Heart failure & cardiomyopathies

Cost-Effectiveness of Vericiguat in Patients With Heart Failure With Reduced Ejection Fraction: The VICTORIA Randomized Clinical Trial

CirculationPublished Cost-effectiveness analysis of the VICTORIA randomised trial

Authors' conclusion

Vericiguat use in the VICTORIA trial met criteria for intermediate value, but the incremental cost-effectiveness ratio estimates were sensitive to whether the analysis accounted for observed NT-proBNP treatment effect heterogeneity.

Study context

Population
Patients with high-risk HFrEF in the VICTORIA trial
Participants
5,050 patients
Comparison
Vericiguat vs placebo
Primary endpoint
Incremental cost-effectiveness ratio, vericiguat vs placebo
Follow-up
Lifetime horizon
Methodological detailsUS health care sector perspective, lifetime horizon
  • US health care sector perspective
  • Lifetime horizon

Primary result

As reported in the abstract

Incremental cost-effectiveness ratio

Incremental cost-effectiveness ratio

$66 509 per QALY

allowing for treatment heterogeneity (NT-proBNP interaction)

Incremental cost-effectiveness ratio

$124 512 per QALY

without heterogeneity

Secondary outcomes

Quality-adjusted life expectancy, with interaction term

incremental discounted QALY 0.43

Quality-adjusted life expectancy, without interaction term

incremental discounted QALY 0.17

OutcomeIncremental discounted costs
Incremental discounted costs (vericiguat minus placebo)With treatment interaction$28 546
Incremental discounted costs (vericiguat minus placebo)Without treatment interaction$20 948

Original publication

Cost-Effectiveness of Vericiguat in Patients With Heart Failure With Reduced Ejection Fraction: The VICTORIA Randomized Clinical Trial. Circulation. Published 6 September 2023. doi:10.1161/circulationaha.122.063602

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

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