Evidence map›Paper›PMID 37741954›Full record

ArticleDermatology and therapy2023

Cost-Effectiveness of Secukinumab Versus Other Biologics in the Treatment of Moderate-to-Severe Plaque Psoriasis: The Chinese Healthcare System Perspective.

Jinsui Zhang, Zemin Xia, Wanjie Guo, Xiaoxiao Ren, Fang Liu, Gargi Ratnaparkhi, Amit Pagada, Subhashini Subramanian, Min Hu, Wen Chen

Open access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Jinsui ZhangSchool of Public Health, Fudan University, Shanghai, China.ORCID http://orcid.org/0009-0008-0527-8702
Zemin XiaSchool of Public Health, Fudan University, Shanghai, China.ORCID http://orcid.org/0009-0009-2266-7424
Wanjie GuoBeijing Novartis Pharma Co., Ltd., Beijing, China.ORCID http://orcid.org/0009-0009-5503-8392
Xiaoxiao RenBeijing Novartis Pharma Co., Ltd., Beijing, China.ORCID http://orcid.org/0009-0001-3255-998X
Fang LiuBeijing Novartis Pharma Co., Ltd., Beijing, China.ORCID http://orcid.org/0009-0003-4069-7885
Gargi RatnaparkhiNovartis Healthcare Pvt. Ltd., Hyderabad, India.ORCID http://orcid.org/0009-0005-8636-1601
Amit PagadaNovartis Healthcare Pvt. Ltd., Hyderabad, India.ORCID http://orcid.org/0009-0003-8771-7273
Subhashini SubramanianNovartis Healthcare Pvt. Ltd., Hyderabad, India.ORCID http://orcid.org/0000-0002-2682-0993
Min HuSchool of Public Health, Fudan University, Shanghai, China. humin@fudan.edu.cn.ORCID http://orcid.org/0000-0002-0788-8765
Wen ChenSchool of Public Health, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0002-1179-4163
Fudan University · CNNovartis (China) · CNNovartis (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study assessed the cost-effectiveness of secukinumab compared with other biologics (adalimumab, infliximab, ustekinumab, ixekizumab, guselkumab, and Yisaipu [etanercept biosimilar]) for moderate-to-severe plaque psoriasis from the Chinese healthcare system perspective.

methodsA decision-tree (first year)/Markov model (subsequent years), with an annual cycle, was implemented over a lifetime horizon. The Psoriasis Area and Severity Index (PASI) response rate at week 16 was used for treatment response. Efficacy inputs were obtained from a mixed-treatment comparison conducted using data from randomized controlled trials. Other clinical inputs (adverse events, dropout, and mortality rates), utility weights, and costs were derived from published literature and local Chinese sources. Both costs and outcomes were discounted at 5% per annum. Model outcomes included quality-adjusted life years (QALYs) and incremental cost-effectiveness ratio (ICER). One-way and probabilistic sensitivity analyses were conducted to test the robustness of results.

resultsFor patients with moderate-to-severe psoriasis, secukinumab generated the highest QALYs (12.334) against all comparators at a lifetime cost of ¥231,477. Secukinumab dominated (higher QALYs at lower costs) all other biologics except ixekizumab in this population. Compared with secukinumab, ixekizumab incurred slightly lower costs (¥228,320) but gained lesser QALYs (12.284). Thus, secukinumab was a cost-effective treatment than ixekizumab at a willingness-to-pay (WTP) threshold of ¥257,094 per QALY gained. In the one-way sensitivity analysis, base-case results were most sensitive to changes in the PASI response at 16 weeks and year 2+ dropout rates.

conclusionSecukinumab is the most cost-effective treatment option for patients with moderate-to-severe psoriasis compared with other commonly used biologics from the Chinese healthcare system perspective.

Indexed as

BiologicsChinaCost-effectivenessIncremental cost-effectiveness ratioPsoriasisQuality-adjusted life yearSecukinumab

Identifiers

PMID37741954
PMCPMC10613169
OpenAlexW4386984749

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.