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European regulation on orphan medicinal products: 10 years of experience and future perspectives

Abstract

In 2000, regulation on orphan medicinal products was adopted in the European Union with the aim of benefiting patients who suffer from serious, rare conditions for which there is currently no satisfactory treatment. Since then, more than 850 orphan drug designations have been granted by the European Commission based on a positive opinion from the Committee for Orphan Medicinal Products (COMP), and more than 60 orphan drugs have received marketing authorization in Europe. Here, stimulated by the tenth anniversary of the COMP, we reflect on the outcomes and experience gained in the past decade, and contemplate issues for the future, such as catalysing drug development for the large number of rare diseases that still lack effective treatments.

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Figure 1: Statistics on orphan medicinal product designations and approvals in the European Union in the past decade.

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References

  1. European Commission. Communication from the commission to the European parliament, the council, the European economic and social committee and the committee of the regions on rare diseases: Europe's challenges. European Commission [online], (2008).

  2. Stolk, P., Willemen, M. J. C & Leufkens, H. G. M. Rare essentials: drugs for rare diseases as essential medicines. Bull. World Health Organ. 84, 745–751 (2006).

    Article  Google Scholar 

  3. Aymé, S. EUGLOREH project: the status of health in the European Union: towards a healthier Europe: full report. 5.15. Rare Diseases. EUGLOREH 2007 [online], (2007).

    Google Scholar 

  4. Heemstra, H. E., de Vrueh, R. L., van Weely, S., Büller, H. A. & Leufkens, H. G. Predictors of orphan drug approval in the European Union. Eur. J. Clin. Pharmacol. 64, 545–552 (2008).

    Article  Google Scholar 

  5. Haffner, M., Torrent-Farnell, J. & Maher, P. D. Does orphan drug legislation really answer the needs of patients? Lancet 371, 2041–2044 (2008).

    Article  Google Scholar 

  6. Braun, M. M., Farag-El-Massah, S., Xu, K. & Coté, T. R. Emergence of orphan drugs in the United States: a quantitative assessment of the first 25 years. Nature Rev. Drug Discov. 9, 519–522 (2010).

    Article  CAS  Google Scholar 

  7. Westermark, K. The regulation of orphan medicines in the EU: objectives reached and main challenges when facing the future. Pharmaceut. Policy Law 9, 327–342 (2007).

    Google Scholar 

  8. The European Parliament and the Council of the European Union. Regulation (EC) No. 141/2000 of the European Parliament and of the Council of 16 December 1999 on orphan medicinal products. Official J. Eur. Communities L18/1–L18/5 (2000).

  9. Mariz, S., Llinares, J. & Westermark, K. Orphan drugs: EU regulations. BMJ 342, d136 (2011).

    Article  Google Scholar 

  10. Schneider, C. K. et al. Challenges with advanced therapy medicinal products and how to meet them. Nature Rev. Drug Discov. 9, 195–201 (2010).

    Article  CAS  Google Scholar 

  11. Regnstrom, J. et al. Factors associated with success of market authorisation applications for pharmaceutical drugs submitted to the European Medicines Agency. Eur. J. Clin. Pharmacol. 66, 39–48 (2010).

    Article  Google Scholar 

  12. EMA. Press release: Regulatory cooperation expanded. European Medicines Agency [online], (2007).

  13. [No authors listed.] Making rare diseases a public-health and research priority. Lancet 371, 1972 (2008).

  14. Parisse-Brassens, J. Improving patient access to orphan drugs in Europe. Eurordis — The Voice of Rare Disease Patients in Europe [online], (2006).

    Google Scholar 

  15. European Parliament. Charter of Fundamental Rights of the European Union. European Parliament [online], (2000).

  16. US FDA. New resource for drug developers: the rare disease repurposing database (RDRD). US FDA [online], (2010).

  17. Buckley, B. M. Clinical trials of orphan medicines. Lancet 371, 2051–2055 (2008).

    Article  Google Scholar 

  18. Eichler, H. G., Pignatti, F., Flamion, B., Leufkens, H. & Breckenridge, A. Balancing early market access to new drugs with the need for benefit/risk data: a mounting dilemma. Nature Rev. Drug Discov. 7, 818–26 (2008).

    Article  CAS  Google Scholar 

  19. Liberti, L. et al. Expediting patients' access to medicines by improving the predictability of drug development and the regulatory approval process. Clin. Pharmacol. Ther. 87, 27–31 (2010).

    Article  CAS  Google Scholar 

  20. Braiteh, F. & Kurzrock, R. Uncommon tumors and exceptional therapies: paradox or paradigm? Mol. Cancer Ther. 6, 1175–1179 (2007).

    Article  CAS  Google Scholar 

  21. Fishman, M. C. & Porter, J. A. Pharmaceuticals: a new grammar for drug discovery. Nature 437, 491–493 (2005).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The Chairperson of the COMP would like to specifically acknowledge the invaluable input of COMP colleagues who actively contributed to this work by coordinating the discussions of subheadings and coordinating the participation of the entire committee, namely B. Sepodes (COMP member, nominated by the EMA's recommendation); J. T. i Farnell (COMP member, Spain); F. Rivière, J. Llinares-Garcia and S. Aarum (EMA COMP Scientific Secretariats), L. Greene and B. B. Holm (COMP patients' representatives);and M. Mavris (COMP General Observer, EURORDIS). The views expressed in this article are the personal views of the authors and may not be understood or quoted as being made on behalf of or reflecting the position of the EMA or one of its committees or working parties.

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Correspondence to Kerstin Westermark.

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The Committee for Orphan Medicinal Products and the European Medicines Agency Scientific Secretariat. European regulation on orphan medicinal products: 10 years of experience and future perspectives. Nat Rev Drug Discov 10, 341–349 (2011). https://doi.org/10.1038/nrd3445

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