Lupus & antiphospholipid syndrome

Telitacicept versus belimumab for the treatment of systemic lupus erythematosus: a network meta-analysis and cost-effectiveness analysis

Lupus Sci MedPublished Network meta-analysis and cost-effectiveness analysis

Authors' conclusion

Although the comparative efficacy between telitacicept and belimumab remains statistically inconclusive, cost-effectiveness modelling suggests that telitacicept plus standard therapy is likely to be a cost-effective treatment option for patients with SLE in China under current WTP thresholds.

Study context

Population
Patients with active systemic lupus erythematosus (SLE) in China5 RCTs
Comparison
Telitacicept vs belimumab
Outcome
Cost-effectiveness: Life years (LYs), QALYs, total healthcare costs and ICER
Follow-up
Lifetime
Methodological detailsmicrosimulation model, lifetime horizon, Chinese societal perspective, sensitivity analyses
  • Microsimulation model
  • Lifetime horizon
  • Chinese societal perspective
  • Sensitivity analyses

Pooled result

As reported in the abstract

Cost-effectiveness, baseline analysis

Incremental quality-adjusted LYs (QALYs)

0.506 QALYs

Telitacicept

Incremental total cost

US$3026

Telitacicept

Incremental cost-effectiveness ratio (ICER)

US$5984 per QALY gained

Telitacicept

Probability telitacicept cost-effective at willingness-to-pay (WTP) threshold of US$40 344 per QALY
99.1%

Further pooled results

OutcomeRR (95% CI)
Response rate (NMA)1.200 (0.760–1.910)

Original publication

Telitacicept versus belimumab for the treatment of systemic lupus erythematosus: a network meta-analysis and cost-effectiveness analysis. Lupus Sci Med. Published 16 January 2026. doi:10.1136/lupus-2025-001684

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