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Curcumin-QingDai Combination for Active Ulcerative Colitis: A Cost-Effectiveness Analysis
Henit Yanai1, David Choi2, Shomron Ben-Horin3
1Division of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel; Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Curcumin and QingDai (CurQD) offers a cost-effective treatment for ulcerative colitis (UC) compared to advanced therapies. This nutraceutical provides significant benefits, making it a valuable option for patients with active UC.
Area of Science:
- Gastroenterology
- Pharmacoeconomics
- Integrative Medicine
Background:
- Active ulcerative colitis (UC) treatment often involves advanced therapies.
- Curcumin and QingDai (CurQD), a herbal compound, shows promise for UC management.
- No prior cost-effectiveness analysis exists for CurQD in UC treatment.
Purpose of the Study:
- To evaluate the cost-effectiveness of CurQD compared to current advanced therapies for moderate-to-severe UC.
- To analyze cost-effectiveness for both advanced therapy-naïve and experienced UC patient cohorts.
Main Methods:
- A Markov model simulated UC patient progression over 54 weeks.
- Efficacy data synthesized from randomized controlled trials and real-world studies.
- Cost data based on US average wholesale price; $50,000/QALY threshold used.
Main Results:
- CurQD demonstrated an incremental cost-effectiveness ratio (ICER) exceeding $200,000/QALY against advanced therapies.
- Quality-adjusted life year (QALY) differences were marginal, ranging from -0.1 to 0.07.
- Sensitivity analysis confirmed the robustness of the findings.
Conclusions:
- CurQD presents a significantly cost-effective alternative to advanced UC therapies.
- The reduced cost and proven efficacy of CurQD offer a compelling benefit.
- This includes cost-effectiveness over anti-TNF biosimilars for active UC.
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