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Table 2 The attributes for selection of 10 Orphan Medicinal Products

From: The European challenges of funding orphan medicinal products

 

Field of the indicationa

Other therapeutic alternative(s)?a

Clinical/Relative Effectiveness (potentially curative/non-curative treatment)a

Rarity (orphan/ ultra-orphan status)a

Cost commitmentb

Alglucosidase alfa

Glycogen storage disease type II

No

Incremental (non-curative)

UO

Medium

Eculizumab

Paroxysmal nocturnal haemoglobinuria or for atypical haemolytic uremic syndrome

No

Major (non-curative)

O

High

Icatibant

Hereditary angioedema

Yes

Major (non-curative)

O

Medium

Idursulfase

Mucopolysaccharido-sis type II

No

Incremental (non-curative)

UO

High

Nelarabine

Special types of leukaemia or lymphoma

No

Curative

O

Medium

Rufinamide

Lennox–Gastaut syndrome

Yes

Major (non-curative)

O

Low

Romiplostim

Idiopathic thrombocytopenic purpura

No

Curative

O

Medium

Sapropterin

Phenylketonuria

Yes

Major (non-curative)

O

Low

Sildenafil

Pulmonary hypertension

No

Major (non-curative)

O

Low

Trabectedin

Sarcomas and ovarian neoplasms

No

Incremental (non-curative)

O

High

  1. Abbreviations: O Orphan Medicinal Product, UO Ultra-orphan medicinal product
  2. Sources: a The European public assessment reports (EPAR) for human medicines published by the European Medicines Agency (EMA) http://www.ema.europa.eu/ema/
  3. bNational Health Insurance Fund Administration of Hungary (Országos Egészségbiztosítási Pénztár, OEP)