Economic evaluation plan of a randomised controlled trial of intra-nodular injection of anti-TNF and placebo among patients with early Dupuytren’s disease: Repurposing Anti-TNF for Treating Dupuytren’s Disease (RIDD)

Wellcome Open Research

article

May Ee Png¹  Melina Dritsaki¹  Alastair Gray²  Rafael Pinedo-Villanueva¹  Oliver Rivero-Arias³  Jagdeep Nanchahal⁴ 

[1] Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford;Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford;National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford;Kennedy Institute of Rheumatology, University of Oxford

关键词: dupuytren;    anti-TNF;    adalimumab;    economic;    cost-effectiveness;   

DOI  :  10.12688/wellcomeopenres.14936.2

学科分类：内科医学

来源: Wellcome

【 摘 要 】

Dupuytren’s disease (DD) is a common fibroproliferative condition of the palmar and digital fascia of the hand; however, there is currently no approved treatment for early stage DD. The objective of this paper is to describe the methods applied to assess the cost-effectiveness of adalimumab injections compared to usual care for controlling the progression of early stage DD in the Repurposing Anti-TNF for Treating Dupuytren’s Disease (RIDD) trial. Measure of effectiveness and resource use will be obtained from a randomised clinical trial, carried out in three healthcare centres, and recruiting a minimum of 138 patients aged 18 years and above with a diagnosis of early stage DD. Resource use and utility measures (quality-adjusted life years) will be collected at 3, 6, 9, 12 (primary outcome endpoint) and 18 months post-randomisation. A within-trial cost-utility analysis (CUA) will be conducted at 12 months and if the intervention is effective, a decision analytic model will be applied to estimate the lifetime effectiveness and costs. The analysis will be performed from a health system (National Health Service and personal social services) perspective. Sensitivity analysis will be conducted to assess the robustness of the results. RIDD is the first randomised controlled trial with an economic evaluation conducted among patients with early stage DD. The protocol described here records our intent to conduct both a within-trial CUA alongside the RIDD study and a lifetime CUA using decision-analytic modelling.

【 授权许可】

CC BY