Total Costs (€) Total QALYs ICER, €/QALY
LGS DS LGS DS LGS DS
CBD Usual Care CBD Usual Care CBD Usual Care CBD Usual Care
Base case 2 365 876 2 337 538 2 222 650 2 246 291 6.749 5.431 15.813 14.944 21 493 Dominating
Applied a 2023 cost year 2 686 073 2 667 187 2 507 247 2 545 925 6.749 5.431 15.813 14.944 14 324 Dominating
Healthcare perspective (excludes replacement costs) 1 084 229 1 010 424 983 386 937 731 6.749 5.431 15.813 14.944 55 978 52570
Applied 12-17 y group weight to the 18-55 y group (DS only) N/A N/A 2 236 433 2 255 965 N/A N/A 15.813 14.944 N/A Dominating
Assume patients in both model arms remain in their health states following Cycle 1 2 381 055 2 337 538 2 216 519 2 246 291 6.627 5.431 15.903 14.944 36 380 Dominating
Alternative seizure thresholdsa,b 2 341 096 2 309 790 2 205 285 2 220 720 5.259 4.282 16.187 15.511 32 051 Dominating
Relative treatment effect is not maintained 2 367 967 2 344 732 2 246 248 2 324 616 6.402 4.644 15.591 14.345 13 216 Dominating
Target population: starting age of 2 y 3 311 261 3 310 538 2 889 889 2 951 745 6.982 5.652 16.326 15.448 543 Dominating
Mean weight of adults assumed the same as the 12-17 y age group (DS only) N/A N/A 2 236 433 2 255 965 N/A N/A 15.813 14.944 N/A Dominating
Time horizon: 20 y 1 761 516 1 730 599 1 629 781 1 646 102 3.943 2.859 8.464 7.833 28 538 Dominating
Time horizon: 30 y 2 040 740 2 010 982 1 901 404 1 921 581 4.940 3.748 10.996 10.259 24 969 Dominating
No. of caregivers: 2 2 365 876 2 337 538 2 222 650 2 246 291 -15.438 −18.863 7.378 5.424 8272 Dominating
Utilities associated with non-drop seizures included (LGS only) 2 365 876 2 337 538 N/A N/A 3.387 1.917 N/A N/A 19 281 N/A
Utilities associated with non-convulsive seizures included (DS only) N/A N/A 2 222 650 2 246 291 N/A N/A 13.430 12.312 N/A Dominating
Mortality RR in seizure-free health states: 0.71 2 372 579 2 337 538 2 241 455 2 252 557 6.831 5.431 16.191 15.132 25 028 Dominating
Varied proportion for ICU admissions within hospitalizations: 50% in general ward vs 50% in ICU 2 380 252 2 353 686 2 247 975 2 275 288 6.749 5.431 15.813 14.944 20 150 Dominating
10% long-term discontinuation rate applied to seizure health states 2 345 962 2 337 538 2 211 322 2 246 291 6.526 5.431 15.748 14.944 7693 Dominating
Lag discontinuation applied for 6 months 2 372 464 2 337 538 2 228 066 2 246 291 6.749 5.431 15.813 14.944 26 490 Dominating
Varied AE disutilities: doubling 2 365 876 2 337 538 2 222 650 2 246 291 6.749 5.431 15.811 14.944 21 500 Dominating
Varied AE disutilities: tripling 2 365 876 2 337 538 2 222 650 2 246 291 6.749 5.431 15.810 14.944 21 506 Dominating
Varied AE costs: doubling 2 365 985 2 337 582 2 222 838 2 246 390 6.749 5.431 15.813 14.944 21 543 Dominating
Varied AE costs: tripling 2 366 095 2 337 627 2 223 027 2 246 489 6.749 5.431 15.813 14.944 21 592 Dominating
No. of cycles for which AE disutilities were applied: 9 cycles 2 365 876 2 337 538 2 222 650 2 246 291 6.748 5.431 15.807 14.944 21 523 Dominating
Utility source: DS utilities (time trade-off values) 2 365 876 2 337 538 N/A N/A 9.418 8.231 N/A N/A 23 867 N/A
Utility source: LGS utilities (time trade-off values) N/A N/A 2 222 650 2 246 291 N/A N/A 10.849 9.484 N/A Dominating
Applied resource use estimates from the literature 2 406 702 2 376 848 2 212 870 2 232 014 6.749 5.431 15.813 14.944 22 643 Dominating
Applied same hours of care for seizure health states 2 326 838 2 287 990 2 185 668 2 199 483 6.749 5.431 15.813 14.944 29 465 Dominating
Applied same percentage of patients institutionalized for seizure-free and least severe seizure health states 2 183 066 2 159 546 2 079 448 2 092 754 6.749 5.431 15.813 14.944 17 839 Dominating