EMA launches Priority Medicines Scheme

In the previous year the European Medicines Agency (EMA) set up a public consultation to develop a scheme to optimise the development and accelerated assessment of medicines of major public health interest (Read in OrphaNews). It was developed in consultation with the Agency's scientific committees, the European Commission and its expert group on Safe and Timely Access to Medicines for Patients (STAMP) as well as the European medicines regulatory network. This scheme for priority medicines was called PRIME) and is based on enhanced interaction and early dialogue with medicine developers.
The EMA has launched PRIME where a medicine is chosen to benefit from it based on its benefit patients with unmet medical needs based on early clinical data. The EMA encourages applicants from the academic sector and micro-, small- and medium-sized enterprises (SMEs), who can apply earlier on the basis of compelling non-clinical data and tolerability data from initial clinical trials. Companies can also request fee waivers for scientific advice.
The EMA has outlined the process once a candidate medicine has been selected for PRIME which is described in detail on their website.
For more information

Epidemiology of orphan lung diseases in Asia is not well known or studied due to scarcity of cases, centralized patient registries and disparate locations. According to authors of a commentary published in The Lancet – Respiratry Medicine, “the picture of other paediatric orphan lung diseases in Asia is more obscure than that for patients with cystic fibrosis because most data are derived from case reports.”
The article describes the Iranian Pediatric Orphan Lung Diseases (IPOLD) registry that collects data about several orphan lung diseases, concurrent with which they established the national cystic fibrosis registry. The collaborative effort of this registry consists, among others, of about 300 documented children with cystic fibrosis, 25 interested paediatric pulmonologists and paediatricians participating in the registration of cases of orphan lung diseases through a secure web-based network system. The authors believe that this effort, especially in Asia is laudable and “a global consensus regarding the prevention, diagnosis, and treatment of paediatric orphan lung diseases will only be achieved through the collaboration of national registries and the emergence of coordinated action by health authorities to address this unmet medical need.”
The National Organization for Rare Disorders (NORD) have announced the 2016 Rare Impact Award recipients to be honored on 17 May, 2016.
To address shortages of life-saving chemotherapy and supportive care agents for children with cancer, an ethical framework is proposed in a commentary published in Journal of National Cancer Institute. According to the authors this framework, based upon multidisciplinary expert opinion and a panel of consultants, includes strategies to minimize waste and adequately prioritise according to a modified utilitarian model. It identifies three important factors that can help to support reasoned decision making for the allocation of drugs for children with cancer: curability, prognosis, and the incremental importance of a particular drug to a given patient’s outcome. The framework provides reasoning for explicit decision-making as well as minimises bias. According to the authors this framework provides adequate support and guidance to doctors and help them in making decisions without feeling like it a solitary venture. 




An article published in Regulatory Rapporteur describes the requirement to try innovative regulatory approaches to address access to medicines for patients with unmet medical needs. According to the authors success of these approaches will depend on the “early incorporation of patients’ views and preferences into clinical trial design and during benefit–risk evaluation and health technology assessment (HTA).” The article provides details on how rare disease patients are more readily available and are willing to take greater risk in order to receive early access to medications and believe that increasing the patients influence in the regulatory process will increase and benefit this process. Additionally the authors describe HTA involvement in access to new therapies and provide examples of how the HTA can be enhanced and how the industry and patients can be involved in strengthening this process.
A group of 14 authors from different disciplines have launched the book Ethics in research on rare diseases, the first monograph on this subject published in Spanish, which was created with the aim of “responding to the ethical concerns that research in rare diseases currently poses", according to the authors.