Translation of rare disease research into orphan drug development: disease matters

Harald E Heemstra1, Sonja van Weely, Hans A Büller

  • 1Utrecht Institute for Pharmaceutical Sciences, Utrecht University, The Netherlands.

Drug Discovery Today
|October 13, 2009
PubMed

Insights

Orphan drug regulations have improved rare disease treatments. However, development success depends on disease factors, and new incentives are needed for very rare conditions.

Area of Science:

  • Medical Science
  • Pharmacology
  • Rare Diseases

Background:

  • Over 25 years of orphan drug regulations have led to new treatments for rare diseases.
  • However, the success of translating research into drug development varies.
  • Factors influencing this translation are not fully understood.

Purpose of the Study:

  • To investigate the factors determining successful translation of rare disease research into orphan drug discovery and development programs.
  • To assess the sufficiency of current orphan drug legislation in stimulating development for all rare diseases.

Main Methods:

  • Analysis of rare disease research translation into drug development programs.
  • Evaluation of the impact of disease class, prevalence, and scientific output.
  • Assessment of current orphan drug legislation effectiveness.

Main Results:

  • Successful translation is significantly dependent on disease class, prevalence, and scientific output.
  • Current orphan drug legislation is insufficient to stimulate development for diseases with very low prevalence.
  • Disease-specific research needs require tailored incentives.

Conclusions:

  • Orphan drug legislation alone is not enough to drive development for all rare diseases, especially those with very low prevalence.
  • Additional, targeted incentives are necessary to stimulate rare disease research at the disease class level.
  • Future strategies must address the specific needs of different rare disease categories.

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