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Study · Not a test of the peptide alone · 2023

14 results

The long-term cost-effectiveness of once-weekly semaglutide 1 mg vs. dulaglutide 3 mg and 4.5 mg in the UK.

Viljoen A, Chubb B, Malkin SJP, Berry S, Hunt B, Bain SC

The European journal of health economics : HEPAC : health economics in prevention and care17 Sept 2022Cited by 4 (Europe PMC)

Summary

AimsOnce-weekly semaglutide and dulaglutide represent two highly efficacious treatment options for type 2 diabetes. A recent indirect treatment comparison (ITC) has associated semaglutide 1 mg with similar and greater improvements in glycated haemoglobin (HbA1c) and body weight, respectively, vs. dulaglutide 3 mg and 4.5 mg. The present study aimed to evaluate the long-term cost-effectiveness of semaglutide 1 mg vs. dulaglutide 3 mg and 4.5 mg in the UK.Materials and methodsThe IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes. Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC. Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin. Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.ResultsSemaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide. Direct costs were estimated to be GBP 76 lower and GBP 8 higher in the comparisons with dulaglutide 3 mg and 4.5 mg, respectively. Overall outcomes were similar, but favoured semaglutide, and based on modelled mean outcomes it was considered dominant vs. dulaglutide 3 mg and associated with an incremental cost-effectiveness ratio of GBP 228 per QALY gained vs. dulaglutide 4.5 mg.ConclusionsSemaglutide 1 mg represents a cost-effective treatment vs. dulaglutide 3 mg and 4.5 mg for type 2 diabetes from a healthcare payer perspective in the UK.
CC BYText from Europe PMC. Highlighted sentences are the source of results.

Results from this study14

No result from this study comes from a test of the peptide.

Studies that did not test the peptide alone14

In this study, the peptide was a lab tool or a carrier, part of a mix, or the subject of a lab method. These results are not evidence about taking the peptide.

  1. 01Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide 1 mg increased quality-adjusted life expectancy by 0.05 QALYs versus dulaglutide 3 mg.

    In plain wordsIn computer models, semaglutide increased quality-adjusted life expectancy compared with dulaglutide 3 mg.

    Outcome
    IncreaseQuality-adjusted life expectancy versus dulaglutide 3 mg
    Study

    n: not reported in source

    Comparator
    Dulaglutide 3 mg
    Outcome group
    Quality of life · Whole body

    Source sentences

    Summary
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  2. 02Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide 1 mg increased quality-adjusted life expectancy by 0.04 QALYs versus dulaglutide 4.5 mg.

    In plain wordsIn computer models, semaglutide increased quality-adjusted life expectancy compared with dulaglutide 4.5 mg.

    Outcome
    IncreaseQuality-adjusted life expectancy versus dulaglutide 4.5 mg
    Study

    n: not reported in source

    Comparator
    Dulaglutide 4.5 mg
    Outcome group
    Quality of life · Whole body

    Source sentences

    Summary
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  3. 03Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, dulaglutide 3 mg yielded 0.05 fewer QALYs than semaglutide 1 mg.

    In plain wordsIn computer models, dulaglutide 3 mg yielded lower quality-adjusted life expectancy than semaglutide.

    Outcome
    DecreaseQuality-adjusted life expectancy with dulaglutide 3 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Quality of life · Whole body

    Source sentences

    Summary
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  4. 04Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, dulaglutide 4.5 mg yielded 0.04 fewer QALYs than semaglutide 1 mg.

    In plain wordsIn computer models, dulaglutide 4.5 mg yielded lower quality-adjusted life expectancy than semaglutide.

    Outcome
    DecreaseQuality-adjusted life expectancy with dulaglutide 4.5 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Quality of life · Whole body

    Source sentences

    Summary
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  5. 05Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide direct costs were GBP 76 lower than dulaglutide 3 mg.

    In plain wordsIn computer models, semaglutide cost less than dulaglutide 3 mg.

    Outcome
    DecreaseDirect costs versus dulaglutide 3 mg
    Study

    n: not reported in source

    Comparator
    Dulaglutide 3 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Direct costs were estimated to be GBP 76 lower and GBP 8 higher in the comparisons with dulaglutide 3 mg and 4.5 mg, respectively.
    5 context sentences
    Summary · context
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  6. 06Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide direct costs were GBP 8 higher than dulaglutide 4.5 mg.

    In plain wordsIn computer models, semaglutide cost more than dulaglutide 4.5 mg.

    Outcome
    IncreaseDirect costs versus dulaglutide 4.5 mg
    Study

    n: not reported in source

    Comparator
    Dulaglutide 4.5 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Direct costs were estimated to be GBP 76 lower and GBP 8 higher in the comparisons with dulaglutide 3 mg and 4.5 mg, respectively.
    5 context sentences
    Summary · context
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  7. 07Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, dulaglutide 3 mg direct costs were GBP 76 higher than semaglutide.

    In plain wordsIn computer models, dulaglutide 3 mg cost more than semaglutide.

    Outcome
    IncreaseDirect costs with dulaglutide 3 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Direct costs were estimated to be GBP 76 lower and GBP 8 higher in the comparisons with dulaglutide 3 mg and 4.5 mg, respectively.
    5 context sentences
    Summary · context
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  8. 08Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, dulaglutide 4.5 mg direct costs were GBP 8 lower than semaglutide.

    In plain wordsIn computer models, dulaglutide 4.5 mg cost less than semaglutide.

    Outcome
    DecreaseDirect costs with dulaglutide 4.5 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Direct costs were estimated to be GBP 76 lower and GBP 8 higher in the comparisons with dulaglutide 3 mg and 4.5 mg, respectively.
    5 context sentences
    Summary · context
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  9. 09Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide reduced diabetes-related complications compared with dulaglutide.

    In plain wordsIn computer models, semaglutide produced fewer diabetes complications than dulaglutide.

    Outcome
    DecreaseDiabetes-related complications
    Study

    n: not reported in source

    Comparator
    Dulaglutide 3 mg and 4.5 mg
    Outcome group
    Adverse events · Whole body

    Source sentences

    Summary
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  10. 10Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, dulaglutide produced more diabetes-related complications than semaglutide.

    In plain wordsIn computer models, dulaglutide produced more diabetes complications than semaglutide.

    Outcome
    IncreaseDiabetes-related complications
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Adverse events · Whole body

    Source sentences

    Summary
    Semaglutide 1 mg was associated with improvements in quality-adjusted life expectancy of 0.05 and 0.04 quality-adjusted life years (QALYs) vs. dulaglutide 3 mg and 4.5 mg, respectively, due to a reduced incidence of diabetes-related complications with semaglutide.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  11. 11Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide was economically dominant versus dulaglutide 3 mg.

    In plain wordsIn computer models, semaglutide was economically dominant compared with dulaglutide 3 mg.

    Outcome
    Not applicableEconomic dominance versus dulaglutide 3 mg
    Study

    n: not reported in source

    Comparator
    Dulaglutide 3 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Overall outcomes were similar, but favoured semaglutide, and based on modelled mean outcomes it was considered dominant vs. dulaglutide 3 mg and associated with an incremental cost-effectiveness ratio of GBP 228 per QALY gained vs. dulaglutide 4.5 mg.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  12. 12Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, dulaglutide 3 mg was economically dominated by semaglutide.

    In plain wordsIn computer models, dulaglutide 3 mg was economically dominated by semaglutide.

    Outcome
    Not applicableEconomic dominance with dulaglutide 3 mg
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Overall outcomes were similar, but favoured semaglutide, and based on modelled mean outcomes it was considered dominant vs. dulaglutide 3 mg and associated with an incremental cost-effectiveness ratio of GBP 228 per QALY gained vs. dulaglutide 4.5 mg.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  13. 13Computer modelNot a test of Semaglutide aloneIn silicoOther

    In a UK diabetes model, semaglutide had an incremental cost-effectiveness ratio of GBP 228 per QALY versus dulaglutide 4.5 mg.

    In plain wordsIn computer models, semaglutide cost GBP 228 per extra quality-adjusted life year compared with dulaglutide 4.5 mg.

    Outcome
    Not applicableIncremental cost-effectiveness versus dulaglutide 4.5 mg
    Study

    n: not reported in source

    Comparator
    Dulaglutide 4.5 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Overall outcomes were similar, but favoured semaglutide, and based on modelled mean outcomes it was considered dominant vs. dulaglutide 3 mg and associated with an incremental cost-effectiveness ratio of GBP 228 per QALY gained vs. dulaglutide 4.5 mg.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Semaglutide was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Semaglutide.

  14. 14Computer modelNot a test of Dulaglutide (Trulicity) aloneIn silicoOther

    In a UK diabetes model, semaglutide versus dulaglutide 4.5 mg had an incremental cost-effectiveness ratio of GBP 228 per QALY.

    In plain wordsIn computer models, semaglutide cost GBP 228 per extra quality-adjusted life year compared with dulaglutide 4.5 mg.

    Outcome
    Not applicableIncremental cost-effectiveness comparison with semaglutide
    Study

    n: not reported in source

    Comparator
    Semaglutide 1 mg
    Outcome group
    Cost-effectiveness · Whole body

    Source sentences

    Summary
    Overall outcomes were similar, but favoured semaglutide, and based on modelled mean outcomes it was considered dominant vs. dulaglutide 3 mg and associated with an incremental cost-effectiveness ratio of GBP 228 per QALY gained vs. dulaglutide 4.5 mg.
    4 context sentences
    Summary · context
    The IQVIA CORE Diabetes Model (v9.0) was used to project outcomes over patients' lifetimes.
    Summary · context
    Baseline cohort characteristics were sourced from SUSTAIN 7, with changes in HbA1c and body mass index applied as per the ITC.
    Summary · context
    Modelled patients received semaglutide or dulaglutide for 3 years, after which treatment was intensified to basal insulin.
    Summary · context
    Costs (expressed in 2020 pounds sterling [GBP]) were accounted from a healthcare payer perspective.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 3Current

    22 Oct 2026, 02:25 UTC

    Study results updated

  2. Version 2

    21 Oct 2026, 18:59 UTC

    Study data updated · source update from Europe PMC

  3. Version 1

    9 Oct 2026, 03:06 UTC

    First added · source update from Europe PMC

Subjects

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