Table 3.
Deterministic base-case analysis for semaglutide versus dulaglutide as an add-on to metformin
| Deterministic base-case | ||||||
|---|---|---|---|---|---|---|
| Semaglutide 0.5 mg |
Dulaglutide 0.75 mg |
Difference | Semaglutide 1.0 mg |
Dulaglutide 1.5 mg |
Difference | |
| Health gain | ||||||
| Survival after 40 years, % | 4.6 | 4.6 | 0 | 4.7 | 4.6 | 0.1 |
| Life-years | 17.79 | 17.77 | 0.02 | 17.81 | 17.77 | 0.05 |
| QALYs | 11.10 | 11.07 | 0.04 | 11.12 | 11.07 | 0.05 |
| Direct costs, CAN$ | ||||||
| Antihyperglycemic treatment | 25,501 | 25,481 | 20 | 25,534 | 25,476 | 58 |
| Hypoglycemia | 181 | 231 | − 50 | 212 | 236 | − 24 |
| Macrovascular complications | ||||||
| IHD | 13,755 | 13,628 | 127 | 13,717 | 13,765 | − 48 |
| CHF | 7664 | 7692 | − 27 | 7687 | 7719 | − 33 |
| MI | 8655 | 8627 | 28 | 8573 | 8674 | − 101 |
| Stroke | 5482 | 5510 | − 29 | 5356 | 5518 | − 161 |
| Microvascular complications | ||||||
| Retinopathy | 1306 | 1354 | − 48 | 1288 | 1319 | − 31 |
| Neuropathy | 20,564 | 20,703 | − 139 | 20,510 | 20,579 | − 69 |
| Nephropathy | 2983 | 3075 | − 93 | 2935 | 3007 | − 72 |
| Total | 86,090 | 86,302 | − 212 | 85,812 | 86,292 | − 480 |
| Production loss costs, CAN$ | 27,197 | 27,388 | − 191 | 27,172 | 27,403 | − 231 |
| Total costs, CAN$ | 113,287 | 113,690 | − 403 | 112,983 | 113,695 | − 711 |
| Incremental cost-effectiveness ratio | ||||||
| Per life-year gained | Dominant | Dominant | ||||
| Per QALY gained | Dominant | Dominant | ||||
CAN$ Canadian dollars, CHF congestive heart failure, IHD ischemic heart disease, MI myocardial infarction, QALY quality-adjusted life-year