When a patient includes a serious illness and there's no approved drug available, the physician might want to do one which has not been authorized for marketing by a national health authority but has shown promise in clinical trials. European Named Patient Programs, like US compassionate use programs, offer physicians access to pharmaceuticals which haven't yet been licensed. However, there's one important difference: in Europe an unlicensed drug may be reimbursed. This presents drug-makers with a chance to come up with revenues while development remains in-progress.
Significant
Revenues Are Possible
The additional revenues are
often considerable. as an example, Pharmion, a US based
company that specialize in Oncology and Hematology reported dramatic
increases in its Thalidomide sales from $1.9 million in 2Q '03 to $15.3 million
in 2Q '04, primarily thanks to named patient sales in Europe
for myeloma. Thalidomide sales accounted for about 75% of
Pharmion's total revenues for the primary half 2004, company
sources, and were generated while the merchandise awaits
marketing approval for this indication. Before receiving European Marketing
Approval, Shire's Argylin® for essential thrombocythemia generated about
5% of its total sales from its European named patient program.
Though thalidomide and Agrylin were licensed within the USA for
a few indications, pharmaceutical companies do set-up named patient
programs and receive full reimbursement for drugs
that aren't licensed for any indication in any market. Examples
include: Insmed's SomatoKine® authorized for named patient use for Primary
Lateral Sclerosis, human growth hormone Insensitivity Syndrome (GHIS)
and Severe Insulin Resistance and Protherics' ViperaTAb(TM) authorized for
named patient use for adder snake bites.
Other Benefits of Named Patient Programs
A named patient program can speed uptake after official
launch. Physicians, who have had experience before launch, via clinical trials
or named patient programs, often become early adopters and references for other
physicians once the drug is freely circulating.
Named patient programs, like US compassionate use programs, can increase
good-will toward the corporate because they simplify the
method of gaining access for patients in critical need. Smaller companies
often can't afford the executive time and costs of
shipping drugs round the world before launch. this
may result in frustration and resentment towards an
organization that several physicians will remember long after a drug
is officially on the market. Creating a proper channel eliminates the
unfortunate need of denying requests and risking ill-will later.
A named patient program should be considered a crucial a part
of a pre-launch program. It increases awareness to a pharmaceutical's
existence, creates excitement, generates good-will and speeds penetration
of the merchandise after launch.
Frequent
Communication is critical
If one amongst the objectives is to get revenues, putting
in a named patient program is simply the start. so
as to realize success,
physicians have to remember of the
merchandise and what they have to try to urge it. Typical
methods of informing physicians, like sales rep visits and
ads, might not be appropriate because a license is
critical to plug a drug. While physicians
are accustomed simply writing a prescription and being through
with it, named patient programs require paperwork that some find tedious.
Therefore, the corporate must create an appropriate
communication plan and work closely with the targeted health
profession to stay them informed and simplify the method.
Issues to contemplate
You have decided to form a named patient program a part
of your pre-marketing plan, what now? Administration: does
one "go it alone" or work with an organization that's experienced
at administering named patient programs?
There are several experienced organizations that may assist
your company by gaining approval, setting-up the program, doing administration
and taking care of physical distribution. If your organization is well
resourced and encompasses a pipeline of products that
may require named patient programs, be worthwhile acquiring the
expertise internally. However, if you've got few appropriate products
or a stream-lined organization, it's probably best to
think about outsourcing.
Communication: You've founded the program; how does one optimize it?
If you are doing not have an experienced European marketing group, a company that's familiar in sales and marketing of pharmaceuticals in Europe can facilitate your to maximize participation within the named patient program. A communication plan, if properly developed and implemented can increase product awareness, but communication concerning an unlicensed product must be done appropriately.
This plan should make sure that your entire target group:
Is fully awake to the merchandise and therefore the program.
Knows what has to be done to require advantage of the program.
Has an advocate available to guide them through the method
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