Evidence map›Paper›PMID 40730714›Full record

ArticlePharmacoEconomics2025

The Cost-Effective Price of Lecanemab for Patients with Early Alzheimer's Disease in Sweden.

Xin Xia, Sandar Aye, Oskar Frisell, Emil Aho, Ron Handels, Yunfei Li, Anders Wimo, Bengt Winblad, Maria Eriksdotter, Tobias Borgh Skillbäck and 3 more

Abstract read
In one paragraph

Article in PharmacoEconomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Xin XiaDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden. xin.xia@ki.se.ORCID 0000-0002-8101-0563
Sandar AyeDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.
Oskar FrisellDepartment of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden.
Emil AhoDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.
Ron HandelsDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.
Yunfei LiDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.
Anders WimoDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.
Bengt WinbladDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.
Maria EriksdotterTheme Inflammation and Aging, Karolinska University Hospital, Huddinge, Sweden.
Tobias Borgh SkillbäckNeuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Silke KernNeuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Henrik ZetterbergDepartment of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Linus JönssonDepartment of Neurobiology, Care Sciences and Society, Section for Neurogeriatrics, Karolinska Institutet, BioClinicum, Solnavägen 30, Floor 10, 171 64, Solna, Sweden.

Funding

Alzheimerfonden AF-737641Alzheimerfonden AF-842471Alzheimerfonden AF-929959Alzheimerfonden AF-939825European Union's Horizon Europe research and innovation programme 101053962Swedish Brain Foundation FO2024-0097Swedish Brain Foundation FO2024-0287Swedish Brain Foundation FO2024-0339Swedish Research Council 2024-03599Swedish State Support for Clinical Research ALFGBG-1005471Swedish State Support for Clinical Research ALFGBG-71320Swedish State Support for Clinical Research ALFGBG-771071Swedish State Support for Clinical Research ALFGBG-81392Swedish State Support for Clinical Research ALFGBG-965923The Innovative Health Initiative Joint Undertaking 101112145Vetenskapsrådet 2019-02075Vetenskapsrådet 2019-02075_15Vetenskapsrådet 2019-02397Vetenskapsrådet 2022-01018Vetenskapsrådet 2023-00356Vetenskapsrådet 2024-03573VINNOVA 2021-02680
6 · The paper itself

Abstract

introductionWe sought to estimate the cost-effective price for lecanemab for treating early Alzheimer's disease in Sweden from the perspective of formal care payers.

methodsWe developed a Markov model with states defined by disease severity and care setting. The model was populated by integrated clinical and economic data from Swedish registers. We included patients with biomarker-confirmed Alzheimer's disease and fitted survival models for transitions between model states. Costs in 2023 Swedish kronor (SEK), life-years (LYs), and quality-adjusted LYs (QALYs) over a 10-year time horizon were estimated for standard of care and for lecanemab in addition to standard of care, assuming a maximum treatment duration of 3 years with lecanemab and no treatment effect after treatment stops. We also explored the impact of different assumptions regarding treatment efficacy and duration.

resultsTreatment with lecanemab over 3 years resulted in 0.13 LYs gained, 0.17 QALYs gained, and a net cost increase of 87,146 SEK (€1 = 11.5 SEK, $US1 = 10.6 SEK) due to administration and monitoring, before considering the cost of drug. The cost-effective price of lecanemab at a willingness-to-pay level of 1 million SEK per QALY was 33,886 SEK per year of treatment. The health gain, net costs, and cost-effective price of lecanemab varied significantly by treatment duration, potential residual effects, and patient characteristics.

conclusionsThe future price of lecanemab in European countries is unknown. However, treatment with lecanemab is unlikely to be cost effective in Sweden at the levels of current list prices in the USA.

Indexed as

Alzheimer DiseaseAntibodies, Monoclonal, HumanizedDrug CostsAge FactorsCost-Effectiveness AnalysisFemaleHumansMaleMarkov ChainsModels, EconomicQuality-Adjusted Life YearsQuality of LifeSex FactorsSwedenAntibodies, Monoclonal, Humanizedlecanemab

Identifiers

PMID40730714
PMCPMC12450216

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LicenceCC BY-NC
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Registered trials

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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.