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Table 1 Key incentives of the orphan legislation in the EU and US

From: Orphan medicinal products in Europe and United States to cover needs of patients with rare diseases: an increased common effort is to be foreseen

Incentives

In EU

In US

Marketing exclusivity

10 years + 2 if paediatric

7 years

Clinical development costs

–

tax credits (up 50% of clinical development costs)

Orphan designation

free of charge

free of charge

Support from agency during the development process

free of charge protocol assistance

free of charge OOPD (Office of orphan Products Development) assistance

MAA

40% fee reduction; free of charge for SMEs and for paediatric products

fee reduction

Fee reductions for SMEs

90% of fee reduction for post authorisation inspections; free of charge pre-authorisation inspections, post-authorisation activities, including annual fees, during the first year after marketing authorisation

–

Public funds

(possible) incentives from EC (i.e. research grants)

grants and contract for development of orphan drugs

(possible) incentives in single Member States for research, development and MA

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