A comprehensive study of the rare diseases and conditions targeted by orphan drug designations and approvals over the forty years of the Orphan Drug Act

LJ Fermaglich, KL Miller - Orphanet Journal of Rare Diseases, 2023 - Springer
Background Rare diseases affect more than 30 million Americans. The passage of the
Orphan Drug Act (ODA) in the United States in 1983 represented a launching point for a rare …

Use of US Food and Drug Administration expedited drug development and review programs by orphan and nonorphan novel drugs approved from 2008 to 2021

AN Monge, DW Sigelman, RJ Temple… - JAMA Network …, 2022 - jamanetwork.com
Importance The US Food and Drug Administration (FDA) has 4 programs that can be used
alone or in combination to expedite drug availability: Accelerated Approval, Breakthrough …

Investigation of the diagnostic importance and accuracy of CT in the chest compared to the RT-PCR test for suspected COVID-19 patients in Jordan

H Alewaidat, Z Bataineh, M Bani-Ahmad… - …, 2023 - pmc.ncbi.nlm.nih.gov
This article aims to synthesize the existing literature on the implementation of public policies
to incentivize the development of treatments for rare diseases,(diseases with very low …

Cost of exempting sole orphan drugs from Medicare negotiation

M Vogel, O Zhao, WB Feldman, A Chandra… - JAMA Internal …, 2024 - jamanetwork.com
Importance The Inflation Reduction Act (IRA) requires Medicare to negotiate prices for some
high-spending drugs but exempts drugs approved solely for the treatment of a single rare …

Assessment of surrogate end point trends in clinical trials to approve oncology drugs from 2001 to 2020 in Japan

H Maeda, R Shingai, K Takeda, A Hara… - JAMA Network …, 2023 - jamanetwork.com
Importance A surrogate end point (SEP) is an end point used in clinical trials as an
alternative for measuring the true clinical benefit. The use of SEPs in trials shortens their …

[HTML][HTML] Pharmaceutical policy and innovation for rare diseases: A narrative review

AA Ruiz, K Large, S Moon, M Vieira - F1000Research, 2023 - ncbi.nlm.nih.gov
This article aims to synthesize the existing literature on the implementation of public policies
to incentivize the development of treatments for rare diseases,(diseases with very low …

Continued cancer drug approvals in Japan and Europe after market withdrawal in the United States: A comparative study of accelerated approvals

H Hakariya, F Moriarty, A Ozaki… - Clinical and …, 2024 - Wiley Online Library
Regulatory authorities must balance ensuring evidence of efficacy and safety of new drugs.
Various regulatory pathways, such as the accelerated approval program in the United States …

Successfully Navigating Food and Drug Administration Orphan Drug and Rare Pediatric Disease Designations for AAV9-hPCCA Gene Therapy: The National …

RM Lomash, O Shchelochkov, RJ Chandler… - Human Gene …, 2023 - liebertpub.com
Orphan drug designation (ODD) is an important program intended to facilitate the
development of orphan drugs in the United States. An orphan drug benefiting pediatric …

[HTML][HTML] 'Financial fallout'in the US biopharmaceutical industry: Maximizing shareholder value, regulatory capture, and the consequences for patients

R Whitacre - Social Science & Medicine, 2024 - Elsevier
Patients are suffering the consequences of financialization–as shareholders demand high
returns from pharmaceutical companies, pharmaceuticals squeeze profits out of top-selling …

Leveraging real-world data to conduct externally controlled trial for rare diseases with count-type endpoints: utilizing multiple entries–a simulation study

T Sun, E Liao, N Shao, J Luo - Journal of Biopharmaceutical …, 2024 - Taylor & Francis
Conducting randomized controlled trials for medications targeting rare diseases presents
significant challenges, due to the scarcity of participants and ethical considerations. Under …