Emerging Growth of Orphan Drugs for Neurological Diseases in Japan: Potential Benefits for Both Patients and Pharmaceutical Companies

Authors

  • Shoyo Shibata Division of Basic Biological Sciences, Faculty of Pharmacy, Keio University, 1-5-30 Shibakoen, Minato-ku, Tokyo 105-8512, Japan
  • Hitomi Kawaguchi Division of Basic Biological Sciences, Faculty of Pharmacy, Keio University, 1-5-30 Shibakoen, Minato-ku, Tokyo 105-8512, Japan
  • Ryotaro Uemura Division of Basic Education, Faculty of Pharmacy, Keio University, 1-5-30 Shibakoen, Minato-ku, Tokyo 105-8512, Japan
  • Takeshi Suzuki Division of Basic Biological Sciences, Faculty of Pharmacy, Keio University, 1-5-30 Shibakoen, Minato-ku, Tokyo 105-8512, Japan

DOI:

https://doi.org/10.21423/JRS-V04N03P007

Keywords:

drug development, neurology, orphan drug, Japanese pharmaceutical market, PMDA

Abstract

Despite the existence of numerous rare neurological diseases, no studies have been conducted on orphan drugs for neurological diseases available on the Japanese pharmaceutical market and their potential benefits. In this context, from a statistical perspective, we investigated 1) the market position of orphan drugs in Japan, and 2) the market penetration of generic medicines. To the best of our knowledge, this is the first empirical study to examine the current status and development strategy of orphan drugs approved for neurological diseases in the Japanese pharmaceutical market. The perspectives provided by this research are expected to promote the clinical development of orphan drugs in Japan for patients suffering from intractable neurological diseases that currently have no known effective therapies. The dataset used in this research was generated from publicly and commercially available data sources in Japan. Marketing approvals for orphan neurological products have increased dramatically in recent years. As much as 10% of all drugs approved for neurological diseases in Japan were orphan drugs that met urgent medical needs. Six of these orphan drugs were ranked in top 500 best-selling drugs in Japan, which indicated the presence of a potentially large market. Compared with more conventional drugs, the prices of orphan drugs are not expected to be reduced. In addition, due to an apparent lack of competition from generics, the quantity of available orphan drugs has remained steady, suggesting stable long-term sales. Most orphan drugs in Japan have adopted innovative marketing strategies that divide major neurological diseases into a more specific variety of rare disease categories. We found that orphan drugs approved for neurological diseases in Japan have been launched steadily. It is unlikely that these drugs will be affected by regular price revisions and the launch of their generic counterparts. Based on these findings, the further development of orphan drugs in Japan should be encouraged in order to meet urgent medical needs and deliver innovative drugs to patients suffering from rare neurological diseases.

https://doi.org/10.21423/jrs-v04n03p007 (DOI assigned 5/31/2019)

References

A. Lavandeira, Orphan drugs: legal aspects, current situation, Haemophilia 8.

M.W¨astfelt, B. Fadeel, J. Henter, A journey of hope: lessons learned from studies on rare diseases and orphan drugs, J. Intern. Med. 260 (2006) 1.

H. Heemstra , From research on rare diseases to new orphan drug development., Utrecht: Utrecht University, 2010.

M. Haner, Adopting orphan drugs=two dozen years of treating rare diseases, N. Engl. J. Mede. 354 (2006) 445.

R. Joppi, V. Bertele, S. Garattini, Orphan drug development is not taking o, Br. J. Clin. Pharmacol. 67 (2009) 494.

T. Cot´e, K. Xu, A. Pariser, Accelerating orphan drug development, Nat. Rev. Drug. Discov. 9 (2010) 901.

M. Drummond, D. Wilson, P. Kanavos, P. Ubel, J. Rovira, Assessing the economic challenges posed by orphan drugs, Int. J. Technol. Assess. 23 (2007) 36.

P. Franco, Orphan drugs: the regulatory environment, Drug. Discov. Today 18 (2013) 163.

A. Cˆot´e, B. Keating, What is wrong with orphan drug policies?, Value. Health. 15 (2012) 1185.

R. Hyde, D. Dobrovolny, Orphan drug pricing and payer management in the United States: are we approaching the tipping point?, Am. Health. Drug. Benefits 3 (2010) 15.

M. Braun, S. Farag-El-Massah, K. Xu, T. R. Cot´e, Emergence of orphan drugs in the United States: a quantitative assessment of the first 25 years, at. Rev. Drug. Discov. 9 (2010) 519.

H. Nakamura, New and future treatments for neurological disorders-knowledge essential to daily clinics and future prospects. Topics: 14. The drug development of orphan drug, Nihon Naika Gakkai Zasshi. 102 (2013) 2009.

M. Haner, Orphan drug product regulation=United States, Int. J. Clin. Pharmacol. Ther. 40 (2002) 84.

M. Haner, Designing clinical trials to study rare disease treatment, Drug. Inf. J. 32 (1998) 957.

T. Cot´e, A. Kelkar, K. Xu, M. Braun, M. Phillips, Orphan products: an emerging trend in drug approvals, Nat. Rev. Drug. Discov. 9 (2010) 84.

W. Yin, Market incentives and pharmaceutical innovation, J. Health. Econ. 27 (2008) 1060.

S. Shibata, R. Uemura, T. Suzuki, Factors that aect the acquisition of reward premiums for promotion of innovative drug discovery in Japan, Ther. Innov. Regul. Sci. 50 (2016) 56.

S. Shibata, R. Uemura, T. Suzuki, Impact of premium rewards for the promotion of innovative drug discovery on the Japanese pharmaceutical market: an analysis by therapeutic area, Ther. Innov. Regul. Sci. 50 (2016) 49.

S. Shibata, R. Uemura, T. Suzuki, Comparative analysis between the top-selling drugs in the Japanese pharmaceutical market and those in the United States, the United Kingdom, France, and Germany, Ther. Innov. Regul. Sci. 50 (2016) 221.

I. Melnikova, Rare diseases and orphan drugs, Nat. Rev. Drug. Discov. 11 (2012) 267.

N. Muramatsu, H. Akiyama, Japan: super-aging society preparing for the future, Gerontologist. 51 (2011) 425.

J. Morrison, P. Hof, Life and death of neurons in the aging brain, Science. 278 (1997) 412.

R. Shimazawa, I. Kusumi, M. Ikeda, Delays in psychiatric drug development in Japan, J. Clin. Pharm. Ther. 37 (2012) 348.

R. Shimazawa, M. Ikeda, Delays in neurological drug development in Japan, Intern. Med. 50 (2011) 1565.

R. Shimazawa, M. Ikeda, Japan lags behind the UK in neurological drug approvals, Br. J. Clin. Pharmacol. 71 (2011) 473.

F. Takaku, Y. Yazaki, Manual of Therapeutic Agents 2015. Tokyo: Igaku-Shoin Ltd. 2014.

T. Kodama, N. Tomita, Global movement for diagnosis and treatment of rare/intractable diseases, Journal of the National Institute of Public Health 60 (2011) 105.

T. Kodama, S. Takemura, International comparison of undiagnosed diseases program and rare diseases, Journal of the National Institute of Public Health 59 (2010) 245.

L. Coles, J. Cloyd, The role of academic institutions in the development of drugs for rare and neglected diseases, Clin. Pharmacol. Ther. 92 (2012) 193.

S. B. Haeberlein, T. Harris, Promising targets for the treatment of neurodegenerative diseases, Clin. Pharmacol. Ther. 98 (2015) 492.

L. Lesko, Quantitative analysis to guide orphan drug development, Clin. Pharmacol. Ther. 92 (2012) 258.

E. Bashaw, L. Fang, Clinical pharmacology and orphan drugs: an informational inventory 2006–2010, Clin. Pharmacol. Ther. 91 (2012) 932.

M. Orfali, L. Feldman, V. Bhattacharjee, P. Harkins, S. Kadam, C. Lo, M. Ravi, D. Shringarpure, J. Mardekian, C. Cassino, T. Cot´e, Raising orphans: how clinical development programs of drugs for rare and common diseases are different, Clin. Pharmacol. Ther. 92 (2012) 262.

C. Milne, Prospects for rapid advances in the development of new medicines for special medical needs, Clin. Pharmacol. Ther. 95 (2014) 98.

D. Sardana, C. Zhu, M. Zhang, R. Gudivada, L. Yang, A. Jegga, Drug repositioning for orphan diseases, Brief. Bioinform. 12 (2011) 346.

S. Ekins, A. Williams, M. Krasowski, J. Freundlich, In silico repositioning of approved drugs for rare and neglected diseases, Drug. Discov. Today 16 (2011) 298.

S. Simoens, Pricing and reimbursement of orphan drugs: the need for more transparency, Orphanet. J. Rare. Dis. 6 (2011) 1172.

C. Oo, L. Rusch, A personal perspective of orphan drug development for rare diseases: a golden opportunity or an unsustainable future?, J. Clin. Pharmacol. 56 (2016) 257.

A. Kesselheim, Ethical considerations in orphan drug approval and use, Clin. Pharmacol. Ther. 92 (2012) 153.

H. Gaddipati, K. Liu, A. Pariser, R. Pazdur, Rare cancer trial design: lessons from FDA approvals, Clin. Cancer. Res. 18 (2012) 5172.

A. Kesselheim, J. Gagne, Strategies for postmarketing surveillance of drugs for rare diseases, Clin. Pharmacol. Ther. 95 (2014) 265.

A. Dupont, P. V. Wilder, Access to orphan drugs despite poor quality of clinical evidence, Br. J. Clin. Pharmacol. 71 (2011) 488.

S. Shibata, R. Uemura, K. Chiba, T.Suzuki, A Comprehensive Analysis of Factors That Contribute to Conditional Approval and All-Case Surveillance Designations That Subsequently Lead to Shortening of Review Times in Japan, Journal of Regulatory Science 4 (2016) 1.

J. G. von der Schulenburg, M. Frank, Rare is frequent and frequent is costly: rare diseases as a challenge for health care systems, Eur. J. Health. Econ. 16 (2014) 113.

J. Aronson, Rare diseases and orphan drugs, Br. J. Clin. Pharmacol. 61 (2006) 243.

J. Dear, P. Lilitkarntakul, D.Webb, Are rare diseases still orphans or happily adopted?The challenges of developing and using orphan medicinal products, Br. J. Clin. Pharmacol. 62 (2006) 264.

Downloads

Published

2016-07-22

Issue

Section

Scientific Articles