Evidence map›Paper›PMID 35548705›Full record

ArticleExpert opinion on orphan drugs2022

Drugs and biologics receiving FDA orphan drug designation: an analysis of the most frequently designated products and their repositioning strategies.

Kathleen L Miller, Selma Kraft, Abraham Ipe, Lewis Fermaglich

Open access · greenAbstract read
In one paragraph

Article in Expert opinion on orphan drugs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Landscape Analysis of Generic Availability for Oncologic Drugs.Therapeutic innovation & regulatory science · 2023
    Article
  7. Article
  8. Article
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  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kathleen L MillerOffice of Orphan Products Development, Office of Clinical Policy and Programs, Office of the Commissioner, US Food and Drug Administration.
Selma KraftOffice of Orphan Products Development, Office of Clinical Policy and Programs, Office of the Commissioner, US Food and Drug Administration.
Abraham IpeOffice of Orphan Products Development, Office of Clinical Policy and Programs, Office of the Commissioner, US Food and Drug Administration.
Lewis FermaglichOffice of Orphan Products Development, Office of Clinical Policy and Programs, Office of the Commissioner, US Food and Drug Administration.
United States Food and Drug Administration · US

Funding

Intramural FDA HHS FD999999
6 · The paper itself

Abstract

Background: The Orphan Drug Act was created to stimulate the development of drugs and biologics for rare diseases. Investigating products that have received orphan drug designation provide a greater understanding of rare disease drug development, as well as the repositioning business models of developers. Research design and methods: We used a dataset containing all orphan drug designations between 1983 and 2019. To analyze the orphan products, we constructed a variable, 'unique product,' that allowed for the standardization of generic names of drugs and biologics. Additional analysis was performed on the most frequently designated unique products and their repositioning strategies. Results: We found 5,099 orphan drug designations representing 3,269 unique products, of which 508 had an orphan-designated approval from FDA. Unique products with only a single designation represented 2,448 (75%) of the total products and 26 (1%) products had 10 or more designations. Over 60% of these unique products with 10 or more designations were antineoplastics or immunomodulators. Conclusions: The most designated unique products revealed a continuum of repositioning strategies, from the repurposing of approved drugs to parallel indication development programs for recently developed drugs. The fact that over 3,000 unique products have been studied for rare diseases indicates that future repositioning opportunities may become increasingly available.

Indexed as

Orphan designationorphan drug actrare diseaserepositioningrepurposingUS food and drug administration

Identifiers

PMID35548705
PMCPMC9087212
OpenAlexW4214673076

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.