Evidence map›Paper›PMID 41222604›Full record

ArticleInternational journal of clinical pharmacy2026

Cost-effectiveness of omadacycline versus moxifloxacin as the initial treatment for community-acquired bacterial pneumonia in China.

Xiuling Wang, Yao Fu, Guijun Duan, Wenqiang Kong

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International journal of clinical pharmacy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Xiuling WangDepartment of Pharmacy Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Infllammatory Diseases, Chongqing, China, Chongqing, China.
Yao FuDepartment of Pharmacy Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Infllammatory Diseases, Chongqing, China, Chongqing, China.
Guijun DuanDepartment of Pharmacy Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Infllammatory Diseases, Chongqing, China, Chongqing, China.
Wenqiang KongDepartment of Pharmacy, Zi Gong First People's Hospital, Shangyi Haoyi Branch Road, Ziliujing District, Zigong, 643000, Sichuan, China. WQkongpharmacist@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical studies have shown that omadacycline is non-inferior to moxifloxacin, a widely used respiratory fluoroquinolone, in terms of efficacy. However, the higher acquisition cost of omadacycline raises questions regarding its economic value, particularly in resource-limited healthcare systems such as China.

aimThis study evaluated the cost-effectiveness of omadacycline versus moxifloxacin as initial treatment for CABP in China.

methodA decision-tree model was constructed using TreeAge Pro 2020 to assess sequential intravenous (IV)-to-oral omadacycline versus moxifloxacin in adult patients with non-severe CABP. Parameter values were obtained from published literature, public databases, and medical service pricing datas. Incremental cost-effectiveness ratios (ICERs) were calculated, and sensitivity analyses were performed to assess model robustness. A regimen was considered cost-effective if the ICER fell below the willingness-to-pay (WTP) threshold of $19,012 per quality-adjusted life year (QALY).

resultsIn the base-case analysis, omadacycline provided an additional 0.004 QALY at an incremental cost of $597.8, resulting in an ICER of $148,700/QALY-substantially exceeding the $19,012 threshold. The cost of oral and IV omadacycline were the most influential parameters. Omadacycline was optimal in 7.6% of 10,000 Monte Carlo simulations at the $19,012/QALY threshold. Province-specific WTP thresholds showed cost-effectiveness probabilities ranging from 1.1% (Gansu) to 16.2% (Beijing).

conclusionOmadacycline is not cost-effective compared to moxifloxacin as the initial treatment for CABP in China, unless significant price reductions are achieved.

Indexed as

Anti-Bacterial AgentsCommunity-Acquired InfectionsMoxifloxacinPneumonia, BacterialTetracyclinesAdultChinaCost-Benefit AnalysisDecision TreesHumansQuality-Adjusted Life YearsAnti-Bacterial AgentsMoxifloxacinomadacyclineTetracyclinesCommunity-acquired pneumoniaCost-effectiveness analysisMoxifloxacinOmadacycline

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.