Table 5.
Budget-impact model results per patient: 5 years
| Time point | Oral semaglutide 14 mg | Sitagliptin 100 mg | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HbA1c | Survival (%) | Diabetes therapy cost | CVD cost | Hypoglycemia cost | Other direct medical costsb | Total costs | HbA1c | Survival (%) | Diabetes therapy cost | CVD cost | Hypoglycemia cost | Other direct medical costsb | Total costs | |
| Baseline | 8.33 | 100.0 | 8.33 | 100.0 | ||||||||||
| Year 1 | 7.03 | 99.0 | 6051 | 544 | 23 | 409 | 7037 | 7.53 | 99.0 | 1571 | 569 | 40 | 424 | 2604 |
| Year 2 | 7.45 | 97.9 | 5986 | 586 | 22 | 391 | 6985 | 7.83 | 97.9 | 1554 | 601 | 39 | 411 | 2605 |
| Year 3 | 7.79 | 96.7 | 5906 | 628 | 23 | 427 | 6984 | 8.08 | 96.6 | 1533 | 645 | 38 | 452 | 2668 |
| Year 4 | 8.06 | 95.4 | 5837 | 646 | 23 | 469 | 6975 | 6.20a | 95.4 | 6709 | 628 | 30 | 430 | 7797 |
| Year 5 | 6.76a | 94.0 | 10,866 | 664 | 29 | 458 | 12,017 | 6.87 | 94.0 | 6616 | 664 | 31 | 451 | 7762 |
| Years 1–5 | 34,645 | 3078 | 120 | 2154 | 39,997 | 17,983 | 3107 | 178 | 2168 | 23,436 | ||||
| Difference between oral semaglutide vs. sitagliptin—years 1–5 | 16,663 | − 29 | − 58 | − 14 | 16,562 | |||||||||
| % difference | 92.7 | − 0.9 | − 32.6 | − 0.7 | 70.7 | |||||||||
Costs are presented as $US, year 2019 values
CVD cardiovascular disease, HbA1c glycated hemoglobin
aTreatment switch = metformin + primary therapy + insulin glargine
bOther direct medical costs include management, renal, ulcer/amputation/neuropathy, eye