Diabetes complications

Cost‐effectiveness of ON101 with general wound care for diabetic foot ulcers among patients with type 2 diabetes in Singapore: Analysis of a multi‐ethnic country in Asia

Diabetes Obes MetabPublished Cost-effectiveness analysis

Authors' conclusion

Combining ON101 with GWC versus GWC alone was highly cost-effective for DFUs in Singapore. Also, the economic results for complex DFU cases underscore the value of ON101 in addressing DFU treatment challenges for managing complex cases, offering cost-savings alongside clinical benefits.

Study context

Population
Patients with T2D and diabetic foot ulcers (DFUs) in Singapore; inputs mainly from the Singapore Wound Registry and published literature
Comparison
ON101 + general wound care vs general wound care (GWC) alone
Outcome
Incremental cost-effectiveness ratio (ICER)
Follow-up
5 years
Methodological detailsMarkov model, 5-year horizon, healthcare sector perspective, subgroup analyses, scenario analyses
  • Markov model
  • 5-year horizon
  • Healthcare sector perspective
  • Subgroup analyses
  • Scenario analyses

Main finding

As reported in the abstract

Incremental QALY gained with ON101 + GWC vs GWC

0.15

Incremental healthcare costs with ON101 + GWC vs GWC

-US$16237

Further findings

Incremental cost-effectiveness ratio (ICER) in complex DFU subgroups

ICER, HbA1c ≥ 9%
-US$161 963 per QALY gained
ICER, ulcer duration >6 months
-US$181 726 per QALY gained
ICER, ulcer size >5 cm²
-US$199 130 per QALY gained

Scenario: ON101 + GWC vs negative pressure wound therapy + GWC

ICER
-US$677 243 per QALY gained

Original publication

Cost‐effectiveness of ON101 with general wound care for diabetic foot ulcers among patients with type 2 diabetes in Singapore: Analysis of a multi‐ethnic country in Asia. Diabetes Obes Metab. Published 21 May 2025. doi:10.1111/dom.16473

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