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Cost-utility analysis of telitacicept versus belimumab in the treatment of systemic lupus erythematosus in China

Bibliographic Data

ID22073707
AuthorsChang Liu (0000-0002-1198-6990, Peking University Health Science Center), Chaoying Liu (0000-0003-0484-9522, Peking University), Lei Tao (0000-0001-8717-3155, Peking University, corresponding author), Libo Tao (Peking University Health Science Center), Yi Yan (0000-0003-2475-6817, Peking University), Yao Wu (0000-0001-6367-8271, Peking University), Fangxu Wang (Peking University), Shuang Sun (0000-0002-5737-3479, Peking University Health Science Center), Su Sun (Peking University)
Year2026
Volume13
Pages1712454-1712454
Publication date2026-01-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1712454
PMID41626355
OpenAlexW7124319786
LanguageEN
References cited31

Objective: Telitacicept and belimumab are the only two approved biologics in China for treating systemic lupus erythematosus (SLE). With the widespread clinical use of biologics, more reliable clinical evidence has been provided. This study seeks to evaluate the cost-effectiveness of two biologic treatments for SLE in China by utilizing current medication prices and the most recent clinical research. Methods: A cost-effectiveness analysis comparing telitacicept and belimumab was conducted by developing a lifetime SLE partition survival model using the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2 K) score, which considers the relationship between organ damage and death. The data were extracted from the literature with model assumptions. Scenario analysis of short term treatment (5 years) and typical one-way and probabilistic sensitivity analyses were performed. Results: After lifetime simulation, compared to belimumab treatment, telitacicept treatment can save a total of ¥57751.00, including expenses of drug usage and treatment of complications. Meanwhile, it gained 0.499 quality adjusted life years, resulted in a negative ICER. Telitacicept is more cost-saving than belimumab (Dominant). Conclusion: Under current pricing, treatment settings and efficacy data in China, telitacicept demonstrates superior cost-effectiveness compared with belimumab for long-term SLE management by reducing medication costs while delivering additional health benefits

Belimumab · China · Disease management · Lupus erythematosus · Medication adherence · MEDLINE · Monoclonal and Polyclonal Antibodies Research · Rheumatoid Arthritis Research and Therapies · Systemic Lupus Erythematosus Research

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