Orphan Drugs Bucuresti 25 Martie 2011

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    The role of orphan medicinalproducts and the access totreatment

    Maria Puiu, Dorica Dan

    ANBRaRo

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    About Orphan Drugs

    "Orphan drugs" are medicinal productsintended for diagnosis, prevention or

    treatment of life-threatening ordebilitating rare diseases.

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    Rare diseases

    In the EU, a rare disease is one whichaffects fewer than 5 people per 10 000.

    The number of sufferers may still behigh, however, as there are some

    7000 known rare diseases.

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    Rare diseases

    While signs may be detected at birth or inchildhood, more than 50% of rare diseases

    appear during adulthood, and are often life-threatening or chronically debilitating.

    Most are caused by genetic defects, butenvironmental exposure during pregnancy orlater in life, often in combination with geneticsusceptibility, is another cause.

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    The EU is promoting optimal

    prevention, diagnosis andtreatmentof rare diseases bycreating networks, sharing

    experience and training, anddisseminating knowledge.

    Rare diseases

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    Rare diseases are a serious public

    health concern and a priority in theEU health and research programmes.

    EU law and funding for R&D projectsaim to promote the development of

    orphan drugs for patients with rarediseases.

    Rare diseases

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    Usually there is no effective treatment, butscreening for early diagnosis, followedby suitable care, can improve quality of

    life and life expectancy.

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    It became increasingly obvious that these

    patients need support from European

    community.

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    All the national single efforts in thisfield are not sufficient and those

    diseases are so rare, there we needcenters and experts in each EuropeanState.

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    About Orphan Drugs

    They are "orphans" because thepharmaceutical industry has little

    interest under normal marketconditions in developing andmarketing drugs intended for only asmall number of patients suffering

    from very rare conditions.

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    To provide care for these forgottenpatients and to encourage

    pharmaceutical and biotechnologycompanies to invest in treatment forrare diseases, governments havecreated various legal and financialincentives.

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    In 1983 the Orphan Drug Act wasintroduced in the US and in 1999 the

    Regulation on orphan medicinalproducts was approved by the

    European Parliament.

    This regulation grants, among other

    things, a ten-year market exclusivityfor any new orphan drug.

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    Orphan Europe has been developingand providing orphan drugs for thetreatment of rare diseases since1990, well before the orphan druglegislation was introduced in Europe.

    We have the conviction that everypatient has the right to the bestpossible treatment, especiallypatients suffering from a raredisease.

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    Scientific Committee on MedicinalProducts and Medical Devices

    1997-2004

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    The European Medicines Agency is adecentralised agency of the EuropeanUnion, located in London.The Agencyis responsible for the scientific

    evaluation of medicines developed bypharmaceutical companies for use inthe European Union.

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    http://www.ema

    .europa

    .eu/

    A designation from the European MedicinesAgency's Committee on Orphan MedicinalProducts (COMP) permits a pharmaceutical

    company to benefit from incentives fromthe European Union to develop a medicinefor a rare disease such as a geneticdisorder or a rare cancer.A large number

    of these diseases affect children andnewborn babies.

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    In America:

    The U.S. Food and Drug Administration(FDA) website offers a list of orphandrugs that have received marketing

    approval in America.www.fda.gov

    In Europe:

    European Union registryof designated orphan drugs

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    In Romania, the growinginterest of thegovermental healthsystem is due to theRare DiseasePatients Associations

    effort in the last 5years (RPWA thenRoNaRD).

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    Law of 20 November 2003establishing the criteria for

    designation of orphan medicinalproducts and how the marketingauthorization of its.

    Published in Monitorul Oficial 874/

    9 December2003 (M. Of. 874/2003)

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    Health Programs

    HP chronic disease in children

    HP for hemophilia, thalassemia andother rare diseases - 2008

    HP for rare diseases and severesepsis -2009

    HP for Rare diseases - 2010

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    N

    ational MedicinesA

    gency

    47 orphan drugs - 2009

    http://www.anm.ro/_/Lista%20medicamentelor%20orfane%20valide%20in%20Romania.xls

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    Treatment of patients with rare diseases

    through the National Plan for Rare Diseasesnot through Health Programs

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    The future of orphan drugs

    Together

    Thank you!