Skip to main content

Table 3 Potential value drivers of ODs in CEE countries

From: Systematic review on the evaluation criteria of orphan medicines in Central and Eastern European countries

Disease-related factors

Treatment-related factors

Economic factors

Societal factors

• Prevalence (rarity) of disease

• Severity of disease

• Identifiability of the patients of treatment

• Loss of QALYs without treatment

• Unmet medical need (i.e., availability of treatment alternatives)

• Clinical heterogeneity of the disease (i.e., subgroup of patients)

• Evidence of treatment efficacy or effectiveness

• Capacity to benefit from the treatment (i.e., magnitude of benefit)

• Treatment is curative or delays progression or alleviates symptoms (e.g., palliative care)

• Safety profile of treatment

• Innovative profile of treatment

• Manufacturing complexity

• Cost-effectiveness

• Budget impact

• Number of indications

• Potential for off-label use

• Societal impact of treatment (i.e., indirect costs on families and caregivers)

• Equity in access to treatment

• Legal considerations (i.e., patent status)