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Hospitals and universities repurposing drugs at lower cost

kcl.ac.uk

11–20 of 189 posts

Re: Hospitals and universities repurposing drugs at lower cost

#11
post #4

Such studies are great but there is no regulatory pathway to extend the use of existing drugs for new indications of use without the consent of the manufacturer (or becoming a manufacturer yourself). This means such studies can give more clarity on which off-label use is beneficial but it can't be an officially allowed usage.

The article points out that it is typically after patent expiry that the universities and hospitals start looking at repurposing.

Re: Hospitals and universities repurposing drugs at lower cost

#12
post #8

I have been a supporter of Cures Within Reach, a nonprofit that focuses on repurposing drugs, especially for rare diseases. https://www.cureswithinreach.org They have funded some important repurposed-drug studies for Huntingtons Disease, which runs in my family. For a disease like this, it's never going to make sense for major pharmaceutical companies to invest the effort to develop entirely new drugs, but by repurpo…

I'm on my cell phone and I couldn't figure out what diseases can be treated on the site. I'd say it's donor focused and not patient focused

Re: Hospitals and universities repurposing drugs at lower cost

#13
post #5
post #4

Such studies are great but there is no regulatory pathway to extend the use of existing drugs for new indications of use without the consent of the manufacturer (or becoming a manufacturer yourself). This means such studies can give more clarity on which off-label use is beneficial but it can't be an officially allowed usage.

That seems wild. Do you have a citation to back that up? And in what country/countries?

I'm in the US, and there are a couple of wrinkles to this: insurance typically won't cover off label use, so patients end up paying the full cost of the medication, and if there is a big enough market, I believe companies can patent the new use even if the patents for the original use have run out.

Doctors here are allowed to prescribe them though.

Re: Hospitals and universities repurposing drugs at lower cost

#14
post #4

Such studies are great but there is no regulatory pathway to extend the use of existing drugs for new indications of use without the consent of the manufacturer (or becoming a manufacturer yourself). This means such studies can give more clarity on which off-label use is beneficial but it can't be an officially allowed usage.

There tens of millions of people being treated off-label.

Re: Hospitals and universities repurposing drugs at lower cost

#15

How do people needing (and willing to risk) treatment hear about repurposing studies?

Communities (on-line or off-line) of people who share your disorder, and maybe health care professionals who see many patients with your disorder.

Re: Hospitals and universities repurposing drugs at lower cost

#16
post #8

I have been a supporter of Cures Within Reach, a nonprofit that focuses on repurposing drugs, especially for rare diseases. https://www.cureswithinreach.org They have funded some important repurposed-drug studies for Huntingtons Disease, which runs in my family. For a disease like this, it's never going to make sense for major pharmaceutical companies to invest the effort to develop entirely new drugs, but by repurpo…

Have you looked into UniQure / Clearpoint Neuro ?

Exciting stuff, if it gets FDA approved.

Re: Hospitals and universities repurposing drugs at lower cost

#17
post #4

Such studies are great but there is no regulatory pathway to extend the use of existing drugs for new indications of use without the consent of the manufacturer (or becoming a manufacturer yourself). This means such studies can give more clarity on which off-label use is beneficial but it can't be an officially allowed usage.

There tens of millions of people being treated off-label.

Can confirm. LDN user here.

Re: Hospitals and universities repurposing drugs at lower cost

#18
post #4

Such studies are great but there is no regulatory pathway to extend the use of existing drugs for new indications of use without the consent of the manufacturer (or becoming a manufacturer yourself). This means such studies can give more clarity on which off-label use is beneficial but it can't be an officially allowed usage.

There tens of millions of people being treated off-label.

The doctors are assuming liability or let the patient sign waivers, which I guess is fine. But the lack of a pathway prevents a lot of commercial possibilities. For instance it is almost impossible to build a business around supporting off-label use cases (for instance selling necessary accessories).

Re: Hospitals and universities repurposing drugs at lower cost

#19
post #11
post #4

Such studies are great but there is no regulatory pathway to extend the use of existing drugs for new indications of use without the consent of the manufacturer (or becoming a manufacturer yourself). This means such studies can give more clarity on which off-label use is beneficial but it can't be an officially allowed usage.

The article points out that it is typically after patent expiry that the universities and hospitals start looking at repurposing.

The patents aren't hindering off-label use. The hinder commercial exploitation by others.

Re: Hospitals and universities repurposing drugs at lower cost

#20
The prices of drugs in the USA are especially high. This is interesting because the USA claims to pursue a maximum capitalistic society - but if this were the case, you'd have competition in a free market. But you don't have that. You have a cartel (or rather more than one).

A pure capitalistic society works on assumptions that are not real. People are often cheaters. This would have to be taken into account. But when you have an orange Al Capone in charge, it is pillage day. Even before the orange King you had heavily overcharged prices in the health care system. You need to realise that you have a mafia in charge that does not want to change this system. Why kill the cow that you can milk for free?

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