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The Orphan Drug Act: Provisions and Considerations

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Abstract

The United States Orphan Drug Act passed in 1983 provides four provisions to spur the development of medications for conditions that might otherwise have been abandoned. The Office of Orphan Drug Product Development was established to provide assistance in protocol development, and to administer a grants program. A tax credit incentive also was enacted but the most significant incentive has been the market exclusivity clause. Despite such measures, the act in the wake of technological and economic developments should continually be reexamined to enhance efficiency in development of orphan products, to ensure accessibility of these products to patients, and to minimize economic abuses by developers.

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References

  1. Meyers AS. The US Orphan Drug Act: Should the law cover higher profitable drugs? World Pharmaceut. Standards Rev. 1991;1:24–25.

    Google Scholar 

  2. Brandissou S, Yagoubi N, Hasselot N. Orphan Drugs: a problem of public health and an economic stake. Therapie. 1996;51:647–653.

    CAS  PubMed  Google Scholar 

  3. Shulman SR, Bienz-Tadmor B, Seo PS et al. Implementation of the Orphan Drug Act: 1998-1991. Food Drug Law J. 1992;47(4):363–403.

    Google Scholar 

  4. Centers for Disease Control and Prevention. 1993 revised classification system for HIV infection and expnaded surveillance case definitions for AIDS among adolescents and adults. JAMA. 1993;269(6):729–730.

    Article  Google Scholar 

  5. Garber A. Benefits versus profits—has the Orphan Drug Act gone too far? Pharmacoeconomics. 1994;5(2):88–92.

    Article  CAS  Google Scholar 

  6. 21 Code of Federal Regulations (CFR) 316.2.

  7. Peabody JW, Ruby A, Cannon P. The economics of orphan drug policy in the US—Can the legislation be improved? Pharmacoeconomics. 1995;8(5):874–884.

    Article  Google Scholar 

  8. Arno PS, Bonuck K, Davis M. Rare disease, drug development, and AIDS: the impact of the Orphan Drug Act. Milbank Quarterly. 1995;73(2):231–252.

    Article  CAS  Google Scholar 

  9. Haffner ME. The United States Orphan Drug Act: Challenges and successes. Drug Inf. J. 1997;31:23–25.

    Article  Google Scholar 

  10. Tufts Center for the Study of Drug Development.

  11. Statements by Michael Friedman, Deputy Commissioner for Operations, Food and Drug Administration, Department of Health and Human Services. Before the Subcommittee on Human Resources and Intergovernmental Relations, Committee on Government Reform and Oversight, U.S. House of Representatives; Sept 12, 1996.

  12. Haffner ME, Kelsey IV. Evaluation of orphan products by the US Food and Drug Administration. Int J Technol Assess Health Care. 1992;8(4):647–657.

    Article  CAS  Google Scholar 

  13. Orphan Disease Update 1998 XV(3):6.

  14. 21 Code of Federal Regulations (CFR) Part 316. Orphan Drug Regulations: Final Rule; Federal Register. December 29, 1992.

    Google Scholar 

  15. Spilker B. Orphan Drug Act of 1983. Drug News Perspectives. 1996;9(8):460–462.

    Google Scholar 

  16. Myers A. Orphan drugs: The current situation in the United States, Europe, and Asia. Drug Inf J. 1997;31(1):101–104.

    Article  Google Scholar 

  17. 21 Code of Federal Regulations (CFR) 316, 316.3(b) (12,13).

  18. Chew N, Morgan J, Wantowski C. Taming the paper tiger at FDA. App Clin Trials. 1998;7(2):36–40.

    Google Scholar 

  19. Haffner ME. Orphan Drug development—International program and study design issues. Drug Inf J. 1998;32:93–99.

    Article  Google Scholar 

  20. Shulman SR, Manocchia M. The US Orphan Drug Programme 1983-1995. Pharmacoeconomics. 1997;12(3):312–326.

    Article  CAS  Google Scholar 

  21. Pillar B. Orphan Products: drugs and devices for rare diseases. Nursing Econ. 1993;11(2):99–102.

    CAS  Google Scholar 

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Reider, C.R. The Orphan Drug Act: Provisions and Considerations. Ther Innov Regul Sci 34, 295–300 (2000). https://doi.org/10.1177/009286150003400137

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