Evidence map›Paper›PMID 37537670›Full record

ArticleOrphanet journal of rare diseases2023

How to START? Four pillars to optimally begin your orphan drug development.

Anneliene Hechtelt Jonker, Liliana Batista, Michela Gabaldo, Virginie Hivert, Diego Ardigo, IRDiRC ODDG TF and IRDiRC TSC

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Rare Disease Drug Repurposing.JAMA network open · 2025
    Article
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

6 authors.

Anneliene Hechtelt JonkerIRDiRC, Paris, France. a.h.jonker@utwente.nl.ORCID http://orcid.org/0000-0001-5883-7610
Liliana BatistaIRDiRC, Paris, France.
Michela GabaldoIRDiRC, Paris, France.
Virginie HivertIRDiRC, Paris, France.
Diego ArdigoIRDiRC, Paris, France.
IRDiRC ODDG TF and IRDiRC TSC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug development is a complex, resource intensive and long process in any disease area, and developing medicines to treat rare diseases presents even more challenges due to the small patient populations, often limited disease knowledge, heterogeneous clinical manifestations, and disease progression. However, common to all drug development programs is the need to gather as much information as possible on both the disease and the patients' needs ahead of the development path definition. Here, we propose a checklist named START, a tool that provides an overview of the key pillars to be considered when starting an orphan drug development: STakeholder mapping, Available information on the disease, Resources, and Target patient value profile. This tool helps to build solid foundations of a successful patient-centered medicines development program and guides different types of developers through a set of questions to ask for guidance through the starting phase of a rare disease therapeutic pathway.

Indexed as

Orphan Drug ProductionRare DiseasesDrug DevelopmentHumansData gatheringDrug developmentOrphan drugsPatients’ needsRare diseasesStakeholder analysis and engagement

Identifiers

PMID37537670
PMCPMC10398909

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.