Type 2 & other diabetes

Cost-effectiveness of Semaglutide Compared With Other Glucose-Lowering Medications in Treating Type 2 Diabetes: A Comprehensive Systematic Review and Meta-analysis

Diabetes CarePublished Systematic review and meta-analysis of cost-effectiveness studies

Authors' conclusion

Semaglutide is generally cost-effective compared with other glucose-lowering medications in evaluation against within-study willingness-to-pay thresholds; however, results varied by study sponsor type, region, and model assumptions, highlighting the need for transparent and context-sensitive economic evaluations.

Study context

Population
Cost-effectiveness studies of semaglutide in T2D from 2019 onward; Europe, North America, Asia (all China)articles, 119 comparisons · Europe 24 · North America 13 · Asia (all China) 8
Participants
45 participants
Comparison
Semaglutide vs other T2D medications
Outcome
Proportion of comparisons in which semaglutide was dominant/cost-effective
Methodological detailssensitivity analysis with standard willingness-to-pay threshold
  • Sensitivity analysis with standard willingness-to-pay threshold

Pooled result

As reported in the abstract

Semaglutide dominant/cost-effective

Semaglutide dominant/cost-effective, all comparisons

73.9%

Further pooled results

Semaglutide dominant/cost-effective by sponsor type

Sponsored by Novo Nordisk
all comparisons
Funded by nonindustry sponsors
50.0%
Funded by other industry sponsors
none

Cost-effectiveness by region and model assumptions

Semaglutide more cost-effective in high-income countries and in studies with broader perspective, longer horizon and lower discount rates

Sensitivity analysis

Results consistent with common currency unit and willingness-to-pay threshold of US$50,000

Study characteristics

Lifetime horizon
93.3%
Health care perspective
84.4%
Industry sponsored
68.9%
High reporting quality
86.7%

Original publication

Cost-effectiveness of Semaglutide Compared With Other Glucose-Lowering Medications in Treating Type 2 Diabetes: A Comprehensive Systematic Review and Meta-analysis. Diabetes Care. Published 20 May 2025. doi:10.2337/dc24-2241

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