Scandinavian Working Papers in Economics
HERO Online Working Paper Series,
University of Oslo, Health Economics Research Programme
No 2022:3: Health Technology Assessment (HTA) of GLP-1 receptor agonists and SGLT-2 inhibitors in combination with metformin as first-line treatment in patient with type 2 diabetes mellitus (T2DM) and established cardiovascular or chronic kidney disease
Eline Aas (), Monica Gomez and Fawaz Tariq
Additional contact information
Eline Aas: Division of Health Services, Norwegian Institute of Public Health,, Postal: HERO / Department of Health Management and Health Economics, P.O. Box 1089 Blindern, NO-0317 Oslo, Norway
Monica Gomez: Department of Health Management and Health Economics, Postal: HERO / Department of Health Management and Health Economics, P.O. Box 1089 Blindern, NO-0317 Oslo, Norway
Fawaz Tariq: Department of Health Management and Health Economics, Postal: HERO / Department of Health Management and Health Economics, P.O. Box 1089 Blindern, NO-0317 Oslo, Norway
Abstract: Type 2 diabetes mellitus (T2DM) is one of the most prevalent lifestyle-related diseases, causing increased mortality, morbidity and reduction in health-related quality of life (HRQoL), as well as costs to society related to treatment, follow-up and production losses.In the current guidelines, SGLT-2 inhibitors and GLP-1 analogs are recommended as second-line treatment for T2DM. Based on results from recent studies, we have in this report analyzed whether these drugs can be considered cost-effective as first-line treatment (in combination with metformin) for patients with T2DM with either established cardiovascular disease or chronic renal failure (only SGLT-2 inhibitors considered). Based on two decision analytic models we estimated the incremental cost per QALYs gained. For the patients with T2DM and established CVD, SGLT-2 i is the preferred alternative (ICER NOK 59,811 per LY gained and NOK 89,517 per QALY gained) and is superior to GLP-1 RA, as SGLT-2 I resulted in higher health outcomes than GLP-1 RA. For patients with T2DM and established renal failure when comparing SGLT-2 i to metformin results in an ICER of NOK 168,872 per LY gained and NOK 193,656 per QALY gained. Both ICERs fall below the the threshold for these two patient groups are NOK 475,000
Keywords: Type 2 diabetes; retningslinjer; kostnadseffektivitetsanalyse; SGLT-2 I; GLP1-RA
Language: English
67 pages, October 19, 2022
Full text files
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