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

Workshop co-chaired by:

Birthe B. Holm
Sjaeldne Diagnoser / EURORDIS representing Patients Vice-Chair COMP
Segolène Aymé
 
INSERM / Orphanet
representing Science
Chair RD Task Force
Erik Tambuyzer
Genzyme Europe representing Industry
Chair Industry Task Force

 
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)
  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:

  1. Promoting dialogue with multiple stakeholders on the role of health economics in creating a stable and sustainable access to and marketplace for orphan medicines.
  2. Evaluating the current impact of applying health economics to the field of orphan medicine policy and research.
  3. Discussing the basis for differentiating health technology and economic assessments of orphan medicines from the assessments of common disease medicines with specific consideration to rarity, innovation, and social values.
  4. Identifying areas of further research to help identify and address shortcomings of current health economic methodology and develop criteria for an informed application of health economic evaluation to inform resource allocation decisions.
  5. Involving all stakeholders to advance health policy and funding for orphan medicines.
14:00 Introduction
Andrea Rappagliosi, Merck Serono
14:05 The patient’s view on health technology assessment for Orphan Medicines: are there models?
Christine Lavery, MPS Society / EURORDIS
14:25 Is HTA an appropriate tool to promote access to Orphan Drugs? –
Finn Borlum Kristensen, Danish Center for Evaluation and HTA (DACEHTA), EUnetHTA
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
15:30 Coffee break
16:00 Questions & Answers
16:30 A case study: industry experience
Jens Grueger, Novartis
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
17:10 The patients’ view
Cees Smit, Dutch Genetic Alliance - VSOP
17:30 Interactive session with audience participation
17:55 Concluding remarks
Alastair Kent, GIG / EGAN
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
DAY 2 - Friday, October 19, 2007
08:30 Delegate arrival, tea & coffee
  SESSION 2 – How Many Orphan Drugs – For How Many Patients?
Assessing Treatable Rare Diseases And The Proportion Of Patients Eligible For Treatment
  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)
  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:
  1. Presenting the data currently available
  2. Discussing the predictive model based on FDA and EMEA data
  3. Agreeing on the conclusions
  4. Involving all stakeholders in a constructive dialogue with health authorities and third-party payers on this basis
09:00 Forecast of Orphan Drug from epidemiological data
Ségolène Aymé, INSERM / Orphanet
09:20 Forecast of Orphan Drug: perspective from modelisation
Fabrizia Bignami
, EURORDIS
09:40 Forecast of Orphan Drugs: the FDA perspective
Tan Nguyen
, FDA
10:00 Forecast of Orphan Drugs: the EMEA perspective
Paolo Tomasi, EMEA
10:20 Forecast of Orphan Drugs: an Industry perspective
Geoff McDonough, Genzyme
10:40 Discussion with the audience
12:20 Concluding Remarks
Ségolène Aymé, INSERM / Orphanet
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
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
14:40 Industry’s communication about orphan drugs
Erik Tambuyzer
, Chair EBE/EuropaBio orphan drugs task force, Genzyme Europe
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
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

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