Oncimmune Holdings plc (LON:ONC), a leading early cancer detection company developing and commercialising its proprietary EarlyCDT® liquid biopsy platform technology, today announced the publication of results showing the cost effectiveness of its blood-based autoantibody test, EarlyCDT®-Lung, versus computed tomography (CT) surveillance alone, in the evaluation of incidentally-detected pulmonary nodules. The study was jointly conducted by the health economics consultancy Policy Analysis Inc. and published in PLOS ONE.
Patients who have incidentally detected pulmonary nodules and an estimated intermediate risk (5%-65%) of lung cancer are frequently accessed via CT surveillance to detect nodule growth, despite ACCP guidelines for a more aggressive diagnostic strategy such as positron emission tomography-computed tomography (PET-CT). This study examined whether initial administration of the EarlyCDT®-Lung test to intermediate-risk patients, in lieu of CT surveillance alone, could improve outcomes by earlier intervention and thus earlier diagnosis of lung cancer in a cost-effective manner.
The study results indicated that the use of EarlyCDT®-Lung is likely to be a cost-effective use of healthcare resources as it results in earlier diagnosis of lung cancer in patients with incidentally detected pulmonary nodules, who are estimated to be at intermediate risk of lung cancer and who are scheduled for CT surveillance alone. The standard QALY (cost for every Quality Adjusted Life Year) accepted as cost effective by payors is $50,000 or less and this publication shows that EarlyCDT®-Lung has a QALY of half this at $25,000.
The Company believes this publication, in addition to the many already published papers validating performance of the EarlyCDT®-Lung test[i], [ii], [iii] and its clinical performance in the field published by the Journal of Thoracic Oncology[iv],[v], makes a compelling case to both clinicians and payors that the use of EarlyCDT®-Lung leads to a cost-effective improvement in outcomes.
Dr James Jett, Chief Medical Officer (US) of Oncimmune Holdings plc, said: “The evaluation of incidentally discovered pulmonary nodules is an increasingly common problem for clinicians. Published guidelines recommend PET-CT for evaluation of intermediate risk nodules but often these guidelines are not followed in favour of CT surveillance alone. These results show that the use of EarlyCDT-Lung, our simple, blood-based autoantibody test which can detect cancer four years earlier than other methods, could be cost effective when used to improve diagnosis and patient outcomes.”
Geoffrey Hamilton-Fairley, Chief Executive Officer of Oncimmune, commented: “Oncimmune has always acknowledged that the health economics around its tests will be key to their uptake as they roll out commercially. We have spent many years working with Policy Analysis (PAI) to develop models, using independent inputs, for our tests and we have used these estimates before embarking on product development to make sure the ultimate results will have both clinical validity and be cost effective. This publication demonstrates that our approach is sound and we will now move forward with a complete set of relevant publications relating to the use of EarlyCDT®-Lung in the risk evaluation of intermediate pulmonary nodules, to help us accelerate adoption in the US.”