
8th WORKSHOP ON PARTNERING FOR RARE
DISEASE THERAPY DEVELOPMENT
“The Reality of Orphan Medicines”
Danish Parliament, Copenhagen,
18-19 October 2007
Address:
Folketinget, Entrance Rigsdagsgården, Christiansborg 1240 Copenhagen
MAP
With the participation of
Her Royal Highness
Crown
Princess Mary of Denmark
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FINAL PROGRAMME |
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Workshop co-chaired by:
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| DAY 1 - Thursday, October 18, 2007 | ||||
| 11:30 | Delegate registration | |||
| 12:30 | Lunch | |||
| 13:30 | Opening Alastair Kent, GIG / EGAN, Chair of EPPOSI Birthe B. Holm, Sjaeldne Diagnoser / EURORDIS, Vice-Chair COMP, Chair of the Workshop Birthe Skaarup, Chair of Parliament’s Health Committee (TBC) |
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| SESSION 1 – How to Estimate The Value of an Orphan Drug? | ||||
| Chairs: Alastair Kent (GIG / EGAN) and Andrea Rappagliosi (Merck-Serono) | ||||
| Patients with rare diseases have been historically
under-served in commercial medicine development. In the 80s and 90s, a
consensus emerged in several countries to address this disparity by means of
orphan medicines legislation, enacted to encourage the development of
medicines to treat those affected by life-threatening and/or serious rare
diseases.
Existing orphan medicines policies have public support, as evidenced by several wide-ranging surveys. However, increasing cost pressures risk to result in a rationing system to control healthcare costs in general, creating additional access barriers for novel treatments, which may in particular hamper access for orphan medicines. At this time, patients’ access to orphan medicines seems variable while they also are not available to patients within the legal time limit after approval across the EU. Where available, they reach patients more slowly and sometimes with tighter conditions of access than other medicines. The use of health economics for orphan medicines is still evolving and only limited attention has been paid to how it fits with the societal values expressed in the OMP regulation. This session will focus on these issues with the aim of:
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| 14:00 | Introduction Andrea Rappagliosi, Merck Serono |
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| 14:05 | The patient’s view on health technology assessment for
Orphan Medicines: are there models? Christine Lavery, MPS Society / EURORDIS |
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| 14:25 | Is HTA an appropriate tool to promote access to Orphan
Drugs? – Finn Borlum Kristensen, Danish Center for Evaluation and HTA (DACEHTA), EUnetHTA |
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| 14:50 | Access in a real-life setting: Member States experiences
go live - France: Francois Meyer, HAS - The Netherlands: Wim Goettsch, CVZ - United Kingdom: Edmund Jessop, Department of Health |
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| 15:30 | Coffee break | |||
| 16:00 | Questions & Answers | |||
| 16:30 | A case study: industry experience Jens Grueger, Novartis |
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| 16:50 | Can cost-effectiveness alone determine the value of
Orphan Drugs? Rod S. Taylor, Associate Professor in Health Services Research, Peninsula Medical School - Universities of Exeter & Plymouth, United Kingdom |
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| 17:10 | The patients’ view Cees Smit, Dutch Genetic Alliance - VSOP |
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| 17:30 | Interactive session with audience participation | |||
| 17:55 | Concluding remarks Alastair Kent, GIG / EGAN |
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| 18.00 | Session ends | |||
| 20:00 | Dinner Debate: the Communication on the Consultation regarding the European Action in the Field of
Rare Diseases First Hotel Vesterbro |
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| DAY 2 - Friday, October 19, 2007 | ||||
| 08:30 | Delegate arrival, tea & coffee | |||
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SESSION 2 – How Many
Orphan Drugs – For How Many Patients? Assessing Treatable Rare Diseases And The Proportion Of Patients Eligible For Treatment |
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| Assessing Treatable Rare Diseases And The Proportion Of
Patients Eligible For Treatment Chairs: Torben Grønnebæk (Danmarks Bløderforening / EURORDIS) and Kerstin Westermark (COMP and Medical Products Agency, Sweden) |
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| The Orphan Drug regulation proves to be effective in
boosting the development of therapeutic solutions. The time when there was
limited rare disease research with no therapeutic options at all is over.
This constitutes an era of optimism and constructive partnering, but the
process is so effective that payers are concerned about costs in the future,
as they anticipate that there may be a day when every rare disease could be
treated with an orphan drug. Health care managers need to be provided with a
more realistic forecast of the orphan medicinal products which may be
granted a marketing authorisation in the coming ten years, as well as an
estimate of the number of patients who may benefit of these products. The Session on Epidemiology of orphan drugs “How many drugs for how many patients ?“ will focus on these issues with the aim of:
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| 09:00 | Forecast of Orphan Drug from epidemiological data Ségolène Aymé, INSERM / Orphanet |
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| 09:20 | Forecast of Orphan Drug: perspective from modelisation
Fabrizia Bignami, EURORDIS |
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| 09:40 | Forecast of Orphan Drugs: the FDA perspective Tan Nguyen, FDA |
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| 10:00 | Forecast of Orphan Drugs: the EMEA perspective Paolo Tomasi, EMEA |
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| 10:20 | Forecast of Orphan Drugs: an Industry perspective Geoff McDonough, Genzyme |
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| 10:40 | Discussion with the audience | |||
| 12:20 | Concluding Remarks Ségolène Aymé, INSERM / Orphanet |
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| 12:30 | Lunch | |||
| SESSION 3 – How to Communicate about Orphan Drugs in the Real Life Setting? | ||||
| Chairs: Terkel Andersen (Danmarks Bløderforening / EURORDIS) and Bert Leufkens (Dutch Steering Committee on Orphan Drugs) | ||||
| 14:00 | Patients’ Access to Orphan Drugs in the EU: an EURORDIS
survey Yann Le Cam, EURORDIS |
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| 14:20 | Orphan Drugs today: what are the communication
challenges? Bert Leufkens, Dutch Steering Committee Orphan Drugs - WGM, Utrecht Institute for Pharmaceutical Sciences, Division of Pharmacoepidemiology & Pharmacotherapy |
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| 14:40 | Industry’s communication about orphan drugs Erik Tambuyzer, Chair EBE/EuropaBio orphan drugs task force, Genzyme Europe |
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| 15:00 | Discussion with the audience | |||
| 15:45 | Conclusion of the Workshop Birthe B. Holm, Sjaeldne Diagnoser / EURORDIS, Vice-Chair COMP, Chair of the Workshop |
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| 16:00 | Workshop ends | |||
For additional information:
EPPOSI
Tel: +32 2 503 13 07 – Fax: + 32 2 503 31 08
Copenhagen2007@epposi.org -
www.epposi.org