Table 5.
Economic benefit from the reduction of cardiovascular outcome
| Variables | LEADER trial11 | TECOS trial13 | ||
|---|---|---|---|---|
| Liraglutide 1.8 mg |
Placebo | Sitagliptin 100 mg |
Placebo | |
| Incidence rate of cardiovascular composite endpointa (no. of events per 100 patients/year) | 3.4b | 3.9b | 3.58c | 3.62c |
| Costs composite endpointd THB (USD) | 302,296 (9,333) | 334,808 (10,337) | 267,407 (8,256) | 279,834 (8,640) |
| Cost savings from composite endpoint reductione THB (USD) | 32,512 (1,004) | 12,427 (384) | ||
| Cost savings from liraglutide treatmentf THB (USD) | 20,085 (620) | |||
Notes: aComposite endpoint defined as death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke. bThe proportion of each cardiovascular outcome in the liraglutide treatment group was 29.8% for cardiovascular death, 45.2% for nonfatal myocardial infarction and 25.0% for nonfatal stroke while the proportion in the placebo group was 32.7% for cardiovascular death, 43.8% for nonfatal myocardial infarction, and 23.5% for nonfatal stroke. cThe proportion of each cardiovascular outcome in the sitagliptin treatment group was 42.0% for cardiovascular death, 38.3% for nonfatal myocardial infarction, and 19.7% for nonfatal stroke, while the proportion in the placebo group was 39.3% for cardiovascular death, 39.4% for nonfatal myocardial infarction, and 21.3% for nonfatal stroke. dCost incurred from composite endpoint = cost of each cardiovascular outcome*The proportion of that event that occurred. However, cost of cardiovascular death was not included due to limited data. eCost savings from composite endpoint reduction = cost incurred in the placebo group–cost incurred in the treatment group. fCost savings from liraglutide treatment = cost-saving from liraglutide treatment–cost-saving from sitagliptin treatment.
Abbreviations: no, number; THB, Thai baht; USD, United States Dollar (presented at year 2018).