Table 2.
Sensitivity analyses results
ICER-QALY for low and high scenario values (US$) | ||||||
Empagliflozin versus canagliflozin | Empagliflozin versus dapagliflozin | Empagliflozin versus SoC | ||||
Low | High | Low | High | Low | High | |
Perspective, Medicare | * | NA | 787 | NA | 23 255 | NA |
Perspective, commercial | * | NA | 4174 | NA | 52 666 | NA |
Discount rate, cost: 0%–5% | 1372 | * | 6044 | 1964 | 44 899 | 27 497 |
Discount rate, health: 0%–5% | * | * | 1827 | 4136 | 20 438 | 43 673 |
Baseline CV/renal event rates HR:±10% | * | * | 2984 | 3116 | 22 803 | 51 384 |
HRs versus empagliflozin: 95% CI | † | * | † | * | NA | NA |
HRs versus empagliflozin: ITT population | * | NA | 2665 | NA | NA | NA |
Drug cost, empagliflozin: ±20% | * | 16 738 | * | 18 360 | 24 792 | 40 904 |
Rebate percentage, empagliflozin:±20% | 8530 | * | 11 199 | * | 37 135 | 28 561 |
Rebate percentage, comparator:±20% | * | 8026 | * | 10 529 | NA | NA |
CV/renal event management cost:±20% | * | * | 3681 | 2427 | 33 819 | 31 877 |
AE management cost: ±20% | 246 | * | 2991 | 3117 | 32 831 | 32 865 |
Baseline utility: 95% CI | * | * | 3070 | 3039 | 33 017 | 32 681 |
Utility decrements, CV/renal events: 95% CI | * | * | 3104 | 3007 | 33 100 | 32 624 |
Utility decrements, AEs: 95% CI | * | * | 2970 | 3083 | 33 218 | 32 713 |
*Empagliflozin is less costly and more effective than the comparator.
†The comparator is less costly and more effective than empagliflozin.
AE, adverse event; CV, cardiovascular; ICER, incremental cost-effectiveness ratio; ITT, intent-to-treat; NA, not applicable; QALY, quality-adjusted life year; SoC, standard of care.