Orphan drug
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Overview of orphan drugs in medicine
Overview
An orphan drug is a pharmaceutical agent developed specifically to treat a rare medical condition, often referred to as an orphan disease. These conditions are so rare that there is little financial incentive for the private sector to develop and market treatments. The designation of a drug as an orphan drug is intended to encourage the development of medications for these rare diseases.
Orphan Drug Act
The Orphan Drug Act was passed in the United States in 1983 to facilitate the development of orphan drugs. This legislation provides incentives such as tax credits, grant funding, and market exclusivity to encourage pharmaceutical companies to develop treatments for rare diseases. Similar legislation exists in other regions, such as the European Union and Japan.
Development Challenges
Developing orphan drugs presents unique challenges. The small patient populations make it difficult to conduct large-scale clinical trials, and the limited market potential can deter investment. However, the incentives provided by orphan drug legislation aim to mitigate these challenges.
Examples of Orphan Drugs
Many orphan drugs have been developed to treat a variety of rare conditions. Some notable examples include:
- Imatinib, used to treat certain types of leukemia.
- Ivacaftor, used for treating specific mutations in cystic fibrosis.
- Eculizumab, used for treating paroxysmal nocturnal hemoglobinuria.
Rosuvastatin
While not an orphan drug, Rosuvastatin is a widely used statin for lowering cholesterol and preventing cardiovascular disease. It is included here to illustrate the difference between common medications and those developed for rare conditions.
Regulatory Framework
The regulatory framework for orphan drugs varies by country but generally includes provisions for:
- Market exclusivity for a certain period after approval.
- Assistance with the drug approval process.
- Financial incentives such as tax credits and grants.
Impact on Patients
Orphan drugs have a significant impact on patients with rare diseases, providing treatment options where none previously existed. The development of these drugs can improve quality of life and, in some cases, extend life expectancy.
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Contributors: Prab R. Tumpati, MD