药物开发的经济学:孤儿药与非孤儿药的比较。

Virendra S Gomase, Rupali Sharma, Satish Sardana, Suchita P Dhamane
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引用次数: 0

摘要

由于市场规模、法律限制和财政激励的差异,孤儿药和非孤儿药的药物开发成本差别很大。为了克服患者数量少和患者人均成本高的问题,针对罕见疾病的孤儿药通常需要定制技术。由于非孤儿药是针对更大的人群,它们需要更彻底的临床试验和激烈的市场竞争。材料与方法:本研究比较2010 - 2020年批准的孤儿药和非孤儿药临床试验数据的成本。试验持续时间、总体开发支出和每位患者成本是重要的标准。为了估算成本组成部分,参考了行业报告和监管文件等二手数据源。通过统计分析发现了显著的成本驱动因素和差异。结果:孤儿药总体临床开发成本普遍较低,患者人均成本远高于非孤儿药。包括税收抵免和加速监管程序在内的财政激励措施帮助孤儿药物试验总体上节省了资金。然而,非孤儿药需要更广泛的安全性和有效性评估和更大的III期试验,它们的成本更高。结论:研究强调孤儿药和非孤儿药具有不同的临床成本结构和经济权衡。尽管监管激励措施成功地降低了孤儿药研究的障碍,但每位患者的高成本突出了可持续融资选择的必要性。药物研究成本对包括制药公司、医生和立法者在内的各种利益相关者的经济影响,使他们能够在药物开发的资源分配和投资方面做出合理的选择。决策者和行业利益相关者可以利用这些数据帮助建立公平和有效的药物开发框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Economics of Drug Development: A Comparison Between Orphan and Non-Orphan Drugs.

Introduction: Drug development costs for orphan and non-orphan drugs range greatly because of variations in market size, legal constraints, and financial incentives. In order to overcome tiny patient populations and high per-patient costs, orphan drugs that target rare diseases frequently need customized techniques. Since non-orphan drugs are intended for larger populations, they require more thorough clinical trials and fierce rivalry in the market.

Materials and methods: Clinical trial data for orphan and non-orphan drugs authorized between 2010 and 2020 were compared in terms of cost in this study. Trial duration, overall development expenditures, and per-patient costs were important criteria. To estimate cost components, secondary data sources such as industry reports and regulatory filings were consulted. Significant cost drivers and variations were found using statistical analysis.

Results: The study show the orphan pharmaceuticals had generally lower overall clinical development costs, the cost per patient was much higher than that of non-orphan drugs. Financial incentives including tax credits and accelerated regulatory processes helped orphan drug trials save money overall. However, non-orphan drugs required more extensive safety and efficacy evaluations and larger Phase III trials, their costs were higher.

Conclusion: The study emphasizes orphan and non-orphan drugs have different clinical cost structures and economic trade-offs. The necessity for sustainable financing options is highlighted by the high costs per patient, even as regulatory incentives successfully lower barriers for orphan drug research. The economic impact of drug research costs on various stakeholders, including drug companies, physicians, and lawmakers, enables them to make sound choices regarding resource allocation and investments in drug development. Policymakers and industry stakeholders can use these data to help create fair and effective frameworks for drug development.

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