Table 2.
In Taiwan setting | Costs (US$) | QALYs | ICERs | Result from PSA | |||||
---|---|---|---|---|---|---|---|---|---|
Empagliflozin | Placebo | Incremental costs | Empagliflozin | Placebo | Incremental QALYs | Iteration of WTP threshold at US$ 25,000 | Iteration of WTP threshold at US$ 75,000 | ||
Base-case analysis | 79,141 | 71,739 | 7,402 | 9.66 | 9.30 | 0.36 | 20,508 | 63.4% | 93.7% |
Per LY gained instead of QALY gained | 79,141 | 71,739 | 7,402 | 12.89 | 12.42 | 0.47 | 15,693 | 77.9% | 95.8% |
Scenario sensitivity analysis | |||||||||
Account for adverse events | 79,542 | 71,987 | 7,555 | 9.56 | 9.23 | 0.33 | 22,581 | 55.4% | 91.1% |
Time horizon (30 years) | 89,576 | 80,189 | 9,387 | 10.93 | 10.40 | 0.54 | 17,492 | 77.4% | 98.6% |
Time horizon (16 months) | 15,184 | 14,232 | 952 | 1.86 | 1.85 | 0.01 | 91,617 | 36.8% | 47.1% |
Discounting rate at 0% | 92,829 | 83,839 | 8,990 | 11.33 | 10.87 | 0.46 | 19,469 | 68.2% | 95.8% |
Discounting rate at 10% | 57,477 | 52,479 | 4,997 | 7.02 | 6.80 | 0.21 | 23,305 | 53.8% | 90.8% |
Risk of cardiovascular mortality of empagliflozin equal to placebo | 76,671 | 71,717 | 4,954 | 9.34 | 9.30 | 0.04 | 112,186 | 20% | 45.3% |
Risk of non-cardiovascular death for empagliflozin equal to placebo | 78,822 | 71,717 | 7,105 | 9.62 | 9.30 | 0.32 | 22,039 | 57.9% | 91.2% |
Risk of HHF for empagliflozin equal to placebo | 79,385 | 71,717 | 7,667 | 9.66 | 930 | 0.36 | 21,412 | 59.8% | 94.2% |
Half the monthly costs of empagliflozin (US$17.5) | 76,401 | 71,717 | 4,684 | 9.66 | 9.30 | 0.36 | 12,976 | 83.6% | 96.5% |
Half the costs of treatment of hospitalization for heart failure | 78,133 | 70,359 | 7,774 | 9.66 | 9.30 | 0.36 | 21,532 | 59% | 93.5% |
Different drug prices of empagliflozin at different WTP thresholds to meet the cost-effectiveness in Taiwan setting | |||||||||
WTP (US$) | 10,000 | 12,500 | 15,000 | 17,500 | 20,000 | ||||
Monthly costs (US$) | 8.2 | 14 | 19.5 | 25.6 | 31.5 |
QALY, quality-adjusted life year; ICER, incremental cost-effectiveness ratio; PSA, probabilistic sensitivity analyses; WTP, willingness to pay; LY, life years; HHF, hospitalization for heart failure.