PMID- 27325334 OWN - NLM STAT- MEDLINE DCOM- 20170517 LR - 20170517 IS - 1524-4733 (Electronic) IS - 1098-3015 (Linking) VI - 19 IP - 4 DP - 2016 Jun TI - Decisions on Further Research for Predictive Biomarkers of High-Dose Alkylating Chemotherapy in Triple-Negative Breast Cancer: A Value of Information Analysis. PG - 419-30 LID - S1098-3015(16)00021-8 [pii] LID - 10.1016/j.jval.2016.01.015 [doi] AB - OBJECTIVES: To inform decisions about the design and priority of further studies of emerging predictive biomarkers of high-dose alkylating chemotherapy (HDAC) in triple-negative breast cancer (TNBC) using value-of-information analysis. METHODS: A state transition model compared treating women with TNBC with current clinical practice and four biomarker strategies to personalize HDAC: 1) BRCA1-like profile by array comparative genomic hybridization (aCGH) testing; 2) BRCA1-like profile by multiplex ligation-dependent probe amplification (MLPA) testing; 3) strategy 1 followed by X-inactive specific transcript gene (XIST) and tumor suppressor p53 binding protein (53BP1) testing; and 4) strategy 2 followed by XIST and 53BP1 testing, from a Dutch societal perspective and a 20-year time horizon. Input data came from literature and expert opinions. We assessed the expected value of partial perfect information, the expected value of sample information, and the expected net benefit of sampling for potential ancillary studies of an ongoing randomized controlled trial (RCT; NCT01057069). RESULTS: The expected value of partial perfect information indicated that further research should be prioritized to the parameter group including "biomarkers' prevalence, positive predictive value (PPV), and treatment response rates (TRRs) in biomarker-negative patients and patients with TNBC" (euro639 million), followed by utilities (euro48 million), costs (euro40 million), and transition probabilities (TPs) (euro30 million). By setting up four ancillary studies to the ongoing RCT, data on 1) TP and MLPA prevalence, PPV, and TRR; 2) aCGH and aCGH/MLPA plus XIST and 53BP1 prevalence, PPV, and TRR; 3) utilities; and 4) costs could be simultaneously collected (optimal size = 3000). CONCLUSIONS: Further research on predictive biomarkers for HDAC should focus on gathering data on TPs, prevalence, PPV, TRRs, utilities, and costs from the four ancillary studies to the ongoing RCT. CI - Copyright (c) 2016 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved. FAU - Miquel-Cases, Anna AU - Miquel-Cases A AD - Department of Psychosocial Research and Epidemiology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL), Amsterdam, The Netherlands. FAU - Retel, Valesca P AU - Retel VP AD - Department of Psychosocial Research and Epidemiology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL), Amsterdam, The Netherlands. FAU - van Harten, Wim H AU - van Harten WH AD - Department of Psychosocial Research and Epidemiology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL), Amsterdam, The Netherlands; Department of Health Technology and Services Research, University of Twente, Enschede, The Netherlands. Electronic address: w.v.harten@nki.nl. FAU - Steuten, Lotte M G AU - Steuten LM AD - Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. LA - eng SI - ClinicalTrials.gov/NCT01057069 PT - Comparative Study PT - Journal Article DEP - 20160406 PL - United States TA - Value Health JT - Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research JID - 100883818 RN - 0 (Alkylating Agents) RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (RNA, Long Noncoding) RN - 0 (TP53BP1 protein, human) RN - 0 (Tumor Suppressor p53-Binding Protein 1) RN - 0 (XIST non-coding RNA) RN - EC 2.3.2.27 (BRAP protein, human) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) SB - IM MH - Adult MH - Alkylating Agents/economics/therapeutic use MH - Antineoplastic Agents/economics/therapeutic use MH - Biomarkers, Tumor/*economics MH - Cost-Benefit Analysis MH - Decision Support Techniques MH - Disease-Free Survival MH - Female MH - Health Priorities/economics MH - Humans MH - Markov Chains MH - Middle Aged MH - Netherlands/epidemiology MH - RNA, Long Noncoding MH - Randomized Controlled Trials as Topic MH - Research/economics MH - Triple Negative Breast Neoplasms/drug therapy/*economics/epidemiology/therapy MH - Tumor Suppressor p53-Binding Protein 1 MH - Ubiquitin-Protein Ligases/*economics/genetics OTO - NOTNLM OT - decision modeling OT - diagnostics OT - high-dose alkylating chemotherapy OT - predictive biomarkers OT - value of information EDAT- 2016/06/22 06:00 MHDA- 2017/05/18 06:00 CRDT- 2016/06/22 06:00 PHST- 2015/01/06 00:00 [received] PHST- 2016/01/28 00:00 [revised] PHST- 2016/01/31 00:00 [accepted] PHST- 2016/06/22 06:00 [entrez] PHST- 2016/06/22 06:00 [pubmed] PHST- 2017/05/18 06:00 [medline] AID - S1098-3015(16)00021-8 [pii] AID - 10.1016/j.jval.2016.01.015 [doi] PST - ppublish SO - Value Health. 2016 Jun;19(4):419-30. doi: 10.1016/j.jval.2016.01.015. Epub 2016 Apr 6.