000 02970nam a22004217a 4500
008 240807s20242024 xxu||||| |||| 00| 0 eng d
022 _a2213-1779
024 _aS2213-1779(24)00338-X [pii]
040 _aOvid MEDLINE(R)
099 _a38878007
245 _aCost-Effectiveness of Sotagliflozin in SOLOIST-WHF.
251 _aJACC Heart Failure. 2024 Jun 01
252 _aJACC Heart Fail. 2024 Jun 01
253 _aJACC. Heart failure
260 _c2024
260 _fFY2024
260 _p2024 Jun 01
265 _saheadofprint
265 _tPublisher
266 _d2024-08-07
266 _z2024/06/15 10:32
520 _aBACKGROUND: The efficacy of sotagliflozin in patients with diabetes and recent worsening of heart failure was shown in the SOLOIST-WHF trial. However, the cost-effectiveness of sotagliflozin in these patients has not been previously investigated.
520 _aCONCLUSIONS: In patients with diabetes and recent worsening of heart failure, sotagliflozin is cost-effective in the U.S. using commonly accepted willingness-to-pay thresholds. (Effect of Sotagliflozin on Cardiovascular Events in Participants With Type 2 Diabetes Post Worsening Heart Failure [SOLOIST-WHF]; NCT03521934). Copyright © 2024 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
520 _aMETHODS: Based on SOLOIST-WHF trial data (N = 1,222), we constructed a Markov model to estimate the lifetime impact of sotagliflozin from a U.S. health care sector perspective. Cost data were sourced from the National Inpatient Sample. Life expectancy was modeled from census data and modified by the mortality rate in SOLOIST-WHF. Fatal and nonfatal event rates were carried forward from the trial data. Utility was assessed from the published reports.
520 _aOBJECTIVES: The authors sought to determine the cost-effectiveness of sotagliflozin in patients with diabetes and recent worsening of heart failure.
520 _aRESULTS: Lifetime quality-adjusted life-years (QALYs) were 4.43 and 4.04 in the sotagliflozin and placebo groups, respectively, and lifetime costs were
_220,113 and
_188,198 in the sotagliflozin and placebo groups, respectively. The point estimate incremental cost-effectiveness ratio was
_81,823 per QALY gained. The probability of being cost-effective was 3.6%, 67.5%, and 89.4% at willingness-to-pay thresholds of
_50,000,
_100,000, and
_150,000, respectively, per QALY gained.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
650 _zAutomated
651 _aMedStar Health Research Institute
657 _aJournal Article
700 _aDolman, Sarahfaye
_bMHRI
700 _aKolm, Paul
_bMHRI
700 _aWeintraub, William S
_bMHRI
790 _aWeintraub WS, Kolm P, Dolman S, Alva M, Bhatt DL, Zhang Z
856 _uhttps://dx.doi.org/10.1016/j.jchf.2024.04.018
_zhttps://dx.doi.org/10.1016/j.jchf.2024.04.018
942 _cART
_dArticle
999 _c14383
_d14383