TY  - JOUR
A1  - Stahmeyer, Jona
A1  - Rossol, Siegbert
A1  - Bert, Florian
A1  - Böker, Klaus H. W.
A1  - Bruch, Harald- Robert
A1  - Eisenbach, Christoph
A1  - Link, Ralph
A1  - John, Christine
A1  - Mauß, Stefan
A1  - Heyne, Renate
A1  - Schott, Eckart
A1  - Pfeiffer-Vornkahl, Heike
A1  - Hüppe, Dietrich
A1  - Krauth, Christian
T1  - Outcomes and costs of treating hepatitis C patients in the era of first generation protease inhibitors – results from the PAN study
T2  - PLoS One
N2  - 1. Objective: Chronic hepatitis C virus infections (HCV) cause a significant public health burden. Introduction of telaprevir (TVR) and boceprevir (BOC) has increased sustained virologic response rates (SVR) in genotype 1 patients but were accompanied by higher treatment costs and more side effects. Aim of the study was to assess outcomes and costs of treating HCV with TVR or BOC in routine care.
2. Material and Methods: Data was obtained from a non-interventional study. This analysis relates on a subset of 1,786 patients for whom resource utilisation was documented. Sociodemografic and clinical parameters as well as resource utilisation were collected using a web-based data recording system. Costs were calculated using official remuneration schemes.
3. Results: Mean age of patients was 49.2 years, 58.6% were male. In treatment-naive patients SVR-rates of 62.2% and 55.7% for TVR and BOC were observed (prior relapser: 68.5% for TVR and 63.5% for BOC; prior nonresponder: 45.6% for TVR and 39.1% for BOC). Treatment costs are dominated by costs for pharmaceuticals and range between €39,081 and €53,491. We calculated average costs per SVR of €81,347 (TVR) and €70,163 (BOC) in treatment-naive patients (prior relapser: 78,089 €/SVR for TVR and 82,077 €/SVR for BOC; prior non-responder: 116,509 €/SVR for TVR and 110,156 €/SVR for BOC). Quality of life data showed a considerable decrease during treatment.
4. Conclusion: Our study is one of few investigating both, outcomes and costs, of treating HCV in a real-life setting. Data can serve as a reference in the discussion of increasing costs in recently introduced agents
Y1  - 2016
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/41451
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-414513
SN  - 1932-6203
N1  - Copyright: © 2016 Stahmeyer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
VL  - 11
IS  - (7): e0159976
SP  - 1
EP  - 14
PB  - PLoS
CY  - Lawrence, Kan.
ER  -