230
Views
3
CrossRef citations to date
0
Altmetric
Original Research

Drugs and biologics receiving FDA orphan drug designation: an analysis of the most frequently designated products and their repositioning strategies

, , &
Pages 265-272 | Received 24 Oct 2021, Accepted 23 Feb 2022, Published online: 01 Mar 2022

References

  • Orphan Drug Act. P.L. 97–414 (Jan 4, 1983).
  • Patel S, Needleman KIM. FDA’s office of orphan products development: providing incentives to promote the development of products for rare diseases. J Pharmacokinet Pharmacodyn. 2019;46(5):387–393.
  • “Protection for drugs for rare diseases or condition”. (2011). 21 U.S.C. § 360cc(a)(2).
  • “Content and format of a request for orphan-drug designation”. (2021). 21 C.F.R. §316.20.
  • Miller KL, Lanthier M. Trends in orphan new molecular entities, 1983–2014: half were first in class, and rare cancers were the most frequent target. Health Affairs. 2016;35(3):464–470.
  • Miller KL, Lanthier M. Investigating the landscape of US orphan product approvals. Orphanet J Rare Dis. 2018;13(1):183.
  • Kesselheim AS, Wang B, and Franklin JM, et al. Trends in utilization of FDA expedited drug development and approval programs, 1987-2014: cohort study. BMJ. 2015;351:h4633.
  • Miller KL, Fermaglich LJ, Maynard J. Using four decades of FDA orphan drug designations to describe trends in rare disease drug development: substantial growth seen in development of drugs for rare oncologic, neurologic, and pediatric-onset diseases. Orphanet J Rare Dis. 2021;16(1):1–10.
  • US Food and Drug Administration Center for Drug Evaluation and Research. “Advancing health through innovation: new drug therapy approvals”. 2020 Accessed 8 12 2021. [ Avaliable from: https://www.fda.gov/media/144982/download].
  • Wellman-Labadie O, Zhou Y. The US orphan drug act: rare disease research stimulator or commercial opportunity? Health Policy. 2010;95(2):216–228.
  • Lichtenberg FR, and Waldfogel J. Does misery love company? Evidence from pharmaceutical markets before and after the orphan drug act. Cambridge, MA: National Bureau of Economic Research; 2003.
  • Miller KL. Do investors value the FDA orphan drug designation?. Orphanet J Rare Dis. 2017;12(1):114.
  • Bagley N, Berger B, Chandra A, et al. The orphan drug act at 35: observations and an outlook for the twenty-first century. Innov Policy Econ. 2019;19(1):97–137.
  • Sarpatwari A, Beall RF, Abdurrob A, et al. Evaluating the impact of the orphan drug act’s seven-year market exclusivity period. Health Affairs. 2018;37(5):732–737.
  • Kerr KW, Glos LJ. Effective market exclusivity of new molecular entities for rare and non-rare diseases. Pharm Med. 2020;34(1):19–29.
  • Polamreddy P, Gattu N. The drug repurposing landscape from 2012 to 2017: evolution, challenges, and possible solutions. Drug Discov Today. 2019;24(3):789–795.
  • Roessler HI, Knoers NV, van Haelst MM, et al. Drug repurposing for rare diseases. Trends Pharmacol Sci. 2021;42(4):255–267.
  • Bloom BE. Recent successes and future predictions on drug repurposing for rare diseases. Expert Opin Orphan Drugs. 2016;4(1):1–4.
  • Allarakhia M. Open-source approaches for the repurposing of existing or failed candidate drugs: learning from and applying the lessons across diseases. Drug Des Devel Ther. 2013;7:753.
  • Pushpakom S, Iorio F, Eyers PA, et al. Drug repurposing: progress, challenges and recommendations. Nat Rev Drug Discov. 2019;18(1):41–58.
  • US Food and Drug Administration. “Search orphan drug designations and approvals”. [ Available from: https://www.accessdata.fda.gov/scripts/opdlisting/oopd/]. Accessed Jan 2021.
  • World Health Organization WH. “ATC Classification”. [ Available from: https://www.who.int/tools/atc-ddd-toolkit/atc-classification]. Accessed May 2021.
  • Langedijk J, Mantel-Teeuwisse AK, Slijkerman DS, et al. Drug repositioning and repurposing: terminology and definitions in literature. Drug Discov Today. 2015;20(8):1027–1034.
  • Strittmatter SM. Overcoming drug development bottlenecks with repurposing: old drugs learn new tricks. Nat Med. 2014;20(6):590–591.
  • Janciauskiene SM, Nita IM, Stevens T. α1-Antitrypsin, old dog, new tricks: α1-antitrypsin exerts in vitro anti-inflammatory activity in human monocytes by elevating cAMP. J Biol Chem. 2007;282(12):8573–8582.
  • Tawara I, Sun Y, Lewis EC, et al. Alpha-1-antitrypsin monotherapy reduces graft-versus-host disease after experimental allogeneic bone marrow transplantation. Proc Nat Acad Sci. 2012;109(2):564–569.
  • Corroon J, Kight R. Regulatory status of cannabidiol in the United States: a perspective. Cannabis Cannabinoid Res. 2018;3(1):190–194.
  • US Food and Drug Administration. “EPIDIOLEX® (cannabidiol) oral solution drug label”. 2018. [ Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/210365lbl.pdf]. Accessed May 2021.
  • Zou S, Kumar U. Cannabinoid receptors and the endocannabinoid system: signaling and function in the central nervous system. Int J Mol Sci. 2018;19(3):833.
  • Verbaanderd C, Rooman I, Meheus L, et al. Overcoming regulatory and financial barriers to bring repurposed medicines to cancer patients. Front Pharmacol. 2020;10:1664.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.