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Pharmacoeconomic analysis of using biological agents for uncontrolled moderate-to-severe atopic asthma in the Russian Federation

https://doi.org/10.17749/2070-4909.2019.12.4.268-278

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Abstract

Objective – to conduct a pharmacoeconomic analysis of using omalizumab, mepolizumab and reslizumab in the treatment of patients with uncontrolled moderate and severe atopic asthma in the healthcare setting of the Russian Federation.

Materials and Methods. A pharmacoeconomic model based on clinical data was created. The cost-effectiveness ratios for omalizumab, mepolizumab and reslizumab were calculated and compared. Budget impact analysis for the partial replacement of omalizumab with mepolizumab and/or reslizumab has been performed.

Results. The use of omalizumab costs 13.3% less than that of reslizumab and 1.6% more than that of mepolizumab. The cost-effectiveness ratio for omalizumab is significantly lower vs the competitors. To prevent asthma exacerbations by omalizumab requires 463 805 rubles, which is 24.80% less than for reslizumab and by 382,640 or 20.89% less than for mepolizumab. The results are robust and resistant to 10% fluctuations in prices for the compared products. According to the budget impact analysis, by introducing reslizumab instead of omalizumab for a 3-year therapy in 210 patients with asthma and blood eosinophilia ≥400 cells/µl, will increase the burden on the budget by 13.25% or by 83.2 million rubles. In a group of 594 patients with eosinophilia ≥150 cells/µl, using mepolizumab instead of omalizumab will increase the budget burden by 1.58% or by 24.0 million rubles. In the total group of 759 patients receiving genetically-engineered products, switching to mepolizumab and reslizumab will increase the budget spending by 3.3% or 67.2 million rubles for 3 years.

Conclusion. The analysis shows that using omalizumab in patients with severe asthma that is uncontrolled by medium and high doses of inhaled corticosteroids, has the lowest burden on the budget of the healthcare system and is more effective compared to mepolizumab and reslizumab.

About the Authors

S. K. Zyryanov
Peoples’ Friendship University of Russia; City Clinical Hospital No. 24 of the Moscow Department of Health
Russian Federation

Sergey K. Zyryanov – MD, PhD, Professor & Head, Department of General and Clinical Pharmacology, Peoples’ Friendship University of Russia; Deputy Chief Medical Officer, Clinical Hospital No. 24, Department of Healthcare of the City of Moscow

ResearcherID: D-8826-2012
SPIN-код: 2725-9981

10/3 Miklukho-Maklaya Str., Moscow 117198
10 Pistsovaya Str., Moscow 27015 



I. N. Diyakov
Research Institute of Vaccines and Serums named after I.I. Mechnikov; Scientific and Practical Center for the Study of the Problems of Rational Pharmacotherapy and Pharmacoeconomics
Russian Federation

Ilya N. Diyakov – PhD (Biology), Head of the Laboratory of Biosynthesis of Immunoglobulines, Mechnikov Federal Research Institute of Vaccines and Sera; General Manager, Independent Center for Rational Pharmacotherapy and Pharmacoeconomics

SPIN-код: 1854-0958

5А Malyy Kazennyy pereulok, Moscow 105064
50, bld. 2 Aviamotornaya Str., Moscow 111024 



S. N. Avdeev
Sechenov University; Research Institute of Pulmonology, Federal Medical and Biological Agency
Russian Federation

Sergey N. Avdeev – MD, PhD, Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Department of Pulmonology, Sechenov First Moscow Medical University, Ministry of Health of the Russian Federation; Deputy Director for Science, Federal Institute for Pulmonology Research; Chief Pulmonologist, Ministry of Health of the Russian Federation

8-2 Trubetskaya Str., Moscow 119048
28 Orekhovyy bulvar, Moscow 115682 



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For citation:


Zyryanov S.K., Diyakov I.N., Avdeev S.N. Pharmacoeconomic analysis of using biological agents for uncontrolled moderate-to-severe atopic asthma in the Russian Federation. FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology. 2019;12(4):268-278. (In Russ.) https://doi.org/10.17749/2070-4909.2019.12.4.268-278

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ISSN 2070-4909 (Print)
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