Apomorphine Sublingual Film Apomorphine Hydrochloride Injection Levodopa Inhalation Powder Apomorphine Sublingual Film vs. Apomorphine Hydrochloride Injection Apomorphine Sublingual Film vs. Levodopa Inhalation Powder
Scenario 1: Efficacy data from an indirect treatment comparison of apomorphine sublingual film and levodopa inhalation powdera
Total costs $45 802 $280 139 $73 139 –$234 337 –$27 337
QALY, years 4.141 4.116 4.071 0.025 0.070
Incremental cost per QALY gained Dominant Dominant
Scenario 2: Assuming linear change in utility per “OFF” hour reduced
Total costs $45 864 $280 212 $73 317 –$234 349 –$27 454
QALY, years 3.983 3.961 3.871 0.022 0.112
Incremental cost per QALY gained Dominant Dominant
Scenario 3: Limiting the model horizon to 5 years
Total costs $30 918 $187 248 $48 874 –$156 330 –$17 956
QALY, years 2.731 2.702 2.578 0.029 0.153
Incremental cost per QALY gained Dominant Dominant
Scenario 4: Considering costs owing to caregiver burden
Total costs $484 956 $716 066 $530 675 –$231 110 –$45 719
QALY, years 4.107 4.088 3.872 0.019 0.235
Incremental cost per QALY gained Dominant Dominant