# Assessing the Value of Omalizumab for Pediatric Asthma in China: A Multicriteria Decision Analysis

## TL;DR

This study evaluates the overall value of using omalizumab for treating severe asthma in Chinese children, finding it conditionally recommended.

## Contribution

A multicriteria decision analysis framework is applied to assess omalizumab's value in a Chinese pediatric asthma context.

## Key findings

- Omalizumab plus standard care scored higher in effectiveness and innovation compared to standard care alone.
- The overall estimated value of omalizumab plus standard care was 7.40 points versus 7.19 for standard care alone.
- Safety was the most weighted criterion at 38.55% in the analysis.

## Abstract

Background/Objectives: This study aimed to apply a multicriteria decision analysis to assess the comprehensive value of omalizumab for moderate to severe pediatric asthma in China. Methods: A multidisciplinary panel of 17 experts assessed the value of omalizumab plus the standard of care (SOC) using SOC alone as a comparator. We developed a hierarchical criteria system with six main domains and 15 specific criteria. To establish a comprehensive evidence matrix, we integrated findings from a systematic literature review (SLR) and a real-world pharmacovigilance study based on the FAERS database. The overall estimated value of each strategy was obtained by combining the criterion weights with the score of each strategy in each criterion. A sensitivity analysis was conducted to validate the robustness of the results. Results: According to the AHP methods, the following weights were assigned to the criteria: safety (38.55%), effectiveness (28.85%), economics (9.65%), innovation (8.24%), accessibility (7.84%), and applicability (6.88%). Based on the evidence matrix, omalizumab plus SOC scored higher than the SOC in effectiveness (2.53 vs. 1.94) and innovation (0.70 vs. 0.15). When the weight and score of each strategy in each criterion were combined, the overall estimated values were 7.40 points for omalizumab plus SOC and 7.19 points for SOC. Conclusions: Adding omalizumab was assessed as a conditionally recommended strategy for treating moderate to severe asthma in Chinese children.