The cost utility of solifenacin in the treatment of overactive bladder

Int Urol Nephrol. 2009;41(2):293-8. doi: 10.1007/s11255-008-9448-2. Epub 2008 Aug 15.

Abstract

Objectives: Overactive bladder may cause significant discomfort to patients. The standard therapy for overactive bladder includes behavioural therapy and sometimes medication. Recently, a new medication (solifenacin 5 and 10 mg) was developed for treatment of overactive bladder. The objective of this study was to assess the cost utility of solifenacin 5 and 10 mg for overactive bladder.

Methods: We developed a Markov model to estimate the cost per quality adjusted life years (QALY) over a period of 12-months. Model parameters were based on randomized clinical trials for solifenacin 5 and 10 mg. Data on utility scores were taken from the literature.

Results: The incremental cost per QALY for solifenacin 5 mg and solifenacin 10 mg compared with placebo were 17,602 pounds and 24,464 pounds respectively. Sensitivity analyses showed that these results were robust to changes of relevant input data.

Conclusion: Solifenacin 5 and 10 mg are cost-effective treatments in patients with overactive bladder.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cost-Benefit Analysis
  • Diapers, Adult
  • Drug Costs*
  • Female
  • Humans
  • Male
  • Markov Chains
  • Muscarinic Antagonists / economics*
  • Muscarinic Antagonists / therapeutic use
  • Patient Compliance
  • Quality-Adjusted Life Years
  • Quinuclidines / economics*
  • Quinuclidines / therapeutic use
  • Solifenacin Succinate
  • Tetrahydroisoquinolines / economics*
  • Tetrahydroisoquinolines / therapeutic use
  • Treatment Outcome
  • Urinary Bladder, Overactive / drug therapy*
  • Urinary Bladder, Overactive / economics

Substances

  • Muscarinic Antagonists
  • Quinuclidines
  • Tetrahydroisoquinolines
  • Solifenacin Succinate