In September 2015, Nutra Pharma
Corporation (OTCQB: NPHC), in what CEO Rik Deitsch has called “the most
substantial event in the history of our drug discovery efforts,” was granted
Orphan Status for RPI-78M for the treatment of Juvenile or Pediatric Multiple
Sclerosis (MS). Orphan Status for a drug brings many advantages. It gives the
sponsoring company tax credits that may amount to as much as 50% of the
development costs attributable to qualified clinical testing. This could
include remuneration to employees to supervise, carry out and support qualified
clinical testing activities.
Orphan Status can also mean a
reduction or exemption from FDA fees. Under various statutes, beginning with
the Prescription Drug User Fee Act of 1992 (PDUFA I), the FDA is authorized to
assess user and application fees, but it can grant a waiver or deduction of
these fees if ‘A waiver or reduction is necessary to protect the public health
OR the assessment of the fee would present a significant barrier to innovation
because of limited resources available to the person or other circumstances OR
the applicant is a small business submitting its first human drug application…
for review.’
Orphan Drug status also allows a
sponsor exclusive marketing rights for a limited period. Orphan Drug
Exclusivity (ODE) is typically for a period of 7 years. After it’s granted, the
FDA may not approve applications for generic or second innovator products that
contain the same active ingredient and are labeled for the same orphan
indication. It may, however, accept such applications, and it may accept and
approve applications for drugs having the same active moiety, for a different
indication. Also, the FDA may accept and approve a subsequent orphan drug
application for the ‘same drug’ and the ‘same orphan indication’, if the
applicant demonstrates that the product is ‘clinically superior’, safer, more
effective or significantly more convenient than the first drug.’
The Orphan Drug Act was passed by
Congress in 1983 to encourage research and development of treatments for rare
diseases. An orphan drug is a drug intended to treat a condition affecting
fewer than 200,000 persons in the United States, or which will not be
profitable within 7 years following approval by the FDA. Orphan status and FDA
approval are not the same thing. Orphan status does not mean that the FDA has
approved the drug.
The right to marketing exclusivity
is a valuable one, as Martin Shkreli and Turing Pharmaceuticals have shown. An
enlightening article (http://dtn.fm/4bKpR) in Science Translational Medicine
tells the amazing saga of Daraprim, or pyrimethamine. The drug was approved by
the FDA back in 1953 and manufactured by GlaxoSmithKline (NYSE: GSK), which
disposed of its U.S. marketing rights to CorePharma in 2010. CorePharma was
later acquired by Impax, which sold Daraprim to Turing for $55 million. In the
GlaxoSmithKline days, Daraprim went for about $1 per tablet. After its
acquisition by CorePharma, it was selling for around $10 per tablet. Now,
Shkreli has appeared before Congress to explain Turing’s decision to raise the
price from $13 to $750.
Nutra Pharm has also applied (in
December 2015) for Orphan Status for its RPI-78M treatment of myasthenia gravis
(MG). In a recent letter to shareholders, Deitsch said, “It is our goal to
complete the Phase I/II trials in pediatric MS over the next 18 months and then
either move into Phase III trials or seek a licensing partner. As we have
always stated, it is our eventual goal over the next several years to market or
license our drugs for the treatment of Multiple Sclerosis and HIV/AIDS. This
represents the true potential of Nutra Pharma as a Bio-Pharmaceutical company.”
For more information on the
company, visit www.NutraPharma.com
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