Skip to main content

Table 4 Base-case cost-effectiveness results comparing all medications

From: Competing treatments for migraine: a headache for decision-makers

 

Costs (£)

QALYs

Incremental costs (£)

Incremental QALYs

ICER: cost per QALY gained (£)

Comparison

Deterministic results—discounted

 Topiramate

£1,625

1.3995

-

-

-

 

 Placebo

£1,729

1.3531

£104

-0.0464

Dominated

Placebo vs. Topiramate

 BTA

£3,654

1.4294

£2,029

0.0298

£68,002

BTA vs. Topiramate

 Fremanezumab (monthly)

£10,155

1.4403

£6,501

0.0013

Extendedly dominated

Fremanezumab (monthly) vs. BTA

 Fremanezumab (quarterly)

£10,193

1.4224

£38

-0.0083

Dominated

Fremanezumab (quarterly vs. monthly)

 Eptinezumab 100

£10,216

1.4239

£22

-0.0067

Dominated

Eptinezumab 100 vs Fremanezumab (monthly)

 Galcanezumab

£10,640

1.4229

£485

-0.0078

Dominated

Galcanezumab vs. Fremanezumab (monthly)

 Eptinezumab 300

£27,401

1.4403

£17,246

0.0097

£2,160,037

Eptinezumab 300 vs BTA

Probabilistic results—discounted

 Topiramate

£1,624

1.4045

-

-

-

 

 Placebo

£1,728

1.3460

£104

-0.0584

Dominated

Placebo vs. Topiramate

 BTA

£3,654

1.4270

£2,030

0.0226

£89,939

BTA vs. Topiramate

 Fremanezumab (monthly)

£10,161

1.4350

£6,507

0.0080

Extendedly dominated

Fremanezumab (monthly) vs. BTA

 Fremanezumab (quarterly)

£10,196

1.4273

£34

-0.0078

Dominated

Fremanezumab (quarterly vs. monthly)

 Eptinezumab 100

£10,221

1.4199

£59

-0.0151

Dominated

Eptinezumab 100 vs Fremanezumab (monthly)

 Galcanezumab

£10,646

1.4161

£485

-0.0189

Dominated

Galcanezumab vs. Fremanezumab (monthly)

 Eptinezumab 300

£27,411

1.4365

£17,250

0.0014

£2,524,429

Eptinezumab 300 vs BTA

  1. Extendedly dominated is where any interventions that have an ICER which is greater than that of a more effective intervention is ruled out