Table 3

Adjusted ICERs for emicizumab prophylaxis among patients with haemophilia A and inhibitors compared with those without prophylaxis in India using the moderate adjustment method

ParametersValues
Monthly cost ($) of emicizumab (EMI) intervention (Ci)1918
Mean duration of treatment (in months) for different patient age groups (Mi)
 2–5 years48
 6–10 years60
 >10 years312
 Total420
Total cost ($) of treatment using EMI (Ci*Mi)
 2–5 years92 063
 6–10 years239 746
 >10 years2 194 156
 Total2 525 965
Monthly cost ($) of comparator (Cc) using FEIBA186 748
Mean duration (in months) for different patient age groups on FEIBA regimen (Mc)
 2–5 years48
 6–10 years60
 >10 years192
 Total300
Total cost ($) of treatment using FEIBA (Cc*Mc)
 2–5 years8 963 891
 6–10 years23 343 465
 >10 years131 470 395
 Total163 777 751
(Mi−Mc)/12 (in years)10
Adjusted ICER ($) for India (ICERi)Cost saving
Adjusted ICER (₹) for India (ICERi)*Cost saving
  • *The exchange rate used was ₹82.25 for US$1, as of 15 May 2023.

  • FEIBA, factor eight inhibitor bypass activity; ICER, incremental cost-effectiveness ratio.