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Duravyu (vorolanib intravitreal insert)

Wet age-related macular degeneration

Also known as EYP-1901
Manufacturer
EyePoint
Launch
Not announced
Last updated
139 sources

Cost-effectiveness analyses and utility weights

Published cost-effectiveness analyses and health-state utility weights that a model of this product could cite, adapt, or compare against, grouped by how each article relates to the product and its indication. Every value is quoted from the article it cites, and section 3 lists the searches that found the articles.

10 cost-effectiveness analyses and 7 studies reporting utility weights · 12 sources

Overview

ItemDetail
Literature searchedTufts Medical Center Cost-Effectiveness Analysis Registry, searched October 21, 2026; the queries are listed in section 3.
Cost-effectiveness analyses10
Studies reporting utility weights7

Cost-effectiveness analyses

Analyses of Duravyu (vorolanib intravitreal insert and EYP-1901)

No evidence found.

Treatments for the same indication

Bevacizumab, ranibizumab, and aflibercept versus no treatment in neovascular age-related macular degeneration, United States: Brown et al. (2020)

Relevance: Compares intravitreal bevacizumab, ranibizumab, and aflibercept with observation in neovascular age-related macular degeneration in the United States, including aflibercept, the active comparator in the LUGANO and LUCIA trials.

“To perform 11- and 2-year health care sector (ophthalmic) and societal cost perspective reference case, cost-utility analyses comparing bevacizumab, ranibizumab, and aflibercept monotherapies for neovascular age-related macular degeneration (NVAMD).” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“We employed patient utilities, bilateral outcomes, 2018 U.S. dollars, vision-related mortality, a Medicare fee schedule, and CATT (Comparison of Age-Related Macular Degeneration Treatments) study and VIEW (VEGF Trap-Eye: Investigation of Efficacy and Safety in Wet AMD) trial.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“A combined-eye model cost basis was used.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“a 3% annual discount rate for QALY outcomes and costs” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Bevacizumab and ranibizumab each conferred an 11-year, 1.339 QALY gain versus observation. Aflibercept conferred a 1.380 QALY gain.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“The average ophthalmic cost perspective CUR for bevacizumab was $11,033/QALY, $79,600/QALY for ranibizumab, and $44,801/QALY for aflibercept.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Aflibercept conferred greater QALY gain for less cost than ranibizumab but was not cost-effective compared to bevacizumab ($1,151,451/QALY incremental CUR).” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“The 11-year model ophthalmic cost perspective and societal cost perspective, incremental CURs comparing aflibercept to bevacizumab were both $1,147,273/QALY (Table 7)” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Aflibercept was more effective than ranibizumab because it provided greater patient value gain (QALY gain) for less cost than ranibizumab” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Two-year therapy prevented a 1-month-of-life loss, and revealed bevacizumab, ranibizumab, and aflibercept conferred 0.141, 0.141, and 0.164 QALY gains, respectively, with corresponding average CURs of $40,371/QALY, $335,726/QALY, and $168,006/QALY, respectively.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

Aflibercept 2 mg every 8 weeks versus monthly and as-needed ranibizumab in wet age-related macular degeneration, United States: Hernandez et al. (2018)

Relevance: Compares on-label aflibercept maintenance dosing after loading doses, the regimen of the LUGANO and LUCIA comparator arms, with monthly and as-needed ranibizumab over a lifetime horizon from a U.S. payer perspective.

“To assess the cost-effectiveness of intravitreal aflibercept injection 2 mg every 8 weeks after 3 initial monthly doses (IAI 2q8) versus ranibizumab 0.5 mg monthly (Rq4) and pro re nata (PRN) in the treatment of patients with wAMD from a U.S. payer perspective.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“A Markov cohort model was developed to estimate the lifetime quality-adjusted life-years (QALYs) and costs of treating patients with wAMD with IAI 2q8, Rq4, and ranibizumab PRN.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Utilities and costs (in 2016 U.S. dollars) were from published literature. Health outcomes and costs were discounted at an annual rate of 3%.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Over a lifetime, IAI 2q8 provided equal health benefits with Rq4 (5.44 QALYs) at a lower total cost ($33,745 vs. $48,031) as a result of fewer injections.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“IAI 2q8 yielded greater QALYs compared with ranibizumab PRN (5.440 vs. 5.404) at a higher cost ($33,745 vs. $33,652), with an incremental cost per QALY gained of $2,583 (i.e., IAI 2q8 was cost-effective vs. ranibizumab PRN).” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“A treatment was deemed cost-effective at ICERs below a willingness-to-pay (WTP) threshold of $50,000 per QALY gained.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The PSA results indicate that compared with Rq4, IAI 2q8 was cost-effective in all simulations, being dominant in 46% of them. Compared with ranibizumab PRN, IAI 2q8 was cost-effective in 98% of all simulations” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

Brolucizumab versus aflibercept and ranibizumab in wet age-related macular degeneration, United States: Yu et al. (2021)

Relevance: Compares brolucizumab with aflibercept, the active comparator in the LUGANO and LUCIA trials, and with ranibizumab over a lifetime horizon from a U.S. health care payer perspective.

“A Markov model was developed in Microsoft Excel to model the treatment of wet AMD patients with brolucizumab compared with aflibercept and ranibizumab over a lifetime time horizon (base case) and 5-year time horizon (scenario analysis) from a US payer perspective.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The Markov model consisted of 3 primary health states: on treatment, off treatment, and death.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“In the base case, outcomes and costs were discounted at a rate of 3% annually.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“In the base case, brolucizumab was less costly than aflibercept ($63,614 vs $72,189), and brolucizumab generated 0.0079 more quality-adjusted life-years (QALYs) than aflibercept (4.580 vs 4.572).” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Since brolucizumab was less costly and more effective than aflibercept, an ICER value was not calculated, as brolucizumab was a dominant treatment over aflibercept.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Additionally, brolucizumab was less costly than ranibizumab ($63,614 vs $128,163) and generated 0.0078 more QALYs than ranibizumab (4.580 vs 4.572) in the base case.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Since brolucizumab was less costly and more effective than ranibizumab, an ICER value was not calculated, as brolucizumab was a dominant treatment over ranibizumab.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

Ranibizumab port delivery system versus intravitreal ranibizumab injections in neovascular age-related macular degeneration, United States: Brown et al. (2024)

Relevance: Evaluates the ranibizumab port delivery system, a sustained-delivery treatment listed in section 2, against intravitreal ranibizumab injections from U.S. direct medical and societal cost perspectives, a model of extended-duration intravitreal delivery.

“To quantify the cost-utility ratio of the ranibizumab Port Delivery System (PDS; SUSVIMO) versus intravitreal ranibizumab injections for treating neovascular age-related macular degeneration (nAMD) based upon Archway Phase 3 Trial data.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Ophthalmic patient, time tradeoff utilities, direct medical and societal cost perspectives, 12-year, 1-year, and 5-year timelines, United States 2022 real dollars, and a 3% annual discount rate were employed.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Versus no therapy, the 1-year PDS QALY gain was 0.0156 (6.8%) versus 0.0063 (0.82%) for intravitreal injections (P < 0.001), whereas the respective 12-year QALY gains were 1.714 (28%) and 1.639 (26.8%) (P = 0.99).” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“The 1-year incremental PDS $/QALY versus injections was cost effective at $75 497/QALY.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Five-year PDS therapy was not incrementally cost effective at $304 108/QALY, nor was the 12-year therapy at $761 646/QALY.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Average 12-year cost-utility ratios were $78 773/QALY for the PDS and $47 917/QALY for injection therapy.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Adding -$476 442 12-year offsetting societal costs netted $314 521 to society per PDS participant versus $370 958 per participant for injection therapy.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

Monthly and as-needed bevacizumab and ranibizumab in newly diagnosed neovascular age-related macular degeneration, United States: Stein et al. (2014)

Relevance: Compares monthly and as-needed bevacizumab and ranibizumab, anti-VEGF injections listed in section 2, in newly diagnosed neovascular age-related macular degeneration in the United States from a societal perspective.

“We developed a Markov model to capture the total costs and HRQL for patients with newly diagnosed neovascular AMD under four treatment options: monthly bevacizumab injections, as-needed bevacizumab injections, monthly ranibizumab injections, and as-needed ranibizumab injections.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“A societal perspective was taken to encompass all parties affected by the treatment choice: patients, providers, and payers.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The model followed a hypothetical cohort of patients aged 80 years (the mean age for neovascular AMD onset) with neovascular AMD (as defined in CATT) over a 20-year time horizon.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“All costs are in 2012 U.S. dollars. Costs and health utilities were discounted at 3% annually.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Over 20 years, the expected costs for a single patient with newly diagnosed neovascular AMD receiving monthly bevacizumab, as-needed bevacizumab, monthly ranibizumab, and as-needed ranibizumab were $79 771, $65 267, $257 496, and $163 694, and the QALYs for a patient receiving these treatments were 6.66, 6.60, 6.68, and 6.64, respectively.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The ICER of monthly bevacizumab over as-needed bevacizumab was $242 357/QALY. The ICER of monthly ranibizumab over as-needed bevacizumab was $10 708 377/QALY. As-needed ranibizumab was dominated by monthly bevacizumab because monthly bevacizumab had lower costs and higher QALYs” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

Faricimab versus ranibizumab, aflibercept, brolucizumab, and best supportive care in neovascular age-related macular degeneration and diabetic macular edema, Japan: Yanagi et al. (2025)

Relevance: Evaluates faricimab, a bispecific anti-VEGF and angiopoietin-2 antibody listed in section 2, against ranibizumab, aflibercept, brolucizumab, and best supportive care in Japan, with the ratios shown limited to those for neovascular age-related macular degeneration.

“A Markov model for cost-effectiveness analysis of anti-VEGF treatment in patients with nAMD and DME was applied based on cost and utility value data from Japan.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Faricimab administered through a treat-and-extend (T&E) regimen was compared with ranibizumab administered pro re nata (PRN) and T&E, aflibercept T&E, brolucizumab T&E, and best supportive care (BSC).” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Further to treatment costs (public payer perspective), the societal burden (societal perspective), including costs of travel, informal care, and productivity, was assessed.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“In treatment of nAMD, lifetime quality-adjusted life years (QALYs) gained were highest with faricimab (faricimab T&E: 6.92, ranibizumab PRN: 6.88, ranibizumab T&E: 6.91, aflibercept T&E: 6.89, brolucizumab T&E: 6.89, BSC: 5.99).” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“From the public payer perspective, the lifetime total cost for faricimab T&E was lower than those for ranibizumab (PRN, T&E) and brolucizumab (T&E), comparable to aflibercept T&E, and higher than BSC (incremental costs: 158,385 and 6,475,511 JPY, respectively).” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“As a result, faricimab was cost-effective or dominant in the treatment of nAMD, excluding BSC.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“From the societal perspective, faricimab was dominant against all comparators in nAMD.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

Brolucizumab versus aflibercept in neovascular age-related macular degeneration, Italy: Ferrante et al. (2022)

Relevance: Compares brolucizumab with aflibercept, the active comparator in the LUGANO and LUCIA trials, over a lifetime horizon from an Italian health care sector perspective.

“The simulation of costs and outcomes was carried out using a Markov model over a time horizon of 15 years.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“patients with a mean age of 75.8 years at the beginning of the model are observed over a time horizon of 15 years (equivalent to a lifetime horizon, given age at beginning of simulation). A discount rate of 3.0% was applied to costs and outcomes.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The Italian National Healthcare Service (NHS) perspective was considered, therefore only healthcare direct costs (treatment acquisition, administration, adverse events, disease monitoring) were analysed.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“In the base-case analysis, brolucizumab was dominant over aflibercept (+ 0.11 years QALY gained and -€15,679 costs).” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The results of the probabilistic sensitivity analysis showed that when the willingness to pay is equal to €50,000 per QALY gained, brolucizumab would be dominant in 84% of simulations and in the remaining simulations brolucizumab would be cost-effective compared to aflibercept.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

Laser photocoagulation, intravitreal pegaptanib, and photodynamic therapy with verteporfin in subfoveal neovascular age-related macular degeneration, United States: Brown et al. (2007)

Relevance: Compares laser photocoagulation, intravitreal pegaptanib, and verteporfin photodynamic therapy for classic subfoveal choroidal neovascularization in the United States; verteporfin photodynamic therapy is listed in section 2.

“To perform a value-based medicine analysis of clinical trials that evaluate the interventions of laser photocoagulation, intravitreal pegaptanib therapy, and photodynamic therapy (PDT) with verteporfin for the treatment of classic subfoveal choroidal neovascularization.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Reference case cost-utility analysis using value-based medicine principles, which use patient-based utility values and standardized, input variable criteria.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Visual data were converted to a value-based format using time tradeoff utility analysis values from patients with macular degeneration. Costs were obtained from 2005 Medicare data. Outcomes (quality-adjusted life-years [QALYs]) and costs were discounted at a 3% annual rate.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“Laser photocoagulation confers a 4.4% (P = 0.03 versus pegaptanib therapy) improvement in quality of life for the reference case, whereas pegaptanib therapy confers a 5.9% improvement and PDT confers an 8.1% (P = 0.0002 versus pegaptanib therapy) improvement.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“The cost-utility associated with laser photocoagulation is $8179, that for pegaptanib therapy is $66978, and that for PDT is $31544.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

“All sensitivity analyses remain within the conventional standards of cost-effectiveness.” (opens the original PubMed page at this quote in a new tab)View highlighted excerpt for this quote

The same disease in other populations or settings

No evidence found.

Related diseases and analogous treatments

Fluocinolone acetonide implant versus usual care and dexamethasone implant in chronic diabetic macular oedema insufficiently responsive to other therapies, United Kingdom: Pochopien et al. (2019)

Relevance: Evaluates the fluocinolone acetonide implant, a sustained-release intravitreal implant with the same route and delivery approach as the vorolanib insert, against usual care and the dexamethasone implant in chronic diabetic macular oedema from the perspective of the UK NHS and Personal Social Services.

“We developed a Markov cohort model with a 15-year time horizon and 3-month cycle length that is structurally consistent with previously published models” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The model compared the FAc 0.2 μg/day implant with a 700 μg dexamethasone implant (pseudophakic patients only) or with usual care, defined as a mixture of laser photocoagulation and anti-VEGFs (phakic and pseudophakic patients).” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Costs were estimated from the perspective of the NHS and Personal Social Services; full NHS prices were used for drugs.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Costs and outcomes were discounted at 3.50% per year in line with NICE recommendations” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“In patients who were pseudophakic at baseline, at 36 months, the FAc implant provided an additional gain of 4.01 and 3.64 Early Treatment Diabetic Retinopathy Study (ETDRS) letters compared with usual care and the dexamethasone implant, respectively.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Over the 15-year time horizon, this translated into 0.185 additional quality-adjusted life years (QALYs) at an extra cost of £3066 compared with usual care, and 0.126 additional QALYs at an extra cost of £1777 compared with dexamethasone. Thus, incremental cost-effectiveness ratios (ICERs) were £16,609 and £14,070 per QALY gained vs. usual care and dexamethasone, respectively.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“In patients who were phakic at baseline, the FAc 0.2 μg/day implant provided an additional gain of 2.96 ETDRS letters at 36 months compared with usual care, which, over 15 years, corresponded to 0.11 additional QALYs at an extra cost of £3170, resulting in an ICER of £28,751 per QALY gained.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

Fluocinolone acetonide implant versus systemic therapy in non-infectious intermediate, posterior, and panuveitis, United States: Multicenter Uveitis Steroid Treatment Trial Research Group (2014)

Relevance: Evaluates the fluocinolone acetonide intravitreal implant, a sustained-release intravitreal implant, against systemic therapy for noninfectious uveitis in the United States.

“To evaluate the 3-year incremental cost-effectiveness of fluocinolone acetonide implant versus systemic therapy for the treatment of non-infectious intermediate, posterior, and panuveitis.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Data on cost and health-utility during 3 years post-randomization were evaluated at 6-month intervals.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“We used the payer's perspective for costs and the patient's perspective for outcomes.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“Costs were then aggregated to the year and down-weighted (i.e., discounted) 3% per year in years 2 and 3” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“QALYs were computed as a weighted average of EQ-5D scores over the 3 years of follow-up.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The ICER at three years was $297,800/QALY for bilateral disease, driven by the high cost of implant therapy (Difference Implant – Systemic [Δ]: $16,900, p<0.001) and the modest gains in QALYs (Δ = 0.057, p = 0.22). The probability of the ICER being cost-effective at thresholds of $50,000/QALY and $100,000/QALY was 0.003 and 0.04, respectively.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

“The ICER for unilateral disease was more favorable, $41,200/QALY at 3 years, due to a smaller difference in cost between the two therapies (Δ = $5,300, p = 0.44) and a larger benefit in QALYs with the implant (Δ = 0.130, p = 0.12). The probability of the ICER being cost-effective at thresholds of $50,000/QALY and $100,000/QALY was 0.53 and 0.74, respectively.” (opens the original PMC page at this quote in a new tab)View highlighted excerpt for this quote

Utility weights

Utility weights from analyses of Duravyu (vorolanib intravitreal insert and EYP-1901)

No evidence found.

Utility weights for the same indication

Utility weights by visual acuity, neovascular age-related macular degeneration: Brown et al. (2024)

Relevance: Ophthalmic patient time tradeoff utilities, adjusted for neovascular conversion in fellow eyes, used in a U.S. model of the ranibizumab port delivery system in neovascular age-related macular degeneration.

Access: Not open access

Not quoted: The utility weights are reported in the full text, which is closed access.

Utility weights by best-corrected visual acuity and for long-term adverse events, neovascular age-related macular degeneration: Stein et al. (2013)

Relevance: Utilities by best-corrected visual acuity range, blindness from endophthalmitis, stroke, and myocardial infarction used in a U.S. model of anti-VEGF treatment for neovascular age-related macular degeneration.

Utility weights for two-eye health states by visual acuity of the better-seeing eye, wet age-related macular degeneration: Vottonen and Kankaanpää (2016)

Relevance: Utilities for health states defined by the visual acuity of the better-seeing eye in a model of both eyes in wet age-related macular degeneration.

Access: Not open access

Not quoted: The utility weights are reported in the full text, which is closed access.

Utility weights for the same disease in other populations or settings

No evidence found.

Utility weights for related diseases and analogous treatments

No evidence found.

Search strategy

DatasetQueryResults
Ratios"macular degeneration"198
Ratios"neovascular" OR "wet AMD" OR "choroidal neovascularization"140
Ratiosaflibercept134
Ratiosfaricimab31
Ratiosranibizumab221
Ratiosbevacizumab AND ("macular" OR "intravitreal")116
Ratiosbrolucizumab32
Ratiosvoretigene OR "inherited retinal"11
Ratios"gene therapy" AND ("retinal" OR "ocular" OR "eye")5
Ratiosfluocinolone OR "dexamethasone implant" OR "dexamethasone intravitreal" OR Ozurdex OR Iluvien10
Ratios"port delivery"3
Ratiospegaptanib OR verteporfin61
Ratiosbiosimilar AND (ranibizumab OR bevacizumab OR aflibercept)50
Methodsvorolanib OR "EYP-1901" OR Duravyu0
Weights"macular degeneration"297
Weights"neovascular" OR "wet AMD" OR "nAMD"174
Weightsendophthalmitis OR "intraocular inflammation" OR "retinal detachment"50
Weights"intravitreal injection" OR "injection burden"31
Ratios"sustained release" OR "sustained-release" OR "intravitreal implant" OR "drug delivery"56