PATIENTS' PREFERENCES FOR ATTRIBUTES OF TYPE 2 DIABETES MEDICATIONS- A CONJOINT ANALYSIS
Author(s)
Gelhorn H1, Stringer SM1, Brooks A1, Thompson C1, Monz BU2, Boye KS3, Hach T4, Lund S4, Palencia R21United BioSource Corporation, Bethesda, MD, USA, 2Boehringer Ingelheim GmbH, Ingelheim am Rhein, Germany, 3Eli Lilly and Company, Indianapolis, IN, USA, 4Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany
OBJECTIVES: Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are a novel class of drugs to treat patients with Type 2 Diabetes Mellitus (T2DM). The attributes of the SGLT2i differ from those of other medications. Therefore, patients’ preferences for each of these attributes are of potential interest to patients, physicians, and payers. METHODS: A discrete choice experiment was conducted with patients with T2DM from the United Kingdom to examine 7 attributes of T2DM medications: efficacy (defined as reduction in blood glucose levels), urinary tract infection/genital infection side-effects, weight change, gastrointestinal/nausea side-effects, hypoglycemic events, blood pressure, and cardiovascular risk. Patients were presented with 20 total choices between 2 hypothetical T2DM medications each described by varying levels of the 7 attributes. Partial utilities were estimated using random effects multi-logit models, and relative importance (RI) values were calculated for each of the attributes. Data were analyzed for the overall sample, and by medication and gender subgroups. RESULTS: One hundred patients with T2DM completed the study (51% male; mean age=62.9, SD=11.1 years; mean BMI=32.7, SD=6.5; 50.0% taking 2+ T2DM medications). The four most important attributes to patients were: risk of hypoglycaemic events (relative importance (RI) = 24.7%), weight change associated with the medication (RI=20.6%), risk of gastrointestinal/nausea side-effects (RI=18.6%), and efficacy (RI=18.0%). The remaining attributes were of lesser importance: risk of urinary tract infection/genital infection side-effects (RI=9.9%), cardiovascular risk (RI=4.3%), and blood pressure changes (RI=3.9%). Additional results for subgroup analyses will be presented. CONCLUSIONS: Patients with T2DM consider the risk of hypoglycaemic events, weight changes associated with a medication, the risk of gastrointestinal/nausea side-effects, and the efficacy of a medication to be attributes of approximately equivalent importance for T2DM medications. Prescribing physicians should consider these characteristics of medications as they may contribute to patients’ overall satisfaction with their diabetes therapy.
Conference/Value in Health Info
2012-11, ISPOR Europe 2012, Berlin, Germany
Value in Health, Vol. 15, No. 7 (November 2012)
Code
PDB57
Topic
Patient-Centered Research
Topic Subcategory
Stated Preference & Patient Satisfaction
Disease
Diabetes/Endocrine/Metabolic Disorders