TY - JOUR
T1 - Emergent treatments for β-thalassemia and orphan drug legislations
AU - Costa, Enrico
AU - Cappellini, Maria Domenica
AU - Rivella, Stefano
AU - Chilin, Adriana
AU - Alessi, Eva
AU - Riccaboni, Massimo
AU - Leufkens, Hubert G.M.
AU - Luzzatto, Lucio
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/11
Y1 - 2022/11
N2 - In many countries, β-thalassemia (β-THAL) is not uncommon; however, it qualifies as a rare disease in the US and in European Union (EU), where thalassemia drugs are eligible for Orphan Drug Designation (ODD). In this paper, we evaluate all 28 ODDs for β-THAL granted since 2001 in the US and the EU: of these, ten have since been discontinued, twelve are pending, and six have become licensed drugs available for clinical use. The prime mover for these advances has been the increasing depth of understanding of the pathophysiology of β-THAL; at the same time, and even though only one-fifth of β-THAL ODDs have become licensed drugs, the ODD legislation has clearly contributed substantially to the development of improved treatments for β-THAL.
AB - In many countries, β-thalassemia (β-THAL) is not uncommon; however, it qualifies as a rare disease in the US and in European Union (EU), where thalassemia drugs are eligible for Orphan Drug Designation (ODD). In this paper, we evaluate all 28 ODDs for β-THAL granted since 2001 in the US and the EU: of these, ten have since been discontinued, twelve are pending, and six have become licensed drugs available for clinical use. The prime mover for these advances has been the increasing depth of understanding of the pathophysiology of β-THAL; at the same time, and even though only one-fifth of β-THAL ODDs have become licensed drugs, the ODD legislation has clearly contributed substantially to the development of improved treatments for β-THAL.
KW - Beta thalassemia
KW - Global health
KW - Orphan drugs
UR - http://www.scopus.com/inward/record.url?scp=85140740663&partnerID=8YFLogxK
U2 - 10.1016/j.drudis.2022.103342
DO - 10.1016/j.drudis.2022.103342
M3 - Review article
C2 - 36058507
AN - SCOPUS:85140740663
SN - 1359-6446
VL - 27
SP - 1
EP - 13
JO - Drug Discovery Today
JF - Drug Discovery Today
IS - 11
M1 - 103342
ER -