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Cost-consequence analysis of ofatumumab for the treatment of relapsing-remitting multiple sclerosis in Canada.


ABSTRACT: Aim: The costs and consequences of initial and delayed ofatumumab treatment were evaluated in relapsing-remitting multiple sclerosis with active disease in Canada. Materials & methods: A Markov cohort model was used (10-year horizon, annual cycle length, 1.5% discounting). Scenario analyses examined ofatumumab as first-line treatment versus 3 and 5 years following switch from commonly used first-line therapies. Results: Ofatumumab resulted in improvements in clinical outcomes (relapses and disease progression) and productivity (employment and full-time work), and reduction of economic burden (administration, monitoring and non-drug costs) that were comparable to other high-efficacy therapies (ocrelizumab, cladribine and natalizumab). Switching to ofatumumab earlier in the disease course may improve these outcomes. Conclusion: Results highlight the value of a high-efficacy therapy such as ofatumumab as initial treatment (i.e., first-line) in newly diagnosed relapsing-remitting multiple sclerosis patients with active disease.

SUBMITTER: Bhan V 

PROVIDER: S-EPMC10690431 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Cost-consequence analysis of ofatumumab for the treatment of relapsing-remitting multiple sclerosis in Canada.

Bhan Virender V   Clift Fraser F   Baharnoori Moogeh M   Thomas Kimberly K   Patel Barkha P BP   Blanchette François F   Adlard Nicholas N   Vudumula Umakanth U   Gudala Kapil K   Dutta Nikkita N   Grima Daniel D   Mouallif Soukaïna S   Farhane Fatine F  

Journal of comparative effectiveness research 20230822 9


<b>Aim:</b> The costs and consequences of initial and delayed ofatumumab treatment were evaluated in relapsing-remitting multiple sclerosis with active disease in Canada. <b>Materials & methods:</b> A Markov cohort model was used (10-year horizon, annual cycle length, 1.5% discounting). Scenario analyses examined ofatumumab as first-line treatment versus 3 and 5 years following switch from commonly used first-line therapies. <b>Results:</b> Ofatumumab resulted in improvements in clinical outcome  ...[more]

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