Evidence map›Paper›PMID 42245378›Full record

ArticleFrontiers in public health2026

Budget impact analysis of the introduction of ranibizumab's biosimilar to the Jordanian joint procurement system.

Jalal Abu Hamida, Nimer S Alkhatib, Khawla Abu Hammour, Shiraz Halloush, Amanj Kurdi, Bander Balkhi, Osamah M Alfayez, Rimal Mousa

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jalal Abu HamidaDepartment of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, The University of Jordan, Amman, Jordan.
Nimer S AlkhatibAl-Zaytoonah University of Jordan Faculty of Pharmacy, Amman, Jordan.
Khawla Abu HammourDepartment of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, The University of Jordan, Amman, Jordan.
Shiraz HalloushClinical Pharmacy and Therapeutics Department, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan.
Amanj KurdiUniversity of Strathclyde Institute of Pharmacy and Biomedical Sciences, Glasgow, United Kingdom.
Bander BalkhiKing Saud University College of Pharmacy, Riyadh, Saudi Arabia.
Osamah M AlfayezDepartment of Pharmacy Practice, College of Pharmacy, Qassim University, Qassim, Saudi Arabia.
Rimal MousaDepartment of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, The University of Jordan, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The adoption of biologic therapies imposes a substantial financial burden on the Jordanian healthcare system. ranibizumab is prescribed for various retinal disorders, and its associated costs are considerable. The introduction of biosimilars is beneficial in retaining desired clinical parameters while providing cost relief and enhanced access to patients. Objective: To examine the budget impact and expanded access of switching to ranibizumab's biosimilar for the management of retinal diseases in guideline-based practice and in real-world practice in Jordan. Method: A 4-year budget impact analysis from Jordanian public sector payer's sector was performed (2023 to 2026) that included patient prevalence and incidence, average ranibizumab dose per year, and anticipated shifts in the market share of ranibizumab and aflibercept. The model took into account the anticipated price erosion of the biosimilar in 2025 and 2026. Sensitivity analyses were performed to assess the effect of changes in uptake rates, price, and market share. Results: The annual cost savings per patient when switching from aflibercept to ranibizumab's biosimilar were from 20.55 JOD (Jordanian Dinar) to 1519.93 JOD, translating to a percentage saving of 2.68 to 35.12% across the various scenarios and indications. The total budget impact ranged widely from 6.9 M JOD to 21.2 M JOD based on treatment regimens adjusted to current practice, PRN (Pro re nata), or T&E (Treat and extend). Patient access improved between 2.75 to 124.76% in the different scenarios. Conclusion: The introduction of ranibizumab's biosimilar significantly reduces the expenditures and enhances treatment access.

Indexed as

Angiogenesis InhibitorsBiosimilar PharmaceuticalsBudgetsRanibizumabRetinal DiseasesCost-Benefit AnalysisHumansJordanReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsafliberceptAngiogenesis InhibitorsBiosimilar PharmaceuticalsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion Proteinsbiosimilarsbudget impact analysiscost-effectivenessintravitreal injectionsmacular edema

Identifiers

PMID42245378
PMCPMC13231889

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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.