New Medicines In Development For Women
(continued)
A general weakness of the New Drugs in Development for Women report
is that it fails to give a definition for the basis for the disease/condition
categories selected for inclusion or for how women's health was defined other
than to state that women's health is "not only broader but deeper" than reproductive-related
functions. Categories included in the report are summarized below:
Category
|
Number Medicines in Development |
Arthritis/Musculoskeletal
|
54
|
Autoimmune
|
37
|
Cancer
|
85
|
Diabetes
|
19
|
Eye
|
4
|
Kidney/Urologic
|
16
|
Lung/Respiratory
|
33
|
Neurologic
|
33
|
Obstetric/Gynecologic
|
52
|
Psychiatric
|
26
|
Other*
|
18
|
The "other" category included new medicines in development for women with obesity
(2 drugs), shock (1 drug), sepsis/systemic infection (8 drugs), HIV infection
(1 drug), and irritable bowel syndrome (3 drugs).
Critics of this report will likely point out that many of these "new medicines"
are actually "me too" versions of existing drugs rather than novel compounds,
breakthrough new drugs, or new chemical entities. While this is true, the criticism
is misplaced and the need for second generation versions of original compounds
is misunderstood. First of all, it is unrealistic to think that every new drug
developed will be a breakthrough new chemical entity. Furthermore, to suggest
that just because a new medicine is not a novel compound it does not have value
is simply incorrect. For every minor modification of an existing compound, the
side effect profile can vary. For some patients, an apparently inconsequential
change in one molecule of a drug can make the difference between having nausea
every day or precipitating a headache. For some patients, it may make the difference
between being able to tolerate a medication and getting the desired effect,
or not being able to take the medicine. For some of those patients, these little
changes can ultimately mean the difference between life and death. From the
medical perspective, every new medicine developed adds one more choice to our
overall armament; it gives us one more choice to customizing care. From an economic
perspective, every new medicine developed adds competitive pricing competition.
|
...For some patients, it may make the difference between being able to tolerate a medication and getting the desired effect, or not being able to take the medicine. For some of those patients, these little changes can ultimately mean the difference between life and death.
|