzad K, et al. Sildenafil improves exercise capacity and quality of life in patients with systolic heart failure and secondary pulmonary hypertension. Circulation 2007; 116: 1555–62PubMedCrossRef Lewis GD, Shah R, Shahzad K, et al. Sildenafil improves exercise capacity and quality of life in patients with systolic heart failure and secondary pulmonary hypertension. Circulation 2007; 116: 1555–62PubMedCrossRef
11.
go back to reference Barst RJ, Gibbs JS, Ghofrani HA, et al. Updated evidence-based treatment algorithm in pulmonary arterial hypertension. J Am Coll Cardiol 2009; 54(1 Suppl.): S78–84PubMedCrossRef Barst RJ, Gibbs JS, Ghofrani HA, et al. Updated evidence-based treatment algorithm in pulmonary arterial hypertension. J Am Coll Cardiol 2009; 54(1 Suppl.): S78–84PubMedCrossRef
12.
go back to reference Galiè N, Hoeper MM, Humbert M, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension. The task force for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT). Eur Heart J 2009 Oct; 30 (20): 2493–537 Galiè N, Hoeper MM, Humbert M, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension. The task force for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT). Eur Heart J 2009 Oct; 30 (20): 2493–537
13.
go back to reference Garin MC, Clark L, Chumney EC, et al. Cost-utility of treatments for pulmonary arterial hypertension: a Markov state-transition decision analysis model. Clin Drug Investig 2009; 29(10): 635–46PubMedCrossRef Garin MC, Clark L, Chumney EC, et al. Cost-utility of treatments for pulmonary arterial hypertension: a Markov state-transition decision analysis model. Clin Drug Investig 2009; 29(10): 635–46PubMedCrossRef
Metadata
Title
Oral therapies for the treatment of pulmonary arterial hypertension: a population-based cost-minimization analysis
Authors
Marie-Claude Lefebvre
Elke Hunsche
Publication date
01-01-2010
Publisher
Springer International Publishing
Published in
Applied Health Economics and Health Policy / Issue 1/2010
Print ISSN: 1175-5652
Electronic ISSN: 1179-1896
DOI
https://doi.org/10.1007/BF03256167

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