Evidence map›Paper›PMID 40303316›Full record

ArticleTherapeutic advances in neurological disorders2025

Cost-effectiveness of ofatumumab for the treatment of relapsing forms of multiple sclerosis in the United Arab Emirates.

Jihad Inshasi, Yomna Nowier, Evelina A Zimovetz, Ahmed Moussa, Ahmed Shatila, Ali Hassan, Mohamed Farghaly, Mona Thakre, Mustafa Shakra, Sara Al Dallal and 4 more

Abstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Jihad InshasiNeurology Department, Rashid Hospital, Dubai, United Arab Emirates.
Yomna NowierNovartis Middle East FZE, Dubai, United Arab Emirates.
Evelina A ZimovetzReal World Evidence, IQVIA, Dubai, United Arab Emirates.
Ahmed MoussaNeurology Department, Saudi German Hospital, Dubai, United Arab Emirates.
Ahmed ShatilaNeurology Department, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Ali HassanNeurology Department, Tawam Hospital, Al Ain, United Arab Emirates.
Mohamed FarghalyDubai Health Authority, Dubai, United Arab Emirates.
Mona ThakreNeurology Department, Al Zahra Hospital, Dubai, United Arab Emirates.
Mustafa ShakraNeurology Department, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Sara Al DallalEmirates Health Economics Society, Dubai, United Arab Emirates.
Suzan I A NooriNeurology Department, University Hospital Sharjah, Sharjah, United Arab Emirates.
Tayseer Zain AlabdinNeurology Department, Al Qassimi Hospital, Sharjah, United Arab Emirates.
Sherouq KhattabNovartis Middle East FZE, Dubai, United Arab Emirates.
Bassem YamoutNeurology Institute and MS Center, Harley Street Medical Center, Villa no. A21, Al Kasir-Al Marina, Abu Dhabi, United Arab Emirates.ORCID https://orcid.org/0000-0002-2540-6651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple sclerosis (MS) is an autoimmune disease of the central nervous system, associated with demyelination and inflammation. Relapsing forms of MS (RMS) encompass all patients with MS experiencing relapses. While there is currently no cure for MS, the introduction of several disease-modifying therapies (DMTs) has significantly reduced the risk of relapse and disability in patients with MS. There is a high unmet need for an easy-to-administer DMT that can be used early in the treatment pathway. Objectives: This study aimed to evaluate the cost-effectiveness of ofatumumab compared with other commonly used DMTs for the treatment of RMS from a health payer perspective in the United Arab Emirates (UAE). Design: A cost-effectiveness analysis. Methods: A Markov model, based on expanded disability status scale (EDSS) health states, was developed using the UAE payer's perspective and a 65-year time horizon. The baseline patient distribution across the EDSS states was aligned to the population of ASCLEPIOS I and II trials. The British Columbia database informed natural history transition probabilities. Treatment effects were applied by delaying disability progression and reducing the number of relapses and were sourced from a network meta-analysis. The health care resource utilization was derived from interviews with local experts, who also validated the model structure and comparators, and utility inputs from published studies. In the absence of an officially defined willingness-to-pay threshold in the UAE, it was assumed to be United Arab Emirates Dirham (AED) 369,854 per quality-adjusted life-year (QALY), which is twice the UAE gross domestic product per capita. Results: Base-case results indicated that ofatumumab was dominant over ocrelizumab, dimethyl fumarate, fingolimod, and natalizumab intravenous; was more cost-effective compared with teriflunomide, fingolimod (generic), glatiramer acetate, interferons, and best supportive care; and resulted in an incremental cost-effectiveness ratio of AED 713,068 per QALY versus cladribine. Sensitivity analyses were in line with the results of the base-case analysis. Conclusion: From the UAE payer's perspective, ofatumumab could be a cost-effective treatment alternative for patients with RMS.

Indexed as

cost-effectivenessofatumumabrelapsing-remitting multiple sclerosis

Identifiers

PMID40303316
PMCPMC12038200

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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 OpenQuestion graph.