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José M García Fernández1, Carmen Ortiz Mellet2

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Millions are impacted by over 7,000 rare diseases, often called orphan diseases. While regulations accelerate new orphan drug development, their high costs pose a sustainability challenge, as seen with lysosomal storage disorders.

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Area of Science:

  • Biomedical Science
  • Pharmacoeconomics
  • Rare Disease Research

Background:

  • Over 7,000 rare diseases affect millions globally, challenging the notion of "orphan" status implying infrequency.
  • The US Orphan Drug Act and similar global regulations have stimulated the development of novel therapeutic agents for rare conditions.

Discussion:

  • High pricing of orphan drugs presents a significant threat to the long-term sustainability of rare disease treatment programs.
  • Lysosomal storage disorders exemplify the dual outcomes of orphan drug development: therapeutic advancements alongside economic pressures.

Key Insights:

  • Regulatory incentives have successfully fostered innovation in the rare disease space.
  • The economic viability of treating rare diseases is increasingly scrutinized due to escalating drug costs.

Outlook:

  • Future strategies must balance therapeutic innovation with affordable access to ensure sustainable care for rare disease patients.
  • Continued research into cost-effective therapeutic models is crucial for the long-term management of lysosomal storage disorders and other rare conditions.