eprintid: 20703
rev_number: 13
eprint_status: archive
userid: 1589
dir: disk0/00/02/07/03
datestamp: 2016-05-19 08:32:28
lastmod: 2024-03-10 13:54:20
status_changed: 2016-05-19 08:32:28
type: article
metadata_visibility: show
creators_name: Lutz, Thomas
creators_name: Lampert, Anette
creators_name: Hoffmann, Georg F.
creators_name: Ries, Markus
title: Novel treatments for rare rheumatologic disorders: analysis of the impact of 30 years of the US orphan drug act
subjects: ddc-610
divisions: i-910100
divisions: i-910500
abstract: Background: Rare rheumatologic diseases are a heterogeneous group of conditions associated with high morbidity. As a whole group, rare rheumatologic diseases afflict millions of people demanding for effective therapies. Therefore, we analyzed the impact of the US Orphan Drug Act on the development of anti-rheumatic orphan drugs.   Methods: Analysis of the FDA database for orphan drug designations.   Results: In the last three decades, out of 77 orphan drug designations, 14 orphan drug approvals were granted by the FDA for the treatment of rare rheumatologic disorders, i.e. juvenile idiopathic arthritis (N = 5), cryopyrin-associated periodic syndromes (N = 3), uveitis (N = 3), familial Mediterranean fever (N = 1), anti-neutrophil cytoplasmic antibody-associated vasculitis (N = 1), and xerostomia and keratoconjunctivitis sicca in Sjögren’s syndrome (N = 1). Mean time (standard deviation) from designation to approval was 3.9 (2.81) [range 1 … 12] years. Number of FDA-approved small molecules (N = 6, 43 %) and biologics (N = 8, 57 %) was comparable. Almost every fifth (19 %) orphan drug designation was withdrawn. Despite the rarity of conditions, 13/14 pivotal studies were randomized controlled trials.   Conclusions: Orphan drug development is challenging: thirty years of US orphan drug act supported the development and FDA approval of 14 orphan drug programs with anti-rheumatic compounds for six rheumatologic diseases.
date: 2016
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1656784610
own_urn: urn:nbn:de:bsz:16-heidok-207031
language: eng
bibsort: LUTZTHOMASNOVELTREAT2016
full_text_status: public
publication: Orphanet Journal of Rare Diseases
volume: 11
number: 60
place_of_pub: London
pagerange: 1-12
issn: 1750-1172
citation:   Lutz, Thomas ; Lampert, Anette ; Hoffmann, Georg F. ; Ries, Markus  (2016) Novel treatments for rare rheumatologic disorders: analysis of the impact of 30 years of the US orphan drug act.  Orphanet Journal of Rare Diseases, 11 (60).  pp. 1-12.  ISSN 1750-1172     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/20703/1/13023_2016_Article_443.pdf