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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 6 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at current Australian prices: donanemab improved modelled QALYs (4.38 vs 4.01) but the ICER of $342,424 per QALY exceeded commonly cited willingness-to-pay thresholds. An unfavourable value result, not a clinical harm. |
Incremental cost per QALY of donanemab versus standard care in Australia | modelling study | not stated | Donanemab increased total healthcare costs ($300,689 vs. $178,121) and societal costs ($389,113 vs. $283,618) compared with standard care per capita, while improving health outcomes (4.38 vs. 4.01 QALYs) per capita. The ICER was $342,424 per QALY from the healthcare perspective and $294,701 per QALY from the societal perspective |
The Medical journal of Australia
2026 ✓ Peer-reviewed PMID 42015793 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money: three years of lecanemab gained 0.17 QALYs and the cost-effective price at 1 million SEK per QALY was 33,886 SEK a year, which the authors say makes it unlikely to be cost effective in Sweden at current US list prices. An unfavourable value result, not a clinical harm. |
Life-years and QALYs gained and the cost-effective annual price of lecanemab in Sweden at 1 million SEK per QALY | modelling study | not stated | Treatment with lecanemab over 3 years resulted in 0.13 LYs gained, 0.17 QALYs gained, and a net cost increase of 87,146 SEK (€1 = 11.5 SEK, $US1 = 10.6 SEK) due to administration and monitoring, before considering the cost of drug. The cost-effective price of lecanemab at a willingness-to-pay level of 1 million SEK per QALY was 33,886 SEK per year of treatment |
PharmacoEconomics
2025 ✓ Peer-reviewed PMID 40730714 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at the current price: no lecanemab strategy was cost-effective against standard care alone, whichever diagnostic test was used; CSF-guided targeted treatment would become cost-effective below $5,100 per year. An unfavourable value result, not a clinical harm. |
Cost-effectiveness of lecanemab test-treat strategies versus standard care (cost per QALY) | modelling study | not stated | Neither targeted lecanemab treatment nor treatment unrestricted by APOE ε4 genotype was cost-effective vs SoC alone, regardless of the test used to diagnose patients with early-stage AD. However, CSF assay followed by targeted treatment would become cost-effective if lecanemab is priced below $5,100 per year |
Neurology
2024 ✓ Peer-reviewed PMID 38484190 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for chronic bi-weekly intravenous infusion relative to oral treatment: administration and monitoring cost $45,208 plus $6,095 caregiver burden, eroding 44% of treatment value, against 2% for an oral drug. A cost result for a hypothetical treatment, not a clinical harm. |
Direct medical cost, caregiver burden and preserved treatment value for five hypothetical disease-modifying treatments differing in route, frequency and duration | modelling study | not stated | Chronic bi-weekly infusion treatment had the highest direct medical cost ($45,208) and caregiver burden ($6,095), reducing the treatment value by 44%, while oral treatment with the lowest direct medical cost ($1,983) and caregiver burden ($457) reduced the treatment value by only 2% |
Journal of Prevention of Alzheimer's Disease
2024 ✓ Peer-reviewed PMID 39350384 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at the list price: the benchmark price ($8,900-$21,500 per year) sits below the $26,500 list price, the committee voted 15-0 that the drug represents low long-term value at that price and 12-3 that the evidence did not adequately demonstrate a net health benefit. An unfavourable value assessment, not a clinical harm. |
Health-benefit price benchmark for lecanemab and appraisal-committee votes on net benefit and value | modelling study | not stated | ICER has calculated a health-benefit price benchmark (HBPB) for lecanemab to be between $8,900 – $21,500 per year; Lecanemab has been approved by the FDA and has a list price of $26,500 per year; The panelists unanimously (15-0) found that lecanemab at its current pricing represents “low” long-term value for money; A majority of panelists (12-3) found that current evidence is not adequate to demonstrate a net health benefit of lecanemab when compared to supportive care alone |
ICER (independent health technology assessment report)
2023 ⚠ Report — not peer-reviewed no DOI or PMID exists |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at the assumed $28,000 annual price: ICERs of $981,000/QALY (aducanumab) and $193,000/QALY (donanemab) exceed the $150,000/QALY threshold, so neither was cost-effective. An unfavourable value result, not a clinical harm. |
Incremental cost per QALY versus standard care, and value-based price | modelling study | not stated | Health care sector and societal ICERs relative to standard care were $981 000/QALY and $964 000/QALY, respectively, for aducanumab and $193 000/QALY and $176 000/QALY, respectively, for donanemab |
JAMA Neurology
2022 ✓ Peer-reviewed PMID 35344024 |