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The aim of this study was to evaluate the cost-effectiveness of ToxNav©, a multivariant genetic test, to screen for DPYD followed by personalized chemotherapy dosing for metastatic breast cancer in the UK compared with no testing followed by standard dose, standard of care. In the main analysis, ToxNav© was dominant over standard of care, producing 0.19 additional quality-adjusted life years and savings of £78,000 per patient over a lifetime. The mean additional quality-adjusted life years per person from 1000 simulations was 0.23 savings (95% CI: 0.22-0.24) at £99,000 (95% CI: £95-102,000). Varying input parameters independently by range of 20% was unlikely to change the results in the main analysis. The probabilistic sensitivity analysis showed ~97% probability of the ToxNav© strategy to be dominant.

Original publication

DOI

10.2217/pme-2022-0099

Type

Journal

Per Med

Publication Date

04/09/2023

Keywords

5-fluorouracil, DPYD, capecitabine, cost-effectiveness, cost-utility, drug adverse reactions, drug toxicity, economic evaluation, genetic testing, metastatic breast cancer