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SPECIAL ROUNDS Wednesday, June 20 12:00-1:00 pm Zane Feldman Auditorium “Health Economics in Cancer Research: Why, how and when to measure the cost-effectiveness of new interventions in Oncology.” Dr Peter Hall, MB ChB MRCP, Clinical Lecturer in Medical Oncology and Health Economics, University of Leeds, UK. Specialist Registrar in Medical Oncology at St James Institute of Oncology, Leeds, UK since 2006. 2010-2011 National Institute for Health and Clinical Excellence (NICE) Scholarship. 2008-20012 PhD in Health Economics, and Clinical Trials Methodology, Leeds Institute of Health Sciences, UK. Research interests: Health Economics and Outcomes Research in Cancer, Bayesian decision modelling, Endpoint selection in oncology trials, Economic evaluation in pharmaceutical and biomarker development Synopsis: Healthcare providers around the world are increasingly requiring evidence for cost-effectiveness in addition to the traditional licensing requirements of efficacy and safety. Consideration of economics is essential if we are to optimise population health from a finite budget. Contemporary clinical trials frequently fall short of providing adequate evidence for the accurate estimation of cost-effectiveness. The consequence can be the uncertainty, delay and controversy which frequently accompanies reimbursement decisions. There is an urgent need to define, standardise and meet evidence requirements for economic outcomes. This talk describes the evidence requirements for cost-effectiveness estimations in cancer. Some of the challenges in generating this evidence from clinical trials are highlighted. Future strategies for progressing research in this area are suggested. Special challenges associated with pharmaceutical and biomarker development are also discussed. Relevant papers: 1. Hall PS; McCabe C; Stein RC; Cameron D. Economic Evaluation of Genomic Test-Directed Chemotherapy for Early-Stage Lymph Node-Positive Breast Cancer. JNCI. 2012, 104(1); 56-66. 2. Hall PS, McCabe C, Brown JM, Cameron DA. Health economics in drug development: Efficient research to inform healthcare funding decisions. European Journal of Cancer, Oct 2010, 46(15);2674-2680. 3. Hall PS, Hulme C, McCabe C, Oluboyede Y, Round J, Cameron DA. Updated cost-effectiveness analysis of trastuzumab for early breast cancer: A UK perspective considering long-term toxicity and pattern of recurrence. Pharmacoeconomics. 2011, 29 (5);415-432