Economic benefit of subcutaneous rapid push versus intravenous immunoglobulin infusion therapy in adult patients with primary immune deficiency

Abstract

Background Primary immune deficiencies (PID) are genetic disorders resulting in recurrent infections. Immunoglobulin replace-ment therapy in PID patients can be achieved intrave-nously (IVIG) or subcutaneously (SCIG) with similar efficacy and safety profiles but with different resource use and associated costs. Methods SCIG and IVIG options for immunoglobulin replacement therapy in adult PID patients were compared in a cost-minimization model over three years of treatment. The model focused on direct medical costs for infusion sup-plies and personnel. A three-year budget impact model assessed the economic impact on the healthcare system of switching from IVIG to SCIG for PID patients of the BC Central Transfusion Registry. Sensitivity analyses were performed for both models to measure the effect of differ-ent modalities of IVIG treatment and of the proportion of patients switching from IVIG to SCIG. Results The cost-minimization model estimated SCIG treatment cost per patient over three years at $1978 compared to $7714 for IVIG, resulting in savings to the healthcare system of $5736, principally due to reduced hospital personnel costs. This figure varied from $5035 to $8739 for different modalities of IVIG therapy. Assuming that 50% of patients who received IVIG switched to SCIG, the budget impact model estimated cost savings for the first three years at $1,307,894 or 37% of the personnel and supply budget. Conclusion This study demonstrated that rapid push home-based SCIG was less costly than hospital-based IVIG for immu-noglobulin replacement therapy. This approach provides not only a beneficial option from the patient perspective but also results in significant savings to the healthcare sys-tem for immunoglobulin replacement therapy in adult PID patients in a Canadian context.