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Targeting rare diseases makes financial sense for pharma

World News | August 23, 2012
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Kevin Grogan

Targeting rare diseases makes financial sense for pharma

Orphan drugs have the potential to generate as much lifetime revenue as treatments used for more common health conditions, according to a study published by Thomson Reuters.

The report compared the total value of orphan drugs from 1990 to 2030 and found that government incentives, shorter clinical trials and high rates of regulatory success make top orphan drugs as economically viable as non-orphan ones. Current estimates indicate that 250 new rare diseases are identified annually and a number of orphan drug therapies are already achieving blockbuster status.

Thomson Reuters claims that Roche and Biogen Idec's Rituxan (rituximab), which has garnered significant sales for the treatment of two rare diseases - chronic lymphocytic leukemia and non-Hodgkin’s lymphoma - as well as for the non-orphan indication rheumatoid arthritis. has a lifetime revenue potential (LRP) of $154 billion, second only to Pfizer's cholesterol blockbuster Lipitor (atorvastatin), with LRP of $197 billion.

The study notes that the orphan drug market was worth just over $50 billion globally at the end of 2011, and spending on such treatments currently makes up 6% of total pharmaceutical sales, assuming a total market value of $880 billion. The compound annual growth rate (CAGR) of the orphan drug market between 2001 and 2010 was 25.8%, compared to only 20.1% for a matched control group of non-orphan drugs.

Thomson Reuters says that this data, combined with the increasing number of orphan drug approvals, suggests that the CAGR of launched rare drugs "will outshine that of the non-orphan control drugs over the next 30 years". Kiran Meekings, life sciences consultant at Thomson Reuters and co-author of the report, said the figures give "economic validity to the importance of targeting rare diseases in the global pharmaceutical market".

He added that "not only does such focus help those affected by rare diseases, of which there are 25 million people in the USA alone, it also furthers the aim of precision medicine". It also "substantiates the envisioned high returns on the R&D investment, particularly for drugs with multiple orphan disease approvals.”

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  1. Steven Grossman 26 Aug

    I think the general conclusion of T-R report is probably correct---orphan drugs is a market segment that will continue to grow and has the capability of providing satisfactory ROI to companies developing orphans. However, I have problems with the type of extrapolations being made by the report--which suggests that past profits and CAGR are sustainable into the future.



    First, the rarity of $200k to $400k per year drugs is what makes it feasible for companies to charge that amount. As insurers are faced with more of these and they take some larger chunk of PPPM (per patient per month) insurance premiums, there is bound to be a market adjustment. Second, within a decade (not necessarily sooner as some weirdly predict), there will be enough of a biosimilar market in the US to start affecting ROI and CAGR. I think life will still be very good for successful orphan developers--but not at the level achieved by extrapolating past growth.



    I have addressed the future of orphan drugs in my current blog column (
    http://www.fdamatters.com), as well as maybe 3 other columns this year. Readers may also want to look at a column I did about 18 months ago called "Drug Pricing 101." http://www.fdamatters.com/?p=1345/  Drug pricing is more than just "what the market will bear" or "what savings we generate to the health care system."

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