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Table 5 Total and monthly drugs cost of mCRPC by type of medication

From: Drug costs in the management of metastatic castration-resistant prostate cancer in Canada

 

Total mCRPC cost per patient

Monthly mCRPC cost per patient

Total mCRPC cost in Canada

Current model

Mean (95%CI)

Median (IQR)

Mean (95%CI)

(annual cohort of 4,000 mCRPC patients)

Medication type:

    

  Primary medication*

$23,745 ($23,238-$24,253)

$13,316 ($939-$41,553)

$845 ($827-$882)

$94,980,000

49.1%

  Medication for medical castration†

$9,898 ($9,779-$10,016)

$8,811 ($4,934-$14,098)

$352 ($348-$357)

$39,592,000

20.4%

  Bone-targeted therapy‡

$14,785 ($14,607-$14,963)

$13,163 ($7,371-$21,060)

$526 ($520-$532)

$59,032,000

30.5%

Total cost of mCRPC

$48,428 ($47,624-$49,232)

$35,290 ($13,244-$76,711)

$1,723 ($1,695-$1,752)

$193,604,000

100.0%

Alternate model

     

Medication type:

     

  Primary medication**

$71,302 ($70,026-$72,579)

$62,816 ($939-$123,501)

$1,912 ($1,877-$1,946)

$285,208,000

68.5%

  Medication for medical castration†

$13,140 ($12,971-$13,309)

$11,983 ($5,639-$19,737)

$352 ($348-$357)

$52,560,000

12.6%

  Bone-targeted therapy‡

$19,629 ($19,376-$19,882)

$17,901 ($8,424-$29,484)

$526 ($520-$532)

$78,516,000

18.9%

Total cost of mCRPC

$104,071 ($102,373-$105,770)

$92,700 ($15,002-$172,722)

$2,790 ($2,745-$2,835)

$416,284,000

100.0%

  1. Abbreviations: 95%CI 95% confidence interval, IQR Interquartile range;
  2. *includes AA, docetaxel and abitarerone;
  3. **includes AA, abitarerone, docetaxel and cabazitaxel;
  4. †assuming that only 95% of patients have received medication for medical castration;
  5. ‡assuming that only 90% of patients have received bone-targeted therapy.