A Review on Orphan Drug Dynamics: To Treat Rare Health Conditions

Authors

  • Magasani Bala Narasimhulu Priyadarshini Institute of Pharmaceutical Education and Research, 5th mile, Pulladigunta, Guntur-522017, Andhra Pradesh, India

Keywords:

Bulgaria, cancer costs, health in equalities, Drug development, orphan drugs, patient advocacy Rare disease, Genetic disorders Regulatory pathways

Abstract

Orphan drugs are pharmaceutical products designed to treat rare diseases, which affect a small percentage of the population. This article provides a detailed overview of orphan drugs, particularly focusing on the regulatory landscape, challenges, and ongoing initiatives in India. It examines the improvements in India's regulatory framework, including expedited review processes and exemptions from certain clinical trial requirements, aimed at facilitating the development and accessibility of orphan drugs. The article also highlights the contributions of Indian pharmaceutical companies in the orphan drug sector, showcasing a success story from Sun Pharmaceutical Industries Limited, which developed a significant orphan drug. Additionally, the article explores the challenges faced by India in orphan drug development due to its large population and limited resources, alongside the global advancements in gene therapy and drug repurposing. Despite the absence of a clear regulatory pathway for orphan drug development in India, recent policy changes indicate progress. The study advocates for a collaborative approach between the government, regulatory bodies, industries, and patient advocacy groups to accelerate the development of orphan drugs. Furthermore, it discusses the role of emerging technologies and business models in speeding up the process of creating novel treatments for rare diseases. The article also suggests that international collaboration and regulatory harmonization could improve access to these life-saving therapies, particularly in resource-constrained countries. With the continuous advancement of research and regulatory frameworks, there is hope for improving the treatment landscape for rare diseases globally, especially in countries like India.

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References

Gu M, Sun S, You Q, Wang L. Forward or backward: lessons learned from small molecule drugs approved by FDA from 2012 to 2022. Molecules. 2023;28(24):794. https://doi.org/10.3390/molecules28247941

Giannuzzi V, Conte R, Landi A, Ottomano SA, Bonifazi D, Baiardi P, et al. Orphan medicinal products in Europe and United States to cover needs of patients with rare diseases: an increased common effort is to be foreseen. Orphanet J Rare Dis. 2017;12(1):1. https://doi.org/10.1186/s13023-017-0617-1

Miller KL, Fermaglich LJ, Maynard J. Using four decades of FDA orphan drug designations to describe trends in rare disease drug development: substantial growth seen in development of drugs for rare oncologic, neurologic, and pediatric-onset diseases. Orphanet J Rare Dis. 2021;16(1):265. https://doi.org/10.1186/s13023-021-01901-6

Rare Diseases: The Importance of Specialist Involvement in Diagnosis and Treatment. Health Options. 2023. https://doi.org/10.1111/cts.13619

Chatterjee P, Biswas T. Orphan drugs: A review of challenges and opportunities. Cureus. 2021;13(3):e18617. https://doi.org/10.22377/ajp.v18i3.5591

Orphanet. Prevalence and incidence of rare diseases: bibliographic data. Orphanet Report Series: Rare Diseases Collection. 2021;35. https://doi.org/10.1002/ajmg.a.61124

Center Watch. Facing many challenges, orphan drugs take 18% longer to develop. https://doi.org/10.1016/B978-0-323-90300-4.00060-4

IQVIA Holdings, Inc. Global use of medicines 2023 [Internet]. Durham (NC): IQVIA; 2023 [cited 2023 Mar 5]. https://doi.org/10.1377/hlthaff.2024.00469

Chiu ATG, Chung CCY, Wong WHS, Lee SL, Chung BHY. Healthcare burden of rare diseases in Hong Kong - adopting ORPHAcodes in ICD-10 based healthcare administrative data sets. Orphanet J Rare Dis. 2018;13(1):147. https://doi.org/10.1186/s13023-018-0892-5

Bloss S, Klemann C, Rother AK, Mehmecke S, Schumacher U, Mucke U, et al. Diagnostic needs for rare diseases and shared prediagnostic phenomena: results of a German-wide expert Delphi survey. PLoS One. 2017;12(2):e0172532. https://doi.org/10.1371/journal.pone.0172532

Liu P, Lupski JR, Yang Y. Reanalysis of clinical exome sequencing data. N Engl J Med. 2019;380(25):2478–80. doi:10.1056/NEJMc1812033

Rani CHU, Sumalatha G, Rao CHB, Varalakshmi TN. Alzheimer’s disease - pharmacotherapeutic interventions. Int J Pharm Chem Sci. 2013;2(2). https://ijpcsonline.com/archives6/

Volmar CH, Wahlestedt C, Brothers S. Orphan diseases: state of the drug discovery art. Wien Med Wochenschr. 2016;167(9-10):197. https://doi.org/10.1016/j.drudis.2019.01.005

Yoo HW. Development of orphan drugs for rare diseases. Clin Exp Pediatr. 2023;67(7):315. https://doi.org/10.3345/cep.2023.00535

Gindi S, Methra T, Chandu BR, Boyina R, Dasari V. Antiurolithiatic and in vitro anti-oxidant activity of leaves of Ageratum conyzoides in rat. World J Pharm Pharm Sci. 2013;2:636–49. https://doi.org/10.1016/j.drudis.2019.01.005

Hwisa NT, Gindi S, Rao CB, Katakam P, Rao CB. Evaluation of antiulcer activity of Picrasma quassioides Bennett aqueous extract in rodents. Vedic Res Int Phytomedicine. 2013;1:27. https://doi.org/10.22377/ajp.v18i3.5591

Jesani A, Srinivasan S. New drugs and clinical trials rules, 2019: The market trumps ethics and participant rights. Indian J Med Ethics. 2019;4:89–91. https://ijdra.com/index.php/journal

Rani CHU, Sumalatha G, Rao CHB, Varalakshmi TN. Alzheimer’s disease - pharmacotherapeutic interventions. Int J Pharm Chem Sci. 2013;2(2). https://ijpcsonline.com/archives6/

Prasanthi G, Chandu BR, Pradeep Kumar Y, Swarnalatha D, Gopinath C. Chemical pharmacology of khat leaves. J Glob Trends Pharm Sci. 2014;5(4):2024–9. https://www.jgtps.com/admin/uploads/mw7QGy.pdf

Nama S, Chandu BR, Awen BZ, Khagga M. Development and validation of a new RP-HPLC method for the determination of aprepitant in bulk and pharmaceutical dosage forms. Trop J Pharm Res. 2011;10(4). https://www.ajol.info/index.php/tjpr/article/view/69565

Published

2025-05-15

How to Cite

Magasani, B. N. (2025). A Review on Orphan Drug Dynamics: To Treat Rare Health Conditions. UPI Journal of Chemical and Life Sciences, 8(1), 22–28. Retrieved from https://uniquepubinternational.com/journals/index.php/jcls/article/view/129

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Section

Review Article(s)