Cost-effectiveness of omalizumab for the treatment of inadequately controlled severe allergic asthma in Chinese children

J Asthma. 2020 Jan;57(1):87-94. doi: 10.1080/02770903.2018.1544642. Epub 2018 Dec 3.

Abstract

Objective: The addition of omalizumab to standard therapy has proven to be efficacious in children with severe allergic asthma. The goal of this study was to assess the cost-effectiveness of adding omalizumab to standard treatment for asthma in Chinese pediatric patients.Methods: A Markov model was constructed to project the health and economic outcomes in pediatric patients with severe allergic asthma. Model inputs were obtained from the literature. Cost and quality-adjusted life-years (QALYs) were measured over a five-year time horizon. One-way and probabilistic sensitivity analyses were conducted.Results: For the base-case analysis, the addition of omalizumab to standard therapy yielded an incremental cost of $49,047 for 0.232 incremental QALY, led to an incremental cost-effectiveness ratio of $211,217/QALY. Sensitivity analyses were robust for these results.Conclusions: This study found that the addition of omalizumab is not a cost-effective strategy compared with standard therapy for children with severe allergic asthma in China due to its high cost.

Keywords: Allergic asthma; Chinese; cost-effectiveness; omalizumab; quality-adjusted life-years.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Asthmatic Agents / economics
  • Anti-Asthmatic Agents / therapeutic use*
  • Asthma / complications
  • Asthma / diagnosis
  • Asthma / drug therapy*
  • Asthma / economics
  • Child
  • China
  • Cost-Benefit Analysis*
  • Drug Therapy, Combination / economics
  • Drug Therapy, Combination / methods
  • Health Care Costs / statistics & numerical data
  • Hospitalization / economics
  • Hospitalization / statistics & numerical data
  • Humans
  • Markov Chains
  • Models, Economic
  • Omalizumab / economics
  • Omalizumab / therapeutic use*
  • Quality of Life
  • Quality-Adjusted Life Years
  • Severity of Illness Index
  • Standard of Care / economics
  • Treatment Outcome

Substances

  • Anti-Asthmatic Agents
  • Omalizumab