Health Economics›Breast cancer›HER2-positive subsequent lines of therapy

HER2-positive subsequent lines of therapy

Breast cancer · 4 regimens

Cost estimates only — modelled on a typical patient (BSA 1.7 m², 70 kg, CrCl 90 mL/min) using the cheapest available formulary presentation. Excludes vial wastage, facility fees, supportive care, and infusion consumables. Not for billing, formulary decisions, or clinical use.

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Cost vs Efficacy · 4 points

Fully pricedPartial pricing

Regimen	Biomarker	Cost/cycle ↓	Cycle	PFS ↕	OS ↕	Est. cycles	Course cost ↕	Evidence
Trastuzumab deruxtecan monotherapy Variant #01	—	R 81 019	21d	15.5 mo	23.4 mo	2	R 162 039 PFS proxy	9
Capecitabine and Lapatinib Variant #01	—	R 24 587	21d	6.8 mo	21.6 mo	2	R 49 173 PFS proxy	7
Capecitabine and Trastuzumab (XH) Variant #01	—	R 15 097	21d	5.0 mo	22.7 mo	3	R 21 861 PFS proxy	8
Capecitabine and Trastuzumab (XH) and Tucatinib Variant #01 Partial	—	R 15 097	21d	7.6 mo	23.3 mo	3	R 21 861 PFS proxy	3

4 of 4 regimens shown