Showing posts with label NORD. Show all posts
Showing posts with label NORD. Show all posts

Friday, April 12, 2019

Have You or a Loved One Been Recently Diagnosed with a Rare Disorder?

Kennedy's Disease (SBMA) is considered a rare disorder.  Approximately 1 in 40,000 have this condition.

NORD's latest addition to its patient and caregiver resource center is this video providing tips for newly diagnosed patients and their families. 

The video includes further information on recommendations including giving yourself time to adjust, connecting with others and learning about your rare diseases. 

Click HERE or on the title below to watch the video.


10 Tips for Newly Diagnosed Rare Disease Patients and Families

For more resources and information, visit NORD's resource center here: https://rarediseases.org/for-patients...

Thursday, October 18, 2018

Update on the Use and Cost of Orphan Drugs

If a treatment or cure for Kennedy's Disease (SBMA) is found, the orphan drug act will be helpful. Below is an update from NORD.

Updated Study Analyzes Use and Cost of Orphan Drugs

Median annual cost for top 10 rare disease therapies is less than $10,000 per year

Washington, D.C., October 18, 2018— Despite a record-breaking number of new approvals, orphan drugs remain a nominal part of overall drug spending, accounting for only 9.6% of total sales in the U.S. in 2017, according to a new study released today by the IQVIA Institute. The study was commissioned by the National Organization for Rare Disorders (NORD) for the second year in a row to show trends in orphan drug usage and costs.

The major findings of the report are as follows:

  • The Orphan Drug Act remains successful in encouraging the development and approval of orphan drugs. In 2017, the Food and Drug Administration approved 80 orphan indications and 57 just within the first eight months of 2018 -- shattering previous records. 
  • The Orphan Drug Act has not been a major driver of drug pricing in the U.S. In 2017, the median price of the top 10 rare disease therapies used by the greatest number of patients was less than $10,000 per year. 
  • In 2017, orphan drugs remained a small part of the overall medicine budget. Total drug spending in the United States in 2017 was $451 billion, with almost 56% spent on non-orphan traditional drugs, 34.7% spent on non-orphan specialty drugs and 9.6% spent on orphan indications of approved orphan drugs. That is a 1.7 percentage point increase over 2016, which is in line with increased FDA approvals. 

“2017 was a year of innovation and advancements in rare diseases, with more FDA approvals of treatments for rare diseases than ever before,” said NORD President and CEO Peter L. Saltonstall. “The recent IQVIA Institute study highlights the enduring importance of the Orphan Drug Act in making that progress possible.”

“It is critical to note that orphan drugs remain a sliver of overall drug spending in the U.S.,” Saltonstall said. “NORD remains committed to shining a light on the simple truths that illustrate how the Orphan Drug Act continues to be vital to the future of rare disease drug research and development.”

About 7,000 rare diseases have been identified, affecting approximately 30 million Americans. Many affect only a few hundred or a few thousand individuals. Rare diseases tend to be chronic, serious and life-threatening. More than 80 percent are believed to be genetic.

Information on the report, including a link to the study, is available on the NORD website at www.rarediseases.org/rareinsights.

Sunday, April 15, 2018

Healthcare Regulations are in Flux


It is s mess out there!


The health insurance industry in the United States is in turmoil. The right hand does not know what the left is doing and no one seems to know what will be the final result.

In the meantime, there are all kinds of scams taking place where someone is trying to sell you something at ridiculously low premiums or way overpriced policies. I am amazed at the number of phone calls we receive every week. I have stopped answering the phone unless I know who is calling. I heard so many ‘sales pitches’ it wore me out. "If you buy this plan within the next four hours, I can reduce the monthly premium by a hundred bucks." "You need to lock in a plan today because I heard premiums will rise 25% tomorrow." I am at a point now where I do not trust anyone calling about health insurance.

Healthcare requirements have still not been finalized by the government and the states. This leaves the shoppers at the mercy of the marketplace. The only thing for sure is that everything will continue to change over the next year or two. I blame the politicians. They have their own healthcare program that is funded by the taxpayers, so they do not understand the mess they have created for the average citizen.

NORD, the National Organization for Rare Disorders, has updated their website to provide the most current state contact information for health insurance and government insurance agencies. This resource will list information for each state and will be updated as new information is made available.

If you, or someone you know, is in the market for health insurance, please follow this link to the NORD website: State-by-State Insurance Information


Sunday, March 5, 2017

NORD Issues Statement on President Trump’s Address to Congress

The process for expediting certain drugs has improved dramatically over the last decade. Yet, we need to keep the pressure on our representatives - lest they forget. There is still a lot of work to be done in finding a treatment for Kennedy's Disease.


NORD Issues Statement on President Trump’s Address to Congress

Posted by Jennifer Huron

NORD Issues Statement on President Trump’s Address to Congress


Washington, D.C., March 1, 2017—The National Organization for Rare Disorders (NORD), the leading independent nonprofit organization representing the 30 million Americans with rare diseases, issued the following statement in response to President Trump’s first speech to Congress:

“Yesterday evening, President Trump recognized Rare Disease Day and the 30 million Americans living with a rare disease in his first address to Congress. We are grateful for his recognition of the day that raises awareness for all individuals with rare diseases and their families. We are elated that he is joining us in our efforts.

President Trump also recognized Megan Crowley, and her father John, as shining examples of the untiring, steadfast commitment individuals with rare diseases and their families bring to finding treatments and cures for their disease. The Crowleys are one of many superstar families that deserve recognition, and we are thrilled that their tireless work was recognized on such a large stage.

The President continued, stating, ‘…our slow and burdensome approval process at the Food and Drug Administration keeps too many advances, like the one that saved Megan’s life, from reaching those in need. If we slash the restraints, not just at the FDA but across our Government, then we will be blessed with far more miracles like Megan.’

We agree that FDA review processes can be improved upon to expedite the development and review of orphan drugs. Yet we disagree with the President that restraints must be slashed, or that the approval process at the FDA is preventing advances from reaching those in need.

Between 2008 and 2013, 87 percent of the 113 rare disease treatments reviewed by the FDA received an expedited review, compared to 35 percent of treatments for common diseases.[i] Seventy-eight percent of rare disease treatments were approved using one or more flexible development approaches (generally defined as an approach that does not include two adequate and well-controlled trials or uses novel endpoints).[ii]

For patients with immediately life-threatening illnesses who cannot participate in clinical trials, the FDA approves 99.5 percent of all expanded access requests submitted by physicians and companies. ..."

To read the rest of the statement follow this link: NORD Statement 

Tuesday, June 7, 2016

It's Time For The Final Push

I have written about this proposed bill several times over the past year. We were able to help push it through the House and now it is in the Senate's hands. I urge you to take 3-5 minutes to show your support for this CuresNOW bill.  Thank you.
_____________________________________

We Need #CuresNow for  Rare Diseases!
Today, June 7, join rare disease advocates around the country and tell your Senators to support the Senate Cures Legislation. This month is the last chance for Senate Cures to pass before the Senate is out of session until after the November election.

Senate Cures (also called the Senate Innovation Act for Healthier Americans) is the companion legislation to the 21st Century Cures Act, which passed in the House last year.

This vital package includes billions of dollars to help the rare disease community, including new funding for critical research at the NIH and to accelerate drug approval at the FDA, and several other provisions.  

NORD is proud to work with other advocates across the country to unite and make sure the Senate gets our message loud and clear! 
Take Action
Time is running out and we need your help to move the Senate Cures Legislation! Join advocates from across the country and call the Senate TODAY!
  • Join the Thunderclap campaign (sign up before 3:30pm EDT) and use social media to add your voice
  • Call your members of Congress to show your support for the Senate Cures Legislation
  • Email your members of Congress and urge them to support this piece of legislation
Background: What is 21st Century Cures?
NORD worked with its Member Organizations and other patient advocates to help ensure the 21st Century Cures Act was passed in the House last year. As background information, here is some of the work that we accomplished together:
  • Sent a letter to the House Energy & Commerce Commitee from NORD and Member Organizations
  • Comments to the House Energy & Commerce Committee
  • Urged Advocates to call Congresspeople to tell them to support 21st Century Cures Act

Alone we are rare. Together we are strong®.

Friday, April 29, 2016

NORD and Trio Health collaboration for Rare Disease Patients

NORD and Trio Health to Provide Real-World Insights to Improve Access and Quality of Care for More Than 7,000 Rare Diseases

Posted by Jennifer Huron
NORD with Trio Health partnership

WASHINGTON, D.C./BOSTON ― April 28, 2016 ―The National Organization for Rare Disorders (NORD), the country’s leading voice for the rare disease patient community, is collaborating with Trio Health to leverage its innovative platform to monitor real-world patients. This unique insight will allow physicians, drug manufacturers, regulatory agencies and advocacy organizations to better serve and improve patient outcomes.

“If an FDA-approved treatment exists, patients deserve to have access to it,” said Peter L. Saltonstall, president and CEO of NORD. “No one is doing anything like this to serve the 1 in 10 Americans with rare diseases and we are thrilled to partner with Trio Health as part of NORD’s advocacy and patient assistance efforts.”

The collaboration creates the first common system for gathering data on treatment access and outcomes to produce insights that improve quality of care.  It marries NORD’s commitment to patient advocacy and improving access to therapies since its founding 33 years ago with new opportunities to leverage data-driven insights. Drug manufacturers and patient advocates will have the ability to gain insights into the overall patient experience, and the unforeseen roadblocks that can undermine effectiveness.

“Our joint goal is to bring transparency to the entire patient journey,” said Brent Clough, CEO of Trio Health, which has been providing similar real-world data on more common diseases since 2013. “Trio Health is honored to partner with NORD and fill a critical knowledge gap that can ultimately improve patient care.”

Tuesday, September 29, 2015

NORD Press Release on approval of Ensuring Access to Clinical Trials

The Kennedy's Disease Association (KDA), as well as hundreds of other organizations, supported the passage of S. 139. Many of us living with Kennedy's Disease, as well as other Rare Disorders, also contacted their Senators and Representatives asking for their support.


NORD Issues Statement Applauding the Approval of Ensuring Access to Clinical Trials Act
Washington, D.C.—September 29, 2015—The following statement was issued by Peter L. Saltonstall, President and CEO of the National Organization for Rare Disorders (NORD), on yesterday’s approval of the Ensuring Access to Clinical Trials Act (S. 139) in the United States House of Representatives.
The House of Representatives echoed the U.S. Senate and showed its commitment to 1 in 10 Americans and their families by passing the Ensuring Access to Clinical Trials Act (S.139).  By passing S. 139, the House voted to remove income-related barriers to participation in clinical trials and toward developing much-needed treatments for the 7,000 known rare diseases, only a few hundred of which currently have FDA-approved treatments.
Today, 30 million people and their families have added hope that their tremendous unmet medical needs are one step closer to being addressed. Studying one rare disease can often lead to understanding of other rare diseases, as well as understanding of more common diseases.
As the Ensuring Access to Clinical Trials Act moves to the President’s desk, we close in on eliminating the challenges of rare diseases and to stopping them from altering and ending the lives of too many Americans much too soon.  NORD is proud to have supported this bill and to have advocated for its passage with the Cystic Fibrosis Foundation, Muscular Dystrophy Association, and many others in the rare disease community.
Peter L. Saltonstall
President and CEO, National Organization for Rare Disorders (NORD)

Read more about the Ensuring Access to Clinical Trials Act here.
###
About the National Organization for Rare Disorders (NORD)®
Established in 1983, the National Organization for Rare Disorders (NORD)® is the primary nonprofit organization representing all patients and families affected by rare diseases in the U.S.  NORD is committed to the identification, treatment and cure of all 7,000 rare diseases that affect 30 million Americans, or one in every 10 people.  NORD provides programs of advocacy, education, research and patient and family services to improve the lives of all people living with rare diseases. NORD represents more than 230 disease-specific member organizations and collaborates with many other organizations in specific causes of importance to the rare disease patient community. Join NORD at www.rarediseases.org and on Twitter at @RareDiseases.
 ________________

The MDA also made an announcement today regarding the passage of this act. You can read the announcement at this link:  http://cqrcengage.com/mda/advocacy/issues/eact

Thursday, May 21, 2015

Update on 21st Century Cures Legislation

This is another important bill that everyone living with a rare disorder (including Kennedy's Disease) needs to follow.



NORD Issues Statement on Today’s Approval
 of the 21st Century Cures Initiative
Washington, D.C. – May 21, 2015 – The following statement was issued by
Peter L. Saltonstall, President and CEO of NORD, on the approval by the
House Energy and Commerce Committee of the 21st Century Cures legislative
initiative and the introduction of the OPEN Act in the United States Senate. 
NORD congratulates the House Energy and Commerce Committee for 
unanimously approving the 21st Century Cures initiative.  As Chairman Fred 
Upton (R-MI) said, “This historic day marks a big bipartisan step toward our 
path to cures.”  Today also marks the introduction in the Senate of the OPEN 
Act, a bill that aims to greater incentivize orphan product development.
We look forward to working with the House as it considers the bill approved  
today by the Committee, and with the Senate as it continues its Medical 
Innovation Initiative and considers the OPEN Act.
The bill approved today contains provisions that are critically important for the 
rare disease community. It also puts the patient at the center of drug approval, 
strengthens the FDA’s ability to streamline clinical trials, reauthorizes a critical 
 program for rare pediatric disease drug development, and further incentivizes 
development of orphan products. We hope the legislation, which includes sorely 
needed additional funding for the National Institutes of Health and the Food and 
Drug Administration, will foster an environment that is conducive to the 
development of new therapies and improve patients’ access to them.  
On behalf of the rare disease community, NORD thanks the Committee for its 
months of collaboration, thoughtfulness and hard work.  Today’s vote 
underscores the bipartisan commitment to move this legislation through the 
House and we hope the same spirit of collaboration leads to prompt 
consideration by the Senate.
Peter L. Saltonstall
President and CEO, National Organization for Rare Disorders (NORD)

Tuesday, August 27, 2013

New State-By-State Insurance Information on NORD Website

healthcare
The new health insurance program being implemented will impact many Americans – some positively and some negatively. Some of the information available has changed substantially over the last year as states have adopted the new program or rewrote their current programs. I also believe programs and regulations will continue to change over the next few years as the program is rolled out.

NORD, the National Organization for Rare Disorders, has added a new section to its website that provides health insurance and related information. This resource will list information for each state and will be updated as new information is made available.

Open enrollment in the state marketplaces begins October 1, 2013. 

If you, or someone you know, is in the market for health insurance, please follow this link to the NORD website: State-by-State Insurance Information


Friday, April 19, 2013

FDA Benefit-Risk Assessment

The National Organization of Rare Disorders (NORD) has distributed the following message to its members.  The KDA participated in the initial solicitation of support, but the current proposed guidelines falls a little short by not asking for patient input.  For those of us with Kennedy's Disease, ALS or MS, for example, I believe we would like a say in this process ... especially as the disease progresses.

Below is NORD’s message plus the link to their letter:
nord-member-org.300x100

Update on Benefit-Risk Assessments


Benefit-risk assessments are the basis of FDA's regulatory decisions in the pre-market and post-market review process of drugs and biologics. The patient voice in this process is critical. In our letter to the FDA September 27, 2011,we expressed our hope that patients and patient organizations would be able to contribute toward the agency's decision-making in assessing the benefit-risk equation of new products as well as the amount of risk patients at various stages of their condition are willing to take, the quality-of-life challenges they face, the ways they receive information about the proper use of their therapies, how often they see and receive information from their physicians, and other information that FDA medical reviewers and other relevant FDA staff may benefit from knowing directly from patients.

AdvocateThe FDA published a draft of their “Proposed Approach to Benefit-Risk Assessment in Drug Regulatory Decision-Making” in February 2013.  Unfortunately, this draft- as currently written- falls short of the expectations to include the patient voice in the process.

Please review our comments to the FDA, which are due May 7.  Your voice and support of these comments is critical.  To sign on to these comments, please contact Diane Dorman, ddorman@rarediseases.org, no later than Monday, April 29. If you have additional questions, please do not hesitate to contact her.

View the letter.
 
A paragraph from the linked letter needs reinforcing.
 
“We believe that the benefit-risk framework would be substantially improved if it were revised to include the meaningful and timely involvement of patients. FDA should also establish mechanisms to communicate with patients, and receive information from patients, to enhance the factual basis of individual benefit-risk assessments in real time. Such a mechanism would serve FDA’s goal of avoiding incorrect assumptions about patient risk tolerance, as well as providing the contextual information that is key to the benefit-risk framework. We also believe that FDA can, and should, exercise leadership to include patients and to include the regulated industry which has the resources to develop the kinds of contextual data that FDA seeks. As new drugs, particularly those to address unmet medical needs, are continuously being offered for review, FDA needs an enhanced timetable for assuring patient input.”

If interested, I recommend that you contact your Senators and Representatives expressing your support of ‘patient involvement’ in the benefit-risk assessment process.

Tuesday, April 9, 2013

New Health Insurance Marketplace begins this fall

doctor checkBelow is a press release from NORD referencing the new health insurance marketplace that will open October 01, 2013 for coverage that will begin January 01, 2014.  This is a major change under the Obama-care program for national and state-based marketplaces and the Navigator program.

For those of us living with Kennedy's Disease, this program might be of help when other more affordable healthcare options are not available. 

___________________________

CMS Issues Proposed Rule for Marketplace Navigators

TO NORD MEMBER ORGANIZATIONS:

Open enrollment in the new health insurance Marketplace begins Oct. 1, 2013, with coverage to begin Jan. 1, 2014.  The following is a press release from CMS about a proposed rule regarding Marketplace "Navigators".  Read the proposed rule here.  Please feel free to share this information with your members.
-------------------------------
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule outlining standards that Navigators in Federally-facilitated and State Partnership Marketplaces must meet and clarifying earlier guidance about the Navigator program.

Navigators are organizations that will provide unbiased information to consumers about health insurance, the new Health Insurance Marketplace, qualified health plans, and public programs including Medicaid and the Children's Health Insurance Program.

"Navigators will be an important resource for consumers who want to learn about and apply for coverage in the new Marketplace," said CMS Acting Administrator Marilyn Tavenner.

Millions of Americans will be eligible for new coverage opportunities in 2014.  For those who are not familiar with health insurance, have limited English literacy, or are living with disabilities, navigators will serve an important role in ensuring that people understand the health coverage options available to them.  Navigators will provide accurate and impartial assistance to consumers shopping for coverage plans in the new Marketplace.

In addition to navigators, consumers will have access to assistance through services such as a call center, where customer service representatives can provide referrals to the appropriate state or federal agencies, or other forms of assistance programs including in-person assistance personnel, certified application counselors and agents and brokers.

Friday, January 4, 2013

30th Anniversary of the Orphan Drug Act

nord-member-org.300x100Most of you know I am an advocate of NORD (National Organization for Rare Disorders).  They have done a lot of good representing those of us living with rare disorders including Kennedy’s Disease.  This year is the 30th anniversary  of the Orphan Drug Act.  Below is a press release the KDA received today.

NORD Press Release

 

Launching a Year-Long Celebration: 30th Anniversary of the Orphan Drug Act and NORD


Washington DC, Jan. 4, 2013----Thirty years ago today, President Ronald Reagan signed the Orphan Drug Act into law to encourage the development of treatments for the millions of Americans with rare diseases.

The new law represented a triumph of patient advocates working with government partners, the media, and other supporters to address a critically important unmet need.

To get the law passed, an ad hoc coalition of leaders of rare disease patient organizations gave themselves a name -- the National Organization for Rare Disorders (NORD) -- and taught themselves how to be advocates for the desperate patients and families they represented.

Actor Jack Klugman, whose brother was dying of a rare disease, lent his support with an episode of his popular TV show, Quincy, M.E., dedicated to showing the need for treatments for rare disease patients.  Klugman later testified before a Congressional subcommittee and, when the bill became stalled in Congress, aired another Quincy episode that helped get the bill passed.

Exactly four months after President Reagan signed the bill into law, on May 4, 1983, the coalition of patient advocates formally established NORD as a nonprofit organization to provide advocacy, education, research and patient/family services for all Americans affected by rare diseases.

"It was an amazing accomplishment to get this desperately needed law enacted at that time," says NORD President and CEO Peter L. Saltonstall.  "Today and throughout 2013, we will be saluting all the pioneers who helped make it happen, celebrating progress to date, and working with our partners to find ways to accelerate the pace of progress."

Saltonstall added that the recent death of Jack Klugman (on Dec. 24th) added poignancy to the occasion.

NORD's president for its first 25 years, Abbey S. Meyers, is widely considered the primary patient advocate for the Orphan Drug Act.  She retired in 2008 and Saltonstall joined the organization at that time.

Government partners at the National Institutes of Health (NIH) and Food and Drug Administration (FDA) have provided major support and encouragement to the rare disease community through their implementation of the law.

On Monday, the FDA Office of Orphan Products Development will host an event for FDA staff and guests to observe the anniversary of the law.  FDA Commissioner Margaret Hamburg, MD, will speak, as will Saltonstall, with a video message from Meyers.  Special guests will include individuals and representatives of organizations being honored as "rare disease heroes" by FDA during the anniversary year.

NORD's year-long observance of the 30th anniversary will include a special section on its website where rare disease patients, researchers, and others will be invited to share stories about rare disease milestones and achievements.

On Rare Disease Day 2013 (Feb. 28th), which NORD sponsors nationally, there will be special activities to honor the history of the rare disease community.  In addition, NORD's annual gala in May and annual conference in October will have an anniversary theme.  There will be other special activities throughout the year.

The Orphan Drug Act provides financial incentives such as seven years of marketing exclusivity for products developed to treat diseases affecting fewer than 200,000 Americans.  There are 7,000 diseases considered rare in the U.S. affecting nearly 30 million Americans, or about 1 in 10 people.
In the decade before the law was passed, only 10 new drugs were developed by industry for patients with rare diseases.  Since 1983, more than 2,700 potential treatments have entered the research pipeline as "orphan products" and more than 400 have been approved by FDA.

Highlights over the years since the law was enacted have included the Rare Diseases Act of 2002, promoted by NORD, which made possible a Rare Diseases Clinical Research Network at NIH, and most recently the FDA Safety and Innovation Act of 2012, which includes many major provisions related to rare diseases.

"This year, we will be saluting the progress made to date but we'll also be focusing on the fact that much remains to be done," Saltonstall said.  "Most people with rare diseases still have no FDA-approved treatment.  And, even when treatments exist, many patients have trouble accessing them.

"During this anniversary year, NORD will move forward with renewed commitment toward the development of safe, effective treatments for all, and assurance that all patients with serious medical problems will have access to the treatments and services they need."

Wednesday, October 3, 2012

Can Our Society Afford to Provide Treatments for People with Rare Diseases?

I read the following press release from NORD (National Organization for Rare Disorders) this afternoon and felt it should be shared with a wider audience.

 

nord-member-org.300x100

NORD Press Release

A Medical Adviser to the National Organization for Rare Disorders (NORD) Responds to this Question
 
WASHINGTON DC, Oct. 3, 2012----Can our society afford to provide costly medical care for patients with rare diseases, or would that money better be spent on treatments for more common conditions affecting larger numbers of people?
 
That was the question raised in a recent publication of the Hastings Center, a research institution dedicated to bioethics and the public interest.
 
Now a medical adviser to the National Organization for Rare Disorders (NORD) has responded to the report, writing that viewing rare diseases as "peripheral and unimportant" to the healthcare system would be a major mistake on several levels.
 
"Not only does it seem to justify abandoning millions of people but it also can undermine the integrity of the entire research enterprise," notes Doris T. Zallen, PhD, professor of science and technology in society at Virginia Tech and a long-time adviser to NORD.  "It can reduce the chance of finding successful treatments for ALL diseases -- common and rare alike."
 
A rare disease is defined in the U.S. as one affecting fewer than 200,000 Americans.  There are approximately 7,000 such diseases affecting nearly 30 million Americans, two-thirds of them children.  Only a few hundred of these diseases have medical treatments, and only a small number are being studied by researchers to develop treatments.
 
The current investment in research on rare diseases is small, Dr. Zallen writes, and further reducing research on rare diseases by deciding that our society can't afford the cost of providing treatment would "harm the broad scientific enterprise" by discouraging young scientists from choosing that career path.
 
Because rare diseases often have a singular genetic basis, she writes, "the study of rare diseases has already provided fundamental understandings of genetic systems, biochemical pathways, and DNA-repair mechanisms that have helped elucidate the basis of, and improve treatments for, common diseases.  The blockbuster drugs Botox and Viagra were originally developed to treat benign essential blepharospasm and pulmonary hypertension, two rare disorders."
 
Since there is little research funding for rare diseases, many patient groups try to raise money themselves, conducting car washes, bake sales and garage sales.  Often, it takes many years for these small patient groups to raise enough money to fund a study.
 
At a recent meeting of NORD's medical advisers, Dr. Zallen writes, "we struggled to decide which of two excellent research grant submissions should receive the modest available funding.  Even with all its hard work, the patient group providing the funding had raised only enough money for one seed grant."
 
People with rare diseases are not asking for "preference" when it comes to allocation of resources but only a "fair shake", Dr. Zallen adds.  "The tax dollars used for government research programs come out of their pockets too, and society has an ethical duty not to punish minorities because of their small size.  Not only they, but the wider community as well, would benefit -- since such research is essential to the health of the overall medical science enterprise."
 
Dr. Zallen has received numerous awards and honors for her teaching, research and outreach activities.  An expert on topics related to bioethics, she helped write the federal guidelines to protect human subjects in gene therapy experiments and is the author of the book, Does It Run in the Family? A Consumer's Guide to DNA Testing for Genetic Disorders.
 
The full text of Dr. Zallen's response and a link to the original article are available on the NORD website (www.rarediseases.org).

Wednesday, June 27, 2012

Bipartisan Action Offers Rare Disease Patients Hope

A NORD press release today announced the successful results of two years of work by NORD and its membership.  I wrote about the House’s passage a few months ago, and today, after the Senate passage, the bill goes to the President for his signature.  This is a major step forward and will hopefully help those of living with rare disorders. 

The Kennedy’s Disease Association thanks all those that worked so hard to get this bill passed.
______________________________________

nord-member-org.300x100

Washington DC-----Millions of Americans who have serious rare diseases and no treatment may face a brighter future as a result of a bill approved today by the U.S. Senate, according to the National Organization for Rare Disorders (NORD).

"We salute the Senate for decisive and bipartisan action in approving the FDA Safety and Innovation Act (S. 3187)," said Peter L. Saltonstall, president and CEO of NORD.  "And we applaud the House of Representatives for approving in a similarly bipartisan manner the House version of this bill last week."

Saltonstall said the legislation, which now goes to President Obama for his signature, provides broad-ranging and innovative measures to speed the development of safe and effective treatments for people who desperately need them.

"Only about 250 of the nearly 7,000 diseases considered rare in the U.S. have therapies," he said.  "But treatments are desperately needed because most rare diseases are serious, many are life-threatening, and about two-thirds of the patients are children."

He added that "NORD and its members have worked long and hard to raise awareness of the challenges of living with rare diseases.  We are grateful for the hard work and thoughtful deliberation that both the House and Senate have brought to this process."

Among others, some features of the bill that Saltonstall said were especially important to NORD and the rare disease patient community include:
  • enhancing accelerated patient access to new medical treatments
  • encouraging the development of Humanitarian Use Devices, or medical devices for small patient populations
  • providing for accelerated development of "breakthrough therapies" -- or ones that show early promise
  • enhanced consultation with rare disease medical experts and
  • a rare pediatric disease priority review voucher incentive program

The bill approved by the Senate today and the one approved by the House last week are the result of a process that has been underway for nearly two years and for which NORD has provided significant input, the reauthorization of the Prescription Drug User Fee Act (PDUFA). This legislation, which authorizes the Food and Drug Administration (FDA) to collect user fees from companies seeking to have products reviewed, must be reauthorized every five years.

Friday, May 25, 2012

NORD Calls Bill Passed By Senate Today Most Important Since Orphan Drug Act

NORD The KDA received the following announcement yesterday from NORD (National Organization for Rare Disorders).  We are a member of NORD and supported this proposal.  Its passage is another important step for those of us living with a rare disorder. 

Key provisions of the bill are outlined below including an accelerated approval process as well as providing incentives to researchers to provide more focus on rare disease therapies.  Another important provision will allow for an evaluation of patient tolerance to risks for certain therapies including greater patient feedback.
_________________

Praises Senate for Addressing Needs of Rare Disease Patients


May 22, 2012, WASHINGTON, DC--- The National Organization for Rare Disorders (NORD) applauds legislation passed today by the U.S. Senate -- S 3187, the Food and Drug Administration Safety & Innovation Act of 2012 (FDASIA) -- and says it contains the most comprehensive improvements to public policy for rare disease therapies since the landmark Orphan Drug Act of 1983.

“NORD has been working very hard over the past two years to ensure that the interests of the rare disease patient community are well represented in this important legislation,” said NORD President and CEO Peter L. Saltonstall.  “We are thrilled that our nation’s leaders in Congress are working together and making substantive policy improvements to bring new therapies to patients who desperately need them.

“When this process began over two years ago,” he added, “our focus was on obtaining a commitment by the FDA to further incorporate the exceptional nature of rare diseases in the review of promising new therapies and medical devices.  What we’ve been able to achieve since then, with our members and advocacy partners in the rare disease community, is nothing short of astonishing.  Our sincerest thanks go to all who have helped to make this day possible.”

The bill contains numerous provisions that will enhance the regulatory process at FDA, incentivize further investment by innovators into rare disease therapies, and expand the scientific armamentarium needed to bring the most cutting-edge therapies to patients as quickly as possible.

Specific commitments by the FDA include:
  • Expanding the Rare Disease Program at the Center for Drugs and extension of the program to the Center for Biologics
  • A new initiative to further qualify and categorize biomarkers for use in clinical trial design, including under Accelerated Approval and similar mechanisms
  • A new initiative to evaluate patient tolerance to risk of proposed therapies and to incorporate more patient input in the review process
Legislative provisions in the bill include:
  • Codification and modernization of the Accelerated Approval process
  • Improvements to policies governing conflicts of interest that will allow expert participation on FDA Advisory Committees
  • Creation of a new category of "breakthrough" therapies that will encourage early public and private collaboration to aid in clinical trial design and review
  • Expanded access to experts for rare diseases beyond the review process
  • Expansion of devices intended for use in very small patient populations, including the possibility of profit for such devices when used in adult populations
The US House of Representatives is working on companion legislation (HR 5651 – the Food & Drug Administration Reform Act of 2012) that has already been unanimously approved by the Committee on Energy & Commerce in a similar bipartisan fashion.  Adoption of that measure is expected when the House resumes its session at the beginning of June.

Both the House and Senate bills are the culmination of a process conducted every five years to reauthorize the Prescription Drug User Fee Act (PDUFA) and related legislation that provides critical funding to allow FDA to review potential new therapies in a timely manner.  As the voice of rare disease patients and their families in the U.S. since 1983, NORD has served as the primary representative of the rare disease patient community over the past two years as needs were prioritized and the legislation now being voted upon by the House and Senate was drafted.

Wednesday, February 29, 2012

Today is Rare Disease Day

The National Organization for Rare Disorders (NORD) is celebrating Rare Disease Day today.  To help promote increased awareness, I am asking for your help.  It will take less than five minutes, but your involvement could make a difference.

NORD has an electronic messaging service on their website (link is shown below) that allows you to email the president and other elected officials of your choice to tell them you care and why they should also care about rare diseases such as Kennedy’s Disease.  The first portion of the email is ‘canned’, but there is a section near the bottom that allows you to personalize your message (for example, why it is important to you and your family).

NORD’s message to all of us is shown below:

“Tell President Obama, Members of Congress and other elected officials that you care about rare diseases. Follow this link and submit your letter now. Then post the link on  your Facebook, Twitter, blog, website etc. and encourage your friends and family to submit their letters, too.”


Please, take a couple of minutes and let our elected officials know you care.  Thank you.

Tuesday, October 11, 2011

Good News for the Rare Disease Community

This morning I received a news release from NORD.  This is good news for those of us living with Kennedy’s Disease.  When a treatment is discovered, we would hate to see something that works tied up in ‘red-tape’ (a long approval process).


The last two paragraphs of this news release summarize the findings and reason for the study.

NORD  

LANDMARK NORD STUDY CONCLUDES FDA IS FLEXIBLE IN REVIEWING THERAPIES FOR RARE DISEASES

Study Catalogues Flexibility in Orphan Drugs Approved Since 1983

Washington DC, October 11, 2011 - “The National Organization for Rare Disorders (NORD) today released a landmark report documenting flexibility in the Food and Drug Administration (FDA) review of potential treatments for patients with rare diseases.

Released at the U.S. Conference on Rare Diseases and Orphan Products, the report examined the basis for FDA’s approval of 135 non-cancer “orphan drugs” … those for rare diseases since the Orphan Drug Act was enacted in 1983 to provide incentives to encourage development of treatments for rare diseases.
This is the first study of its kind ever conducted and the first time that there has been a systematic

examination of the basis for approval for any category of drug products extending over such a long period of time.  The study demonstrates a decades-long pattern of flexibility in FDA review of orphan drugs.

Frank J. Sasinowski, chairman of the NORD board of directors and author of the report, said: “We wanted to determine whether FDA requires that orphan drug applications provide the conventional effectiveness data that are ordinarily expected for most drugs for more prevalent diseases, or whether the agency has over the years exercised flexibility in approving drugs for patients with rare diseases.  This issue is critical to the patients and families NORD serves because the patient population available for testing of orphan drugs is, by definition, more limited than for drugs for more prevalent diseases.”

NORD-Peter L. Saltonstall NORD President and CEO Peter L. Saltonstall said: “We are gratified that this extensive study, spearheaded by NORD on behalf of the entire rare disease community, found that there is supportable evidence to document flexibility by FDA medical reviewers.  This study should provide an extra level of confidence for investigators, companies and investors who are considering developing new drugs for rare diseases.”

While any disease affecting fewer than 200,000 Americans is defined by law as “rare,” many rare diseases affect only a few hundred or a few dozen people.  Conducting the clinical studies required to develop treatments for these diseases poses special challenges to medical researchers, the report pointed out.

The NORD study looked at all drugs for diseases other than cancer approved as orphans since 1983 to identify when flexibility was employed in the review process.  The evaluation process distinguishes between flexibility applied as a result of a previously described FDA system, such as the accelerated approval program, or on a case-by-case basis.

FDA For each of the non-cancer drugs approved as orphans since 1983, NORD sought to access the FDA approval letter, the labeling at the time of approval, the decision memoranda of the FDA officials who approved the products, and the reviews of the medical and statistical officers.  While such documents were retrievable in most cases, only subsets of those documents were recoverable for some drugs, especially for some of the earliest approved orphan therapies.

The drugs were then divided into three categories: those that, in NORD’s judgment, would have met the traditional data requirements for effectiveness; those whose approval was based on flexibility applied as a result of some documented FDA system for flexibility; and those whose approval appeared to reflect case-by-case flexibility.

Of the 135 drug approvals studied, NORD concluded that 45 would have met traditional data requirements, 32 reflected “administrative flexibility” based on a previously documented FDA system, and 58 reflected flexibility applied on a case-by-case basis.

“This review of FDA actions concludes that two of every three orphan drugs approved show FDA’s historic flexibility in its review of effectiveness data on orphan drug therapies, ” Sasinowski said.  “Therefore, FDA has demonstrated in its actions on orphan products that it recognizes the importance of therapies for persons with rare disorders.  It would be helpful for such flexibility and importance to be recognized in a formal FDA policy, and for FDA officials to incorporate and recognize that flexibility in a systematic way in their evaluations of each new therapy in development and under FDA review for Americans with any rare disease.”

Saltonstall added that NORD undertook this study because, of the nearly 7,000 known rare diseases, only about 200 have FDA-approved treatments. “Better understanding the regulatory process and the pathways most likely to lead to increased study of rare diseases and safe, effective treatments for patients is very important to us,” he said.

Thursday, July 28, 2011

Rare Disorders - Raising public awareness

A special insert in the Washington Post this week highlighted rare diseases, the need for more treatments, and the challenges of having a rare disease.  Below are two of several good articles that appeared in the Post.  If you want to see the entire insert, send the KDA an email (info@kennedysdisease.org) and I will forward you the PDF document.

NORD

According  to the National  Institutes  of  Health  (NIH),  there  are nearly  7,000 diseases defined as rare, or affecting  fewer than  200,000  Americans by U.S. definition.  

Somebody  you  know  has one  of  these  diseases,  and  the patients and families coping with them  need  our  help.  They  live with  day-to-day  challenges  that are  vastly  underserved  at  this time  by  our  medical  and  public health systems. 

This results in shattered dreams,  unnecessary  expense,  lost  productivity,  and  all  too  often,  premature death.

 

What are the challenges?

 

Even  though  each  disease  is unique, the problems associated with having a rare disease tend to be consistent. They include:
  • Delayed or inaccurate diagnosis
  • Difficulty finding a medical expert
  • Too little research
  • Few, if any, treatment options
  • Insurance  or  other  reimbursement problems
  • Lack of awareness and understanding of the patient’s needs
  • A sense of isolation.
Rare  diseases  are  often  called  “orphans”  because  they  are  forgotten  and  “unclaimed.”  Many  rare  diseases  are  not  being  studied  by  any  researchers  because  there  is  little  or  no  public  funding  for research.

In  fact,  much  of  the  research on  rare  diseases  today  is  being funded  by  patients,  families, and  patient  organizations  raising money through golf tournaments,  bake  sales,  and  other  means  to provide grants for researchers at universities and hospitals.

Seek Treatment

 

Only  about  200  rare  diseases  currently  have  treatments  approved  by  the U.S. Food and Drug Administration (FDA). That leaves many patients  and  their  families  in  the  position  of being treated with products not specifically approved for their disease or  not being treated at all. 

Furthermore,  more  than  half  of  the patients are children. The organization  I  represent—the  National  Organization  for  Rare  Disorders  (NORD)—receives phone calls and  emails on a daily basis from parents  who are coping simultaneously with  the  challenges  of  having  a  desperately sick child, appealing insurance denials, finding appropriate medical  care,  and  educating  their  families  and   friends  about  their child’s disease.  It’s  a  lot  to  deal  with,  and  no  one should have to do it alone.

Just by becoming more aware of  rare diseases and the needs of the  children and adults who have them,  you  can  help.  The  word  “rare”  is  misleading.  These  diseases  touch  lives all around us, and as a society  we need to pay more attention.  It  could  be  your  son  or  daughter,  or  your  elderly  parent,  who  is  affected. 


If we all focus a little more  on these issues, we could improve millions  of  lives,  reduce  unnecessary  healthcare  spending,  and  put meaning  in  the  phrase:  Alone  we  are rare. Together we are strong.
Peter  L .  Saltonstall
President and CEO, National Organization for Rare Disorders (NORD)

RareDiseaseDay

 

Mothers lead the way in researching rare disorders

 

Few  medical   conditions a re as difficult  to  diagnose  as  rare  disorders. Many patients wait seven to  10  years  before  receiving  a correct  diagnosis,  and  when  the disease is finally given a name, 
the  person  behind  that  diagnosis  is  often  a  mom.  Why? 

  • First, 80  percent of all rare disorders including  cystic  fibrosis,  childhood  cancers,  and  numerous unnamed  diseases  are  diagnosed  during  early  childhood. 
  • Second,  physicians  receive  little medical training in rare disorders and  can  spend  an  entire  career without  ever  encountering  one. 
  • Third,  and  most  importantly,  is the strength of a mother’s instinct  to  protect  her  young  –  she  is  literally  fighting  for  her  children’s lives.  Empowered  by  the  inter-net, these mothers research and network  with  unmatched  skill.
“The  Internet  gives  patients  and  caregivers  access  to  medical journals , clinical trial investigators,  advocacy  organizations and  government  officials.”  Additionally, mothers employ the  use of social media for sharing news,  experiences  and  resources.

“Having support and encouragement  right  at  their  fingertips  can transform  a  family’s  solo  ordeal into  a  shared  journey;  stripping away  feelings  of  isolation  and bolstering  their  faith  and  determination.”  A  simple  click  of  a  mouse  can  make  a  world of difference. 

Wendy White 
Founder and President, Siren Interactive