{"title":"Chapter 7 - Asisted fertilization and constitutional rights: A question still open","authors":"F. Florio","doi":"10.3233/PPL-160424","DOIUrl":"https://doi.org/10.3233/PPL-160424","url":null,"abstract":"","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114944628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chapter 1 - Institutional profiles of clinical trials and its applications","authors":"C. Bottari","doi":"10.3233/PPL-160417","DOIUrl":"https://doi.org/10.3233/PPL-160417","url":null,"abstract":"","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133657623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chapter 3 - Profit and non profit clinical trials","authors":"Diego Lorenzetti","doi":"10.3233/PPL-160419","DOIUrl":"https://doi.org/10.3233/PPL-160419","url":null,"abstract":"","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116311599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-patent protection of pharmaceuticals in the USA","authors":"J. R. Thomas","doi":"10.3233/PPL-140379","DOIUrl":"https://doi.org/10.3233/PPL-140379","url":null,"abstract":"The Obama administration’s recent health care reform legislation resulted from intense and divisive deliberations over public health policy in the USA. The existence of a fundamental right to health care, the role of the government in health care commerce, and the fiscal sustainability of existing service models were among the issues that were subject to spirited discussion. Widespread recognition that a significant number of individuals in the USA cannot readily afford the medications they require played a central role in the debate. 1 Manyofthe concernsthatpromptedhealth care reformlegislationin 2010hadearlier motivatedthe enactmentof the DrugPrice Competitionand Patent TermRestoration Act of 1984. 2 Congress intended that this legislation, commonly known as the Hatch-WaxmanAct,wouldbalancethe needforinnovativenewpharmaceuticalswith the availability of less expensive generic drugs. The statute includes elaborate provisions governing the mechanisms through which a potential generic manufacturer may obtain marketing approval on a drug that was originally sponsored by another. Among these measures were an exemption from patent infringement for activities associated with regulatory marketing approval, 3 unique litigation mechanisms for managing patent disputes, 4 and a government-sponsored clearing house of pharmaceutical patents. 5 This contribution focuses upon two additional aspects of the Hatch-Waxman Act and related legislation.In Part II, this essay considers patent term extension provisions – at first blush an odd choice given its title. The patent term extension rules","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126037420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legal and Political Competitiveness for Pharmaceuticals","authors":"Marcus Oehlrich, A. Daemmrich","doi":"10.3233/PPL-130370","DOIUrl":"https://doi.org/10.3233/PPL-130370","url":null,"abstract":"The pharmaceutical industry operates both as an important business sector and a vital contributor to the delivery of health services worldwide. In 2012, the total world market for pharmaceutical products amounted to nearly US$1 trillion (see Table 1). Although global in scope, some 60 percent of sales were in North America and Europe, which comprise only 15 percent of the world’s population. The industry plays an important economic role in many countries by contributing to national income and employing hundreds of thousands of educated workers. Studies in the United States and Germany have found that for each direct employee, the pharmaceutical industry also generates between 1.6 and 3.5 jobs in supporting industries [7, 9]. While Germany long boasted of its role as the “world’s apothecary,” firms in Switzerland, France, the United Kingdom, and the United States also have underwritten decades of research into new medicines and brought several thousand new medicines to market since the late 19th century [1]. However, since the early 2000s, a steady decline in global prescription drug sales has accompanied an international deterioration in the underlying conditions critical to pharmaceutical in novation [6]. Troubles can be found also in a declining number of new chemical or biological medicines approved for markets despite a steady rise in research spending [8]. Policy discussions in some countries reveal a shift against industry arguments that high profit margins on current drug sales are necessary to finance research into future pharmaceuticals. Countries across the OECD instead are looking for ways to reduce health spending and national pharmaceutical budgets have been held constant or even reduced. Policies including reference pricing and demands that the industry demonstrate the cost effectiveness of its products are now widespread, especially in Europe [4]. Articles in this special issue of Pharmaceuticals Policy and Law analyse factors governing the legal and competitive environment for the pharmaceutical sector. Key issues are explored across the full pharmaceutical value chain, including drug discovery, development, authorization, and marketing. The articles demonstrate widespread, typically longstanding, tensions between policies that on the one hand","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125507999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Orphan drugs and paediatric medicinal products","authors":"F. Sprecher","doi":"10.3233/PPL-130369","DOIUrl":"https://doi.org/10.3233/PPL-130369","url":null,"abstract":"While the safety and availability of medicinal products for the majority of adult patients has steadily improved in recent decades, for children and people suffering from rare diseases (orphan diseases) there is a lack of approved medicinal products for these patient populations. Since the research and development of medicinal products is associated with high costs, the costs for paediatric medicinal products and medicines for rare diseases (orphan drugs) may barely be covered under normal market conditions due to the small patient populations. In order to prevent the continued exclusion of children and persons suffering from rare diseases from medical progress and to eliminate the deficits in the research and development of medicinal products for these patient groups, the European Union created, along the lines of the U.S. model, a system of incentives and constraints. Since 2000, under Regulation (EC) No. 141/2000 (Orphan Drug Regulation) there has been an incentive system to encourage the research and development of orphan drugs. With the goal of improving the health of children in Europe, Regulation (EC) No. 1901/2006 (Paediatric Regulation) combines economic incentives with the requirement to conduct paediatric studies. This article explains and comments on the specific regulatory framework for orphan drugs and paediatric medicinal products in the European Union.","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122319398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare funding: Rare diseases, a priority? AIM's proposals","authors":"W. Budde","doi":"10.3233/PPL-2009-0227","DOIUrl":"https://doi.org/10.3233/PPL-2009-0227","url":null,"abstract":"About 5000 to 7000 rare diseases are recognised. These life-threatening or chronically debilitating diseases are complex and have low prevalence – defined as 2 not more than 5 people affected per 10000 – so general knowledge and expertise about them can be limited. The limited number of patients affected by rare diseases also makes research difficult and potentially unattractive for the pharmaceutical industry. People affected by rare diseases can have difficulties in getting local diagnoses, in referral to suitably specialised health professionals who may be abroad, and in getting good information about their disease in their own language. In some countries or health systems the socio-medical coverage may not be welladapted. These are some of the reasons why a ‘European’ approach – which includes cooperation and coordination – is needed, wanted and supported by all concerned parties and actors in the health sector. Affordability and financial access to specific treatments represent a major challenge for national health systems as well as affected patients and their families. Due to legislation in several continents to encourage the development of drugs for rare diseases, the number of registered socalled ‘orphan drugs’ is increasing and recent statistics show that the costs of such orphan drugs are increasing exponentially. Improving the financial affordability of tremendously high cost individual treatments remains a real challenge and AIM sees here a new opportunity for action at EU level.","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"224 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122356547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paediatric Orphan Drugs","authors":"M. Catapano, L. Folgori","doi":"10.3233/PPL-2010-0274","DOIUrl":"https://doi.org/10.3233/PPL-2010-0274","url":null,"abstract":"Rare diseases are frequently genetically determined and caused by an inborn metabolic error, thus occurring early in life and affecting normal growth, and sexual and CNS maturation. The development of a paediatric orphan medicine presents a real hurdle for pharmaceutical companies because of the nature of the patient population where little knowledge is available. In addition, clinical trials are more difficult to run, take longer and cost more. An overview of the current situation in the paediatric orphan medicines field in Europe is provided below through the identification of unmet therapeutic needs still existing in the field (TEDDY NoE work), which represents a description of the orphan drugs so far authorised in Europe and of the paediatric drugs under development (Paediatric Investigation Plan – PIP).","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122390954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"U.S. healthcare reform and the pharmaceutical market: Projections from institutional history","authors":"A. Daemmrich","doi":"10.3233/PPL-130367","DOIUrl":"https://doi.org/10.3233/PPL-130367","url":null,"abstract":"Fiercely contested before, during, and after its passage, the 2010 Patient Protection and Affordable Care Act (ACA) is presently restructuring the U.S. healthcare market. This article describes the history of healthcare reform initiatives in the United States, analyzes the policy context in which the ACA was passed, and develops forecasts for the pharmaceutical market as insurance coverage grows. The institutional history of the U.S. healthcare system is revealing of the power of entrenched private interests, especially insurance and pharmaceutical firms, and of widespread opposition to price controls on prescription drugs or other forms of care. The ACA conforms to path dependency in the U.S. health system, continuing a unique mix of public and private insurance and private delivery of care. Building on the institutional analysis, the article develops specific projections for the U.S. prescription drug market in 2015 and 2020. The article concludes with a discussion of anticipated changes to pharmaceutical market structure under the ACA and the sustainability of free-market pricing for prescription drugs in the United States.","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121885013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pharmacoeconomic analyses of treatments for rare disease","authors":"J. Fishman, G. Skrepnek","doi":"10.3233/PPL-2011-0336","DOIUrl":"https://doi.org/10.3233/PPL-2011-0336","url":null,"abstract":"Although more than 7000 diseases have been classified as rare in nature, estimates place fewer than five percent of these diseases as being a current focus of substantial drug development. Several challenges exist concerning the basic understanding of these conditions overall, including a lack of understanding surrounding natural history, epidemiology, and effective treatment options in the real-world. The purpose of this paper is to discuss issues concerning unmet needs of rare disease and adoption or reimbursement decisions, including ethical and policy considerations associated with the treatment of rare diseases. Elements that are often inadequately addressed by a standard economic calculus to evaluate rare disease such as distributive justice are also addressed. Overall, the opportunity costs of supporting orphan drug use to treat rare disease must be carefully balanced by the necessities of treating patients with more common diseases wherein cost-effective treatments may more readily exist.","PeriodicalId":348240,"journal":{"name":"Pharmaceuticals, policy and law","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128961366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}