Type 2 & other diabetes

Once-weekly semaglutide versus placebo for the treatment of type 2 diabetes and chronic kidney disease in Denmark: A long-term cost-effectiveness analysis based on FLOW

Cardiovasc DiabetolPublished Cost-effectiveness analysis (PRIME T2D Model) based on the FLOW trial

Authors' conclusion

Adding semaglutide to SoC was projected to be highly cost-effective over the long term in people with T2D and CKD in a Danish healthcare setting, based on patient characteristics and treatment effects from FLOW.

Study context

Population
People with T2D and chronic kidney disease (CKD) in Denmark; baseline cohort characteristics from FLOWmodelled cohort
Comparison
Once-weekly semaglutide 1 mg vs placebo, both added to standard of care
Outcome
Quality-adjusted life expectancy and costs, full population
Follow-up
Lifetime
Methodological detailslifetime time horizon, Danish healthcare setting, costs in 2023 DKK, subgroups by SGLT2i use at baseline
  • Lifetime time horizon
  • Danish healthcare setting
  • Costs in 2023 DKK
  • Subgroups by SGLT2i use at baseline

Main finding

As reported in the abstract

lifetime

QALY gain

0.60 QALYs

higher with semaglutide

Per-person cost savings

6,068 DKK

lower costs with semaglutide

Further findings

OutcomeEstimate
Subgroup receiving SGLT2i at baseline · lifetimeSemaglutide vs Placebo · higher with semaglutideQALY gain 0.44 QALYs
Subgroup receiving SGLT2i at baseline · lifetimeSemaglutide vs PlaceboICER 19,167 DKK per QALY gained
Subgroup not receiving SGLT2i at baseline · lifetimeSemaglutide vs Placebo · higher with semaglutideQALY gain 0.62 QALYs
Subgroup not receiving SGLT2i at baseline · lifetimeSemaglutide vs Placebo · lower costs with semaglutideper-person cost savings 9,212 DKK

Subgroup receiving SGLT2i at baseline · lifetime

Semaglutide cost-effective

Subgroup not receiving SGLT2i at baseline · lifetime

Semaglutide dominant vs placebo

Original publication

Once-weekly semaglutide versus placebo for the treatment of type 2 diabetes and chronic kidney disease in Denmark: A long-term cost-effectiveness analysis based on FLOW. Cardiovasc Diabetol. Published 20 December 2025. doi:10.1186/s12933-025-03002-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

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