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Volumn 21, Issue 5, 2018, Pages 493-500

Challenges in Research and Health Technology Assessment of Rare Disease Technologies: Report of the ISPOR Rare Disease Special Interest Group

Author keywords

cost effectiveness; health policy; health technology assessment; orphan designation; rare diseases

Indexed keywords

ALPHA 1 ANTITRYPSIN; CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR;

EID: 85045187145     PISSN: 10983015     EISSN: 15244733     Source Type: Journal    
DOI: 10.1016/j.jval.2018.03.004     Document Type: Article
Times cited : (79)

References (113)
  • 1
    • 84942293513 scopus 로고    scopus 로고
    • Rare disease terminology and definitions—A systematic global review: Report of the ISPOR Rare Disease Special Interest Group
    • Richter, T., Nestler-Parr, S., Babela, R., et al. Rare disease terminology and definitions—A systematic global review: Report of the ISPOR Rare Disease Special Interest Group. Value Health 18 (2015), 906–914.
    • (2015) Value Health , vol.18 , pp. 906-914
    • Richter, T.1    Nestler-Parr, S.2    Babela, R.3
  • 2
    • 84904138038 scopus 로고    scopus 로고
    • Patient network and advocacy groups
    • E. Hernberg-Ståhl M. Reljanović Woodhead Publishing Cambridge, UK
    • Wilson, C., Patient network and advocacy groups. Hernberg-Ståhl, E., Reljanović M., (eds.) Orphan Drugs: Understanding the Rare Disease Market and Its Dynamics, 2013, Woodhead Publishing, Cambridge, UK.
    • (2013) Orphan Drugs: Understanding the Rare Disease Market and Its Dynamics
    • Wilson, C.1
  • 3
    • 85046575351 scopus 로고    scopus 로고
    • Position paper: Why research on rare diseases? 2010. Available from: [Accessed February 20].
    • European Organisation for Rare Diseases (EURORDIS). Position paper: Why research on rare diseases? 2010. Available from: http://www.eurordis.org/sites/default/files/publications/why_rare_disease_research.pdf. [Accessed February 20, 2017].
    • (2017)
  • 4
    • 85046562378 scopus 로고    scopus 로고
    • Rare diseases: understanding this public health priority. 2005. Available from: [Accessed April 27].
    • European Organisation for Rare Disease (EURORDIS). Rare diseases: understanding this public health priority. 2005. Available from: http://www.eurordis.org/IMG/pdf/princeps_document-EN.pdf. [Accessed April 27, 2017].
    • (2017)
  • 5
    • 84925581513 scopus 로고    scopus 로고
    • Rare diseases and effective treatments: are we delivering?
    • Luzzatto, L., Hollak, C.E., Cox, T.M., et al. Rare diseases and effective treatments: are we delivering?. Lancet 385 (2015), 750–752.
    • (2015) Lancet , vol.385 , pp. 750-752
    • Luzzatto, L.1    Hollak, C.E.2    Cox, T.M.3
  • 6
    • 84949032870 scopus 로고    scopus 로고
    • Access to orphan drugs: A comprehensive review of legislations, regulations and policies in 35 countries
    • Gammie, T., Lu, C.Y., Babar, Z.U.-D., Access to orphan drugs: A comprehensive review of legislations, regulations and policies in 35 countries. PLoS ONE, 10, 2015, e0140002.
    • (2015) PLoS ONE , vol.10 , pp. e0140002
    • Gammie, T.1    Lu, C.Y.2    Babar, Z.U.-D.3
  • 7
    • 3843120895 scopus 로고    scopus 로고
    • Understanding orphan drug regulations: an EU and U.S. comparative analysis
    • Grienenberger, A., Understanding orphan drug regulations: an EU and U.S. comparative analysis. J Biolaw Bus 7 (2004), 58–61.
    • (2004) J Biolaw Bus , vol.7 , pp. 58-61
    • Grienenberger, A.1
  • 8
    • 33644874163 scopus 로고    scopus 로고
    • The Food and Drug Administration's Office of Orphan Products Development: incentives, grants, and special designations speed therapies for orphan diseases
    • Haffner, M.E., The Food and Drug Administration's Office of Orphan Products Development: incentives, grants, and special designations speed therapies for orphan diseases. Retina, 25(Suppl S90), 2005.
    • (2005) Retina , vol.25
    • Haffner, M.E.1
  • 9
  • 10
    • 78649889087 scopus 로고    scopus 로고
    • A cross-national comparative study of orphan drug policies in the United States, the European Union, and Japan: towards a made-in-China orphan drug policy. J Public Health Policy 420
    • Liu BC, He L, He G, et al. A cross-national comparative study of orphan drug policies in the United States, the European Union, and Japan: towards a made-in-China orphan drug policy. J Public Health Policy 420;31:407–20.
    • , vol.31 , pp. 407-20
    • Liu, B.C.1    He, L.2    He, G.3
  • 11
    • 23944501764 scopus 로고    scopus 로고
    • Potential interactions of the Orphan Drug Act and pharmacogenomics: a flood of orphan drugs and abuses?
    • Loughnot, D., Potential interactions of the Orphan Drug Act and pharmacogenomics: a flood of orphan drugs and abuses?. Am J Law Med 31 (2005), 365–380.
    • (2005) Am J Law Med , vol.31 , pp. 365-380
    • Loughnot, D.1
  • 12
    • 84871184065 scopus 로고    scopus 로고
    • What is wrong with orphan drug policies?
    • Cote, A., Keating, B., What is wrong with orphan drug policies?. Value Health. 15 (2012), 1185–1191.
    • (2012) Value Health. , vol.15 , pp. 1185-1191
    • Cote, A.1    Keating, B.2
  • 13
    • 79958849417 scopus 로고    scopus 로고
    • Pricing and reimbursement of orphan drugs: the need for more transparency
    • Simoens, S., Pricing and reimbursement of orphan drugs: the need for more transparency. Orphanet J Rare Dis, 6, 2011, 42.
    • (2011) Orphanet J Rare Dis , vol.6 , pp. 42
    • Simoens, S.1
  • 14
    • 84905908789 scopus 로고    scopus 로고
    • Physician and patient perceptions regarding physician training in rare diseases: the need for stronger educational initiatives for physicians
    • Engel, P., Bagal, S., Broback, M., et al. Physician and patient perceptions regarding physician training in rare diseases: the need for stronger educational initiatives for physicians. J Rare Dis 1 (2013), 1–15.
    • (2013) J Rare Dis , vol.1 , pp. 1-15
    • Engel, P.1    Bagal, S.2    Broback, M.3
  • 15
    • 56849125243 scopus 로고    scopus 로고
    • Diagnostic difficulty and error in primary care: a systematic review
    • Kostopoulou, O., Delaney, B.C., Munro, C.W., Diagnostic difficulty and error in primary care: a systematic review. Fam Pract 25 (2008), 400–413.
    • (2008) Fam Pract , vol.25 , pp. 400-413
    • Kostopoulou, O.1    Delaney, B.C.2    Munro, C.W.3
  • 16
    • 85046566748 scopus 로고    scopus 로고
    • The voice of 12,000 patients: experiences and expectations of rare disease patients on diagnosis and care in Europe. 2009. Available from: [Accessed February 9].
    • European Organisation for Rare Disease (EURORDIS). The voice of 12,000 patients: experiences and expectations of rare disease patients on diagnosis and care in Europe. 2009. Available from: http://www.eurordis.org/IMG/pdf/voice_12000_patients/EURORDISCARE_FULLBOOKr.pdf. [Accessed February 9, 2017].
    • (2017)
  • 17
    • 85046570987 scopus 로고    scopus 로고
    • Experiences of rare diseases: an insight from patients and families. 2010. Available from: [Accessed February 9].
    • Limb L, Nutt S, Sen A. Experiences of rare diseases: an insight from patients and families. 2010. Available from: https://www.raredisease.org.uk/media/1594/rduk-family-report.pdf. [Accessed February 9, 2017].
    • (2017)
    • Limb, L.1    Nutt, S.2    Sen, A.3
  • 18
    • 84867199829 scopus 로고    scopus 로고
    • The battlefield of rare diseases: where uncommon insights are common
    • 154ed7-54ed7
    • Gahl, W.A., The battlefield of rare diseases: where uncommon insights are common. Sci Transl Med, 4, 2012 154ed7-54ed7.
    • (2012) Sci Transl Med , vol.4
    • Gahl, W.A.1
  • 19
    • 85028106080 scopus 로고    scopus 로고
    • The NIH Undiagnosed Diseases Program: insights into rare diseases
    • Gahl, W.A., Markello, T.C., Toro, C., et al. The NIH Undiagnosed Diseases Program: insights into rare diseases. Genet Med 14 (2012), 51–59.
    • (2012) Genet Med , vol.14 , pp. 51-59
    • Gahl, W.A.1    Markello, T.C.2    Toro, C.3
  • 20
    • 79955859467 scopus 로고    scopus 로고
    • The NIH Undiagnosed Diseases Program: lessons learned
    • Gahl, W.A., Tifft, C.J., The NIH Undiagnosed Diseases Program: lessons learned. JAMA 305 (2011), 1904–1905.
    • (2011) JAMA , vol.305 , pp. 1904-1905
    • Gahl, W.A.1    Tifft, C.J.2
  • 21
    • 85046558670 scopus 로고    scopus 로고
    • Survey of the delay in diagnosis for 8 rare diseases in Europe (‘EURORDISCARE 2’). 2007. Available from: [Accessed February 9].
    • European Organisation for Rare Disease (EURORDIS). Survey of the delay in diagnosis for 8 rare diseases in Europe (‘EURORDISCARE 2’). 2007. Available from: http://www.eurordis.org/sites/default/files/publications/Fact_Sheet_Eurordiscare2.pdf. [Accessed February 9, 2017].
    • (2017)
  • 22
    • 59249105170 scopus 로고    scopus 로고
    • Differential diagnosis of suspected multiple sclerosis: a consensus approach
    • Miller, D.H., Weinshenker, B.G., Filippi, M., et al. Differential diagnosis of suspected multiple sclerosis: a consensus approach. Mult Scler 14 (2008), 1157–1174.
    • (2008) Mult Scler , vol.14 , pp. 1157-1174
    • Miller, D.H.1    Weinshenker, B.G.2    Filippi, M.3
  • 23
    • 24944447780 scopus 로고    scopus 로고
    • Trends in the diagnosis of symptomatic patients with alpha-1 antitrypsin deficiency between 1968 and 2003
    • Campos, M.A., Wanner, A., Zhang, G., et al. Trends in the diagnosis of symptomatic patients with alpha-1 antitrypsin deficiency between 1968 and 2003. Chest 128 (2005), 1179–1186.
    • (2005) Chest , vol.128 , pp. 1179-1186
    • Campos, M.A.1    Wanner, A.2    Zhang, G.3
  • 24
    • 4744343655 scopus 로고    scopus 로고
    • Gaucher disease: complexity in a “simple” disorder
    • Sidransky, E., Gaucher disease: complexity in a “simple” disorder. Mol Genet Metab 83 (2004), 6–15.
    • (2004) Mol Genet Metab , vol.83 , pp. 6-15
    • Sidransky, E.1
  • 25
    • 84954474147 scopus 로고    scopus 로고
    • Behçet's disease: is there geographical variation? A review far from the Silk Road
    • Leonardo, N.M., McNeil, J., Behçet's disease: is there geographical variation? A review far from the Silk Road. Int J Rheumatol, 2015, 2015, 7.
    • (2015) Int J Rheumatol , vol.2015 , pp. 7
    • Leonardo, N.M.1    McNeil, J.2
  • 26
    • 84922567224 scopus 로고    scopus 로고
    • Prevalence of asymptomatic vertebral fractures in late-onset Pompe disease
    • Bertoldo, F., Zappini, F., Brigo, M., et al. Prevalence of asymptomatic vertebral fractures in late-onset Pompe disease. J Clin Endocrinol Metab 100 (2015), 401–406.
    • (2015) J Clin Endocrinol Metab , vol.100 , pp. 401-406
    • Bertoldo, F.1    Zappini, F.2    Brigo, M.3
  • 27
    • 84879910506 scopus 로고    scopus 로고
    • van Montfort KAGM, et al. The development and validation of a decision-analytic model representing the full disease course of acute myeloid leukemia
    • Leunis, A., Redekop, WK, van Montfort KAGM, et al. The development and validation of a decision-analytic model representing the full disease course of acute myeloid leukemia. Pharmacoeconomics 31 (2013), 605–621.
    • (2013) Pharmacoeconomics , vol.31 , pp. 605-621
    • Leunis, A.1    Redekop, W.K.2
  • 28
    • 0033982248 scopus 로고    scopus 로고
    • The molecular basis of lysosomal storage diseases and their treatment
    • Winchester, B., Vellodi, A., Young, E., The molecular basis of lysosomal storage diseases and their treatment. Biochem Soc Trans 28 (2000), 150–154.
    • (2000) Biochem Soc Trans , vol.28 , pp. 150-154
    • Winchester, B.1    Vellodi, A.2    Young, E.3
  • 29
    • 85046567979 scopus 로고    scopus 로고
    • Enzyme-replacement therapy in mucopolysaccharidoses with a specific focus on MPS VI
    • Brands, M., Enzyme-replacement therapy in mucopolysaccharidoses with a specific focus on MPS VI. Erasmus University Rotterdam, 2013.
    • (2013) Erasmus University Rotterdam
    • Brands, M.1
  • 30
    • 84899454204 scopus 로고    scopus 로고
    • Current and potential therapeutic strategies for mucopolysaccharidoses
    • Noh, H., Lee, J.I., Current and potential therapeutic strategies for mucopolysaccharidoses. J Clin Pharm Ther 39 (2014), 215–224.
    • (2014) J Clin Pharm Ther , vol.39 , pp. 215-224
    • Noh, H.1    Lee, J.I.2
  • 31
    • 79952576691 scopus 로고    scopus 로고
    • The Emperor of All Maladies: A Biography of Cancer
    • Scribner New York, NY
    • Mukherjee, S., The Emperor of All Maladies: A Biography of Cancer. 2010, Scribner, New York, NY.
    • (2010)
    • Mukherjee, S.1
  • 32
    • 19044373004 scopus 로고    scopus 로고
    • Targeting leukemia: from bench to bedside
    • 273e-273e
    • Patlak, M., Targeting leukemia: from bench to bedside. FASEB J, 16, 2002 273e-273e.
    • (2002) FASEB J , vol.16
    • Patlak, M.1
  • 33
    • 85019975490 scopus 로고    scopus 로고
    • The diagnosis of cystic fibrosis
    • De Boeck, K., Vermeulen, F., Dupont, L., The diagnosis of cystic fibrosis. Presse Med 46 (2017), e97–e108.
    • (2017) Presse Med , vol.46 , pp. e97-e108
    • De Boeck, K.1    Vermeulen, F.2    Dupont, L.3
  • 34
    • 27144471656 scopus 로고    scopus 로고
    • Delay in diagnosis of alpha-1 antitrypsin deficiency: a continuing problem
    • Stoller, J.K., Sandhaus, R.A., Turino, G., et al. Delay in diagnosis of alpha-1 antitrypsin deficiency: a continuing problem. Chest 128 (2005), 1989–1994.
    • (2005) Chest , vol.128 , pp. 1989-1994
    • Stoller, J.K.1    Sandhaus, R.A.2    Turino, G.3
  • 35
    • 2442690500 scopus 로고    scopus 로고
    • Wilson's disease: diagnostic errors and clinical implications
    • Prashanth, L.K., Taly, A.B., Sinha, S., et al. Wilson's disease: diagnostic errors and clinical implications. J Neurol Neurosurg Psychiatry 75 (2004), 907–909.
    • (2004) J Neurol Neurosurg Psychiatry , vol.75 , pp. 907-909
    • Prashanth, L.K.1    Taly, A.B.2    Sinha, S.3
  • 36
    • 38049158328 scopus 로고    scopus 로고
    • Cause of death in Wilson disease
    • Walshe, J.M., Cause of death in Wilson disease. Mov Disord 22 (2007), 2216–2220.
    • (2007) Mov Disord , vol.22 , pp. 2216-2220
    • Walshe, J.M.1
  • 37
    • 0035093388 scopus 로고    scopus 로고
    • The ‘zero patient’ design to compare the prevalences of rare diseases
    • Yazıcı H., Biyikli, M., van der Linden, S., et al. The ‘zero patient’ design to compare the prevalences of rare diseases. Rheumatology 40 (2001), 121–122.
    • (2001) Rheumatology , vol.40 , pp. 121-122
    • Yazıcı, H.1    Biyikli, M.2    van der Linden, S.3
  • 38
    • 84931750184 scopus 로고    scopus 로고
    • Geographic variations in epidemiology of two autoimmune bullous diseases: pemphigus and bullous pemphigoid
    • Alpsoy, E., Akman-Karakas, A., Uzun, S., Geographic variations in epidemiology of two autoimmune bullous diseases: pemphigus and bullous pemphigoid. Arch Dermatol Res 307 (2015), 291–298.
    • (2015) Arch Dermatol Res , vol.307 , pp. 291-298
    • Alpsoy, E.1    Akman-Karakas, A.2    Uzun, S.3
  • 39
    • 0037605876 scopus 로고    scopus 로고
    • Finnish Disease Heritage I: characteristics, causes, background
    • Norio, R., Finnish Disease Heritage I: characteristics, causes, background. Hum Genet 112 (2003), 441–456.
    • (2003) Hum Genet , vol.112 , pp. 441-456
    • Norio, R.1
  • 40
    • 0022257475 scopus 로고
    • DNA restriction fragments associated with alpha 1-antitrypsin indicate a single origin for deficiency allele PI Z
    • Cox, D.W., Woo, S.L., Mansfield, T., DNA restriction fragments associated with alpha 1-antitrypsin indicate a single origin for deficiency allele PI Z. Nature 316 (1985), 79–81.
    • (1985) Nature , vol.316 , pp. 79-81
    • Cox, D.W.1    Woo, S.L.2    Mansfield, T.3
  • 42
    • 0036019111 scopus 로고    scopus 로고
    • Sample size calculations for randomized controlled trials
    • Wittes, J., Sample size calculations for randomized controlled trials. Epidemiol Rev 24 (2002), 39–53.
    • (2002) Epidemiol Rev , vol.24 , pp. 39-53
    • Wittes, J.1
  • 43
    • 77951698313 scopus 로고    scopus 로고
    • Sample size calculations: basic principles and common pitfalls
    • Noordzij, M., Tripepi, G., Dekker, F.W., et al. Sample size calculations: basic principles and common pitfalls. Nephrol Dial Transplant 25 (2010), 1388–1393.
    • (2010) Nephrol Dial Transplant , vol.25 , pp. 1388-1393
    • Noordzij, M.1    Tripepi, G.2    Dekker, F.W.3
  • 44
    • 85046573126 scopus 로고    scopus 로고
    • Biomarkers: Their role in CFTR modulator therapies from early development to the clinic
    • Bell, S.C., Wood, M.E., Biomarkers: Their role in CFTR modulator therapies from early development to the clinic. Am J Respir Crit Care Med, 2018, 10.1164/rccm.201801-0177ED.
    • (2018) Am J Respir Crit Care Med
    • Bell, S.C.1    Wood, M.E.2
  • 45
    • 85002641303 scopus 로고    scopus 로고
    • Discovery of biomarkers in rare diseases: innovative approaches by predictive and personalized medicine
    • Gülbakan, B., Özgül, R.K., Yüzbaşıoğlu, A., et al. Discovery of biomarkers in rare diseases: innovative approaches by predictive and personalized medicine. EPMA J, 7, 2016, 24.
    • (2016) EPMA J , vol.7 , pp. 24
    • Gülbakan, B.1    Özgül, R.K.2    Yüzbaşıoğlu, A.3
  • 46
    • 78549279173 scopus 로고    scopus 로고
    • Effect of VX-770 in persons with cystic fibrosis and the G551D-CFTR mutation
    • Accurso, F.J., Rowe, S.M., Clancy, J.P., et al. Effect of VX-770 in persons with cystic fibrosis and the G551D-CFTR mutation. N Engl J Med 363 (2010), 1991–2003.
    • (2010) N Engl J Med , vol.363 , pp. 1991-2003
    • Accurso, F.J.1    Rowe, S.M.2    Clancy, J.P.3
  • 47
    • 85020383955 scopus 로고    scopus 로고
    • Efficacy and safety of lumacaftor and ivacaftor in patients aged 6–11 years with cystic fibrosis homozygous for F508del-CFTR: a randomised, placebo-controlled phase 3 trial
    • Ratjen, F., Hug, C., Marigowda, G., et al. Efficacy and safety of lumacaftor and ivacaftor in patients aged 6–11 years with cystic fibrosis homozygous for F508del-CFTR: a randomised, placebo-controlled phase 3 trial. Lancet Respir Med 5 (2017), 557–567.
    • (2017) Lancet Respir Med , vol.5 , pp. 557-567
    • Ratjen, F.1    Hug, C.2    Marigowda, G.3
  • 48
    • 85034732149 scopus 로고    scopus 로고
    • Tezacaftor-ivacaftor in residual-function heterozygotes with cystic fibrosis
    • Rowe, S.M., Daines, C., Ringshausen, F.C., et al. Tezacaftor-ivacaftor in residual-function heterozygotes with cystic fibrosis. N Engl J Med 377 (2017), 2024–2035.
    • (2017) N Engl J Med , vol.377 , pp. 2024-2035
    • Rowe, S.M.1    Daines, C.2    Ringshausen, F.C.3
  • 49
    • 84955197008 scopus 로고    scopus 로고
    • A cost-effectiveness analysis of real-world treatment for elderly patients with multiple myeloma using a full disease model
    • Blommestein, H.M., Verelst, S.G., de Groot, S., et al. A cost-effectiveness analysis of real-world treatment for elderly patients with multiple myeloma using a full disease model. Eur J Haematol 96 (2016), 198–208.
    • (2016) Eur J Haematol , vol.96 , pp. 198-208
    • Blommestein, H.M.1    Verelst, S.G.2    de Groot, S.3
  • 50
    • 85045878383 scopus 로고    scopus 로고
    • Duration of therapy (DOT) and time to next therapy (TTNT) of bortezomib, carfilzomib and ixazomib combinations with lenalidomide/dexamethasone (VRd, KRd, IRd) in patients (pts) with relapsed/refractory multiple myeloma (RRMM): clinical practice in the United States vs clinical trial experience
    • Chari, A., Romanus, D., Luptakova, K., et al. Duration of therapy (DOT) and time to next therapy (TTNT) of bortezomib, carfilzomib and ixazomib combinations with lenalidomide/dexamethasone (VRd, KRd, IRd) in patients (pts) with relapsed/refractory multiple myeloma (RRMM): clinical practice in the United States vs clinical trial experience. Blood, 130, 2017, 1818.
    • (2017) Blood , vol.130 , pp. 1818
    • Chari, A.1    Romanus, D.2    Luptakova, K.3
  • 51
    • 33745172773 scopus 로고    scopus 로고
    • A journey of hope: lessons learned from studies on rare diseases and orphan drugs
    • Wastfelt, M., Fadeel, B., Henter, J.I., A journey of hope: lessons learned from studies on rare diseases and orphan drugs. J Intern Med 260 (2006), 1–10.
    • (2006) J Intern Med , vol.260 , pp. 1-10
    • Wastfelt, M.1    Fadeel, B.2    Henter, J.I.3
  • 52
    • 84959321889 scopus 로고    scopus 로고
    • The context for the thematic grouping of rare diseases to facilitate the establishment of European Reference Networks
    • Evangelista, T., Hedley, V., Atalaia, A., et al. The context for the thematic grouping of rare diseases to facilitate the establishment of European Reference Networks. Orphanet J Rare Dis, 11, 2016, 17.
    • (2016) Orphanet J Rare Dis , vol.11 , pp. 17
    • Evangelista, T.1    Hedley, V.2    Atalaia, A.3
  • 53
    • 85046562686 scopus 로고    scopus 로고
    • Rare Disease UK. Centres of excellence for rare diseases. 2013. Available from: [Accessed February 14].
    • Rare Disease UK. Centres of excellence for rare diseases. 2013. Available from: https://www.raredisease.org.uk/media/1601/centres-of-excellence.pdf. [Accessed February 14, 2017].
    • (2017)
  • 54
    • 84905900312 scopus 로고    scopus 로고
    • Patient-reported outcomes in clinical trials of rare diseases
    • Basch, E., Bennett, A.V., Patient-reported outcomes in clinical trials of rare diseases. J Gen Intern Med 29 (2014), 801–803.
    • (2014) J Gen Intern Med , vol.29 , pp. 801-803
    • Basch, E.1    Bennett, A.V.2
  • 55
    • 85046575994 scopus 로고    scopus 로고
    • Patient-centered outcome measures initiatives in the field of rare diseases. 2016. Available from: [Accessed February 20].
    • International Rare Diseases Research Consortium (IRDiRC). Patient-centered outcome measures initiatives in the field of rare diseases. 2016. Available from: http://www.irdirc.org/wp-content/uploads/2017/12/PCOM_Post-Workshop_Report_Final.pdf. [Accessed February 20, 2017].
    • (2017)
  • 56
    • 85024405758 scopus 로고    scopus 로고
    • Patient-reported outcome and observer-reported outcome assessment in rare disease clinical trials: An ISPOR COA Emerging Good Practices Task Force report
    • Benjamin, K., Vernon, M.K., Patrick, D.L., et al. Patient-reported outcome and observer-reported outcome assessment in rare disease clinical trials: An ISPOR COA Emerging Good Practices Task Force report. Value Health 20 (2017), 838–855.
    • (2017) Value Health , vol.20 , pp. 838-855
    • Benjamin, K.1    Vernon, M.K.2    Patrick, D.L.3
  • 57
    • 84928751258 scopus 로고    scopus 로고
    • Recommendations for the development of rare disease drugs using the accelerated approval pathway and for qualifying biomarkers as primary endpoints
    • Kakkis, E.D., O'Donovan, M., Cox, G., et al. Recommendations for the development of rare disease drugs using the accelerated approval pathway and for qualifying biomarkers as primary endpoints. Orphanet J Rare Dis, 10, 2015, 16.
    • (2015) Orphanet J Rare Dis , vol.10 , pp. 16
    • Kakkis, E.D.1    O'Donovan, M.2    Cox, G.3
  • 58
    • 84883688333 scopus 로고    scopus 로고
    • Clinical trials in rare disease: challenges and opportunities
    • Augustine, E.F., Adams, H.R., Mink, J.W., Clinical trials in rare disease: challenges and opportunities. J Child Neurol 28 (2013), 1142–1150.
    • (2013) J Child Neurol , vol.28 , pp. 1142-1150
    • Augustine, E.F.1    Adams, H.R.2    Mink, J.W.3
  • 59
    • 57649109461 scopus 로고    scopus 로고
    • Clinical research for rare disease: opportunities, challenges, and solutions
    • Griggs, R.C., Batshaw, M., Dunkle, M., et al. Clinical research for rare disease: opportunities, challenges, and solutions. Mol Genet Metab 96 (2009), 20–26.
    • (2009) Mol Genet Metab , vol.96 , pp. 20-26
    • Griggs, R.C.1    Batshaw, M.2    Dunkle, M.3
  • 60
    • 85046557149 scopus 로고    scopus 로고
    • EUCERD workshop report. National centres of expertise for rare diseases & European collaboration between centres of expertise. 2011. Available from: [Accessed February 14].
    • European Union Committee of Experts on Rare Diseases (EUCERD). EUCERD workshop report. National centres of expertise for rare diseases & European collaboration between centres of expertise. 2011. Available from: http://www.eucerd.eu/?post_type=document&p=1231. [Accessed February 14, 2017].
    • (2017)
  • 62
    • 85046576552 scopus 로고    scopus 로고
    • Working for patients with rare, low-prevalence and complex diseases. 2017. Available from: [Accessed February 18].
    • European Reference Network. Working for patients with rare, low-prevalence and complex diseases. 2017. Available from: https://ec.europa.eu/health/sites/health/files/ern/docs/2017_brochure_en.pdf. [Accessed February 18, 2018].
    • (2018)
  • 63
    • 85026918326 scopus 로고    scopus 로고
    • European Reference networks for rare diseases: what is the conceptual framework?
    • Héon-Klin, V., European Reference networks for rare diseases: what is the conceptual framework?. Orphanet J Rare Dis, 12, 2017, 137.
    • (2017) Orphanet J Rare Dis , vol.12 , pp. 137
    • Héon-Klin, V.1
  • 64
    • 84905923136 scopus 로고    scopus 로고
    • Quantifying a rare disease in administrative data: the example of calciphylaxis
    • Nigwekar, S.U., Solid, C.A., Ankers, E., et al. Quantifying a rare disease in administrative data: the example of calciphylaxis. J Gen Intern Med 29 (2014), 724–731.
    • (2014) J Gen Intern Med , vol.29 , pp. 724-731
    • Nigwekar, S.U.1    Solid, C.A.2    Ankers, E.3
  • 65
    • 84926462524 scopus 로고    scopus 로고
    • Rare diseases in ICD11: making rare diseases visible in health information systems through appropriate coding
    • Ayme, S., Bellet, B., Rath, A., Rare diseases in ICD11: making rare diseases visible in health information systems through appropriate coding. Orphanet J Rare Dis, 10, 2015, 35.
    • (2015) Orphanet J Rare Dis , vol.10 , pp. 35
    • Ayme, S.1    Bellet, B.2    Rath, A.3
  • 66
    • 80052972993 scopus 로고    scopus 로고
    • When ethics constrains clinical research: trial design of control arms in “greater than minimal risk” pediatric trials
    • de Melo-Martín, I., Sondhi, D., Crystal, R.G., When ethics constrains clinical research: trial design of control arms in “greater than minimal risk” pediatric trials. Hum Gene Ther 22 (2011), 1121–1127.
    • (2011) Hum Gene Ther , vol.22 , pp. 1121-1127
    • de Melo-Martín, I.1    Sondhi, D.2    Crystal, R.G.3
  • 67
    • 84941585382 scopus 로고    scopus 로고
    • Which factors may determine the necessary and feasible type of effectiveness evidence? A mixed methods approach to develop an instrument to help coverage decision-makers
    • de Groot, S., Rijnsburger, A.J., Versteegh, M.M., et al. Which factors may determine the necessary and feasible type of effectiveness evidence? A mixed methods approach to develop an instrument to help coverage decision-makers. BMJ Open, 5, 2015, e007241, 10.1136/bmjopen-2014-007241.
    • (2015) BMJ Open , vol.5 , pp. e007241
    • de Groot, S.1    Rijnsburger, A.J.2    Versteegh, M.M.3
  • 68
    • 79851495870 scopus 로고    scopus 로고
    • Ethics for drug testing in low and middle income countries: considerations for European market authorisation
    • SOMO Centre for Research on Multinational Corporations and Wemos Foundation Amsterdam
    • Schipper, I., Weyzig, F., Ethics for drug testing in low and middle income countries: considerations for European market authorisation. 2008, SOMO Centre for Research on Multinational Corporations and Wemos Foundation, Amsterdam.
    • (2008)
    • Schipper, I.1    Weyzig, F.2
  • 69
    • 84874244389 scopus 로고    scopus 로고
    • SOMO briefing paper on ethics in clinical trials #1: examples of unethical trials
    • SOMO Centre for Research on Multinational Corporations and Wemos Foundation Amsterdam
    • Weyzig, F., Schipper, I., SOMO briefing paper on ethics in clinical trials #1: examples of unethical trials. 2008, SOMO Centre for Research on Multinational Corporations and Wemos Foundation, Amsterdam.
    • (2008)
    • Weyzig, F.1    Schipper, I.2
  • 71
    • 84955598295 scopus 로고    scopus 로고
    • Good-quality research in rare diseases: trials and tribulations
    • Bolignano, D., Pisano, A., Good-quality research in rare diseases: trials and tribulations. Pediatr Nephrol 31 (2016), 2017–2023.
    • (2016) Pediatr Nephrol , vol.31 , pp. 2017-2023
    • Bolignano, D.1    Pisano, A.2
  • 72
    • 85046568280 scopus 로고    scopus 로고
    • EMA-HTA workshop: bringing together stakeholders for early dialogue in medicines development. 2014. Available from: [Accessed February 15].
    • European Medicines Agency. EMA-HTA workshop: bringing together stakeholders for early dialogue in medicines development. 2014. Available from: http://www.ema.europa.eu/docs/en_GB/document_library/Report/2014/05/WC500166228.pdf. [Accessed February 15, 2017].
    • (2017)
  • 73
    • 84986275928 scopus 로고    scopus 로고
    • How aligned are the perspectives of EU regulators and HTA bodies? A comparative analysis of regulatory-HTA parallel scientific advice
    • Tafuri, G., Pagnini, M., Moseley, J., et al. How aligned are the perspectives of EU regulators and HTA bodies? A comparative analysis of regulatory-HTA parallel scientific advice. Br J Clin Pharmacol 82 (2016), 965–973.
    • (2016) Br J Clin Pharmacol , vol.82 , pp. 965-973
    • Tafuri, G.1    Pagnini, M.2    Moseley, J.3
  • 74
    • 84949040660 scopus 로고    scopus 로고
    • Orphan drug considerations in health technology assessment in eight European countries
    • Tordrup, D., Tzouma, V., Kanavos, P., Orphan drug considerations in health technology assessment in eight European countries. Int J Public Health 1 (2014), 86–97.
    • (2014) Int J Public Health , vol.1 , pp. 86-97
    • Tordrup, D.1    Tzouma, V.2    Kanavos, P.3
  • 75
    • 34250772257 scopus 로고    scopus 로고
    • Assessing the economic challenges posed by orphan drugs: a comment on Drummond et al
    • author reply 1–4
    • McCabe, C., Tsuchiya, A., Claxton, K., et al. Assessing the economic challenges posed by orphan drugs: a comment on Drummond et al. Int J Technol Assess Health Care 23 (2007), 397–401 author reply 1–4.
    • (2007) Int J Technol Assess Health Care , vol.23 , pp. 397-401
    • McCabe, C.1    Tsuchiya, A.2    Claxton, K.3
  • 76
    • 77958175544 scopus 로고    scopus 로고
    • Challenges in the economic evaluation of orphan drugs
    • Drummond, M.F., Challenges in the economic evaluation of orphan drugs. Eurohealth 14 (2008), 16–17.
    • (2008) Eurohealth , vol.14 , pp. 16-17
    • Drummond, M.F.1
  • 77
    • 85014817000 scopus 로고    scopus 로고
    • Recommendations from the European Working Group for Value Assessment and Funding Processes in Rare Diseases (ORPH-VAL)
    • Annemans, L., Aymé S., Le Cam, Y., et al. Recommendations from the European Working Group for Value Assessment and Funding Processes in Rare Diseases (ORPH-VAL). Orphanet J Rare Dis, 12, 2017, 50.
    • (2017) Orphanet J Rare Dis , vol.12 , pp. 50
    • Annemans, L.1    Aymé, S.2    Le Cam, Y.3
  • 78
    • 84885450999 scopus 로고    scopus 로고
    • Clinical evidence for orphan medicinal products: a cause for concern?
    • Picavet, E., Cassiman, D., Hollak, C.E., et al. Clinical evidence for orphan medicinal products: a cause for concern?. Orphanet J Rare Dis, 8, 2013, 164.
    • (2013) Orphanet J Rare Dis , vol.8 , pp. 164
    • Picavet, E.1    Cassiman, D.2    Hollak, C.E.3
  • 79
    • 85046569390 scopus 로고    scopus 로고
    • 2013 EURORDIS policy fact sheet - rare disease patient registries. 2013. Available from: [Accessed February 16].
    • European Organisation for Rare Diseases (EURORDIS). 2013 EURORDIS policy fact sheet - rare disease patient registries. 2013. Available from: http://www.eurordis.org/sites/default/files/publications/Factsheet_registries.pdf[Accessed February 16, 2017].
    • (2017)
  • 80
    • 85046570234 scopus 로고    scopus 로고
    • Rare Diseases Task Force. Patient registries in the field of rare diseases: overview of the issues surrounding the establishment, management, governance and financing of academic registries. 2011. Available from: [Accessed February 16].
    • Rare Diseases Task Force. Patient registries in the field of rare diseases: overview of the issues surrounding the establishment, management, governance and financing of academic registries. 2011. Available from: http://www.eucerd.eu/?post_type=document&p=1218. [Accessed February 16, 2017].
    • (2017)
  • 81
    • 47349129001 scopus 로고    scopus 로고
    • Registries for Evaluating Patient Outcomes: A User's Guide
    • U.S. Government Printing Office Washington, DC
    • Gliklich, R.E., Dreyer, N.A., Leavy, M.B., Registries for Evaluating Patient Outcomes: A User's Guide. 2014, U.S. Government Printing Office, Washington, DC.
    • (2014)
    • Gliklich, R.E.1    Dreyer, N.A.2    Leavy, M.B.3
  • 82
    • 84995768715 scopus 로고    scopus 로고
    • An innovative and collaborative partnership between patients with rare disease and industry-supported registries: the Global aHUS Registry
    • Woodward, L., Johnson, S., Walle, J.V., et al. An innovative and collaborative partnership between patients with rare disease and industry-supported registries: the Global aHUS Registry. Orphanet J Rare Dis, 11, 2016, 154.
    • (2016) Orphanet J Rare Dis , vol.11 , pp. 154
    • Woodward, L.1    Johnson, S.2    Walle, J.V.3
  • 83
    • 77957749180 scopus 로고    scopus 로고
    • Creating a global rare disease patient registry linked to a rare diseases biorepository database: Rare Disease-HUB (RD-HUB)
    • Rubinstein, Y.R., Groft, S.C., Bartek, R., et al. Creating a global rare disease patient registry linked to a rare diseases biorepository database: Rare Disease-HUB (RD-HUB). Contemp Clin Trials 31 (2010), 394–404.
    • (2010) Contemp Clin Trials , vol.31 , pp. 394-404
    • Rubinstein, Y.R.1    Groft, S.C.2    Bartek, R.3
  • 84
    • 84871911140 scopus 로고    scopus 로고
    • Ten common questions (and their answers) About Off-label Drug Use
    • Wittich, C.M., Burkle, C.M., Lanier, W.L., Ten common questions (and their answers) About Off-label Drug Use. Mayo Clin Proc 87 (2012), 982–990.
    • (2012) Mayo Clin Proc , vol.87 , pp. 982-990
    • Wittich, C.M.1    Burkle, C.M.2    Lanier, W.L.3
  • 85
    • 84992697313 scopus 로고    scopus 로고
    • Off-label use of orphan medicinal products: a Belgian qualitative study
    • Dooms, M., Cassiman, D., Simoens, S., Off-label use of orphan medicinal products: a Belgian qualitative study. Orphanet J Rare Dis, 11, 2016, 144.
    • (2016) Orphanet J Rare Dis , vol.11 , pp. 144
    • Dooms, M.1    Cassiman, D.2    Simoens, S.3
  • 86
    • 69649095234 scopus 로고    scopus 로고
    • Off-Label prescribing: A call for heightened professional and Government oversight
    • 476–396
    • Dresser, R., Frader, J., Off-Label prescribing: A call for heightened professional and Government oversight. J Law Med Ethics, 37, 2009 476–396.
    • (2009) J Law Med Ethics , vol.37
    • Dresser, R.1    Frader, J.2
  • 87
    • 85046564671 scopus 로고    scopus 로고
    • Is off-label drug use enhancing or limiting access for patients with rare diseases? In: ISPOR 19th Annual European Congress. Vienna, Austria.
    • Caro JS, L; Kolominsky PL, Hamed A. Is off-label drug use enhancing or limiting access for patients with rare diseases? In: ISPOR 19th Annual European Congress. Vienna, Austria, 2016.
    • (2016)
    • Caro, J.S.1    L2    Kolominsky, P.L.3    Hamed, A.4
  • 88
    • 85046563299 scopus 로고    scopus 로고
    • Understanding off-label use and the information needs of patients: a pilot Eurordis survey in rare diseases. 2012. Available from: [Accessed February 17].
    • Camp R, West R. Understanding off-label use and the information needs of patients: a pilot Eurordis survey in rare diseases. 2012. Available from: http://www.ema.europa.eu/docs/en_GB/document_library/Presentation/2012/11/WC500135170.pdf. [Accessed February 17, 2017].
    • (2017)
    • Camp, R.1    West, R.2
  • 89
    • 84873476022 scopus 로고    scopus 로고
    • Cost-effectiveness assessment of orphan drugs: a scientific and political conundrum
    • Simoens, S., Picavet, E., Dooms, M., et al. Cost-effectiveness assessment of orphan drugs: a scientific and political conundrum. Appl Health Econ Health Policy 11 (2013), 1–3.
    • (2013) Appl Health Econ Health Policy , vol.11 , pp. 1-3
    • Simoens, S.1    Picavet, E.2    Dooms, M.3
  • 90
    • 31544452135 scopus 로고    scopus 로고
    • Is the current approach to reviewing new drugs condemning the victims of rare diseases to death? A call for a national orphan drug review policy
    • Clarke, J.T., Is the current approach to reviewing new drugs condemning the victims of rare diseases to death? A call for a national orphan drug review policy. CMAJ Can Med Assoc J 174 (2006), 189–190.
    • (2006) CMAJ Can Med Assoc J , vol.174 , pp. 189-190
    • Clarke, J.T.1
  • 91
    • 84862122854 scopus 로고    scopus 로고
    • Validation of the first quality-of-life measurement for patients with Huntington's disease: the Huntington Quality of Life Instrument
    • Clay, E., De Nicola, A., Dorey, J., et al. Validation of the first quality-of-life measurement for patients with Huntington's disease: the Huntington Quality of Life Instrument. Int Clin Psychopharmacol 27 (2012), 208–214.
    • (2012) Int Clin Psychopharmacol , vol.27 , pp. 208-214
    • Clay, E.1    De Nicola, A.2    Dorey, J.3
  • 92
    • 85020514939 scopus 로고    scopus 로고
    • Validation of a health-related quality of life instrument for primary ciliary dyskinesia (QOL-PCD)
    • Behan, L., Leigh, M.W., Dell, S.D., et al. Validation of a health-related quality of life instrument for primary ciliary dyskinesia (QOL-PCD). Thorax 72 (2017), 832–839.
    • (2017) Thorax , vol.72 , pp. 832-839
    • Behan, L.1    Leigh, M.W.2    Dell, S.D.3
  • 93
    • 84954285107 scopus 로고    scopus 로고
    • Developing an evidence-based methodological framework to systematically compare HTA coverage decisions: a mixed methods study
    • Nicod, E., Kanavos, P., Developing an evidence-based methodological framework to systematically compare HTA coverage decisions: a mixed methods study. Health Policy 120 (2016), 35–45.
    • (2016) Health Policy , vol.120 , pp. 35-45
    • Nicod, E.1    Kanavos, P.2
  • 94
    • 84925513451 scopus 로고    scopus 로고
    • Value-based reimbursement decisions for orphan drugs: a scoping review and decision framework
    • Paulden, M., Stafinski, T., Menon, D., et al. Value-based reimbursement decisions for orphan drugs: a scoping review and decision framework. Pharmacoeconomics 33 (2015), 255–269.
    • (2015) Pharmacoeconomics , vol.33 , pp. 255-269
    • Paulden, M.1    Stafinski, T.2    Menon, D.3
  • 95
    • 84929324394 scopus 로고    scopus 로고
    • Principles for consistent value assessment and sustainable funding of orphan drugs in Europe
    • Gutierrez, L., Patris, J., Hutchings, A., et al. Principles for consistent value assessment and sustainable funding of orphan drugs in Europe. Orphanet J Rare Dis, 10, 2015, 53.
    • (2015) Orphanet J Rare Dis , vol.10 , pp. 53
    • Gutierrez, L.1    Patris, J.2    Hutchings, A.3
  • 96
    • 84957849969 scopus 로고    scopus 로고
    • Multiple criteria decision analysis for health care decision making—an introduction: Report 1 of the ISPOR MCDA Emerging Good Practices Task Force
    • Thokala, P., Devlin, N., Marsh, K., et al. Multiple criteria decision analysis for health care decision making—an introduction: Report 1 of the ISPOR MCDA Emerging Good Practices Task Force. Value Health 19 (2016), 1–13.
    • (2016) Value Health , vol.19 , pp. 1-13
    • Thokala, P.1    Devlin, N.2    Marsh, K.3
  • 97
    • 84959574946 scopus 로고    scopus 로고
    • Multiple criteria decision analysis for health care decision making—emerging good practices: Report 2 of the ISPOR MCDA Emerging Good Practices Task Force
    • Marsh, K., Ijzerman, M., Thokala, P., et al. Multiple criteria decision analysis for health care decision making—emerging good practices: Report 2 of the ISPOR MCDA Emerging Good Practices Task Force. Value Health 19 (2016), 125–137.
    • (2016) Value Health , vol.19 , pp. 125-137
    • Marsh, K.1    Ijzerman, M.2    Thokala, P.3
  • 98
    • 84960887396 scopus 로고    scopus 로고
    • Potential impact of the implementation of multiple-criteria decision analysis (MCDA) on the Polish pricing and reimbursement process of orphan drugs
    • Kolasa, K., Zwolinski, K.M., Kalo, Z., et al. Potential impact of the implementation of multiple-criteria decision analysis (MCDA) on the Polish pricing and reimbursement process of orphan drugs. Orphanet J Rare Dis, 11, 2016, 23.
    • (2016) Orphanet J Rare Dis , vol.11 , pp. 23
    • Kolasa, K.1    Zwolinski, K.M.2    Kalo, Z.3
  • 99
    • 85011258323 scopus 로고    scopus 로고
    • Multi-criteria decision analysis (MCDA): testing a proposed MCDA framework for orphan drugs
    • Schey, C., Krabbe, P.F.M., Postma, M.J., et al. Multi-criteria decision analysis (MCDA): testing a proposed MCDA framework for orphan drugs. Orphanet J Rare Dis, 12, 2017, 10.
    • (2017) Orphanet J Rare Dis , vol.12 , pp. 10
    • Schey, C.1    Krabbe, P.F.M.2    Postma, M.J.3
  • 100
    • 27744461277 scopus 로고    scopus 로고
    • Drugs for exceptionally rare diseases: do they deserve special status for funding?
    • Hughes, D.A., Tunnage, B., Yeo, S.T., Drugs for exceptionally rare diseases: do they deserve special status for funding?. QJM 98 (2005), 829–836.
    • (2005) QJM , vol.98 , pp. 829-836
    • Hughes, D.A.1    Tunnage, B.2    Yeo, S.T.3
  • 101
    • 85046563606 scopus 로고    scopus 로고
    • SMC modifiers used in appraising new medicines. Available from: [Accessed February 18].
    • Scottish Medicines Consortium (SMC). SMC modifiers used in appraising new medicines. Available from: http://solidarites-sante.gouv.fr/IMG/pdf/rapport_d_activite_2015_.pdf. [Accessed February 18, 2018].
    • (2018)
  • 102
    • 85046569088 scopus 로고    scopus 로고
    • Interim process and methods of the highly specialised technologies programme updated to reflect 2017 changes. 2017. Available from: [Accessed February 18].
    • National Institute for Health and Care Excellence (NICE). Interim process and methods of the highly specialised technologies programme updated to reflect 2017 changes. 2017. Available from: https://www.nice.org.uk/Media/Default/About/what-we-do/NICE-guidance/NICE-highly-specialised-technologies-guidance/HST-interim-methods-process-guide-may-17.pdf. [Accessed February 18, 2018].
    • (2018)
  • 103
    • 84962091282 scopus 로고    scopus 로고
    • G-BA benefit assessment of new orphan drugs in Germany: the first five years
    • Bouslouk, M., G-BA benefit assessment of new orphan drugs in Germany: the first five years. Expert Opin Orphan Drugs 4 (2016), 453–455.
    • (2016) Expert Opin Orphan Drugs , vol.4 , pp. 453-455
    • Bouslouk, M.1
  • 104
    • 85041624378 scopus 로고    scopus 로고
    • Characteristics of drugs for ultra-rare diseases versus drugs for other rare diseases in HTA submissions made to the CADTH CDR
    • Richter, T., Janoudi, G., Amegatse, W., et al. Characteristics of drugs for ultra-rare diseases versus drugs for other rare diseases in HTA submissions made to the CADTH CDR. Orphanet J Rare Dis, 13, 2018, 15.
    • (2018) Orphanet J Rare Dis , vol.13 , pp. 15
    • Richter, T.1    Janoudi, G.2    Amegatse, W.3
  • 105
    • 84982273349 scopus 로고    scopus 로고
    • Why do health technology assessment coverage recommendations for the same drugs differ across settings? Applying a mixed methods framework to systematically compare orphan drug decisions in four European countries
    • Nicod, E., Why do health technology assessment coverage recommendations for the same drugs differ across settings? Applying a mixed methods framework to systematically compare orphan drug decisions in four European countries. Eur J Health Econ 18 (2017), 715–730.
    • (2017) Eur J Health Econ , vol.18 , pp. 715-730
    • Nicod, E.1
  • 106
    • 84936997842 scopus 로고    scopus 로고
    • Budget impact analysis of drugs for ultra-orphan non-oncological diseases in Europe
    • Schlander, M., Adarkwah, C.C., Gandjour, A., Budget impact analysis of drugs for ultra-orphan non-oncological diseases in Europe. Expert Rev Pharmacoecon Outcomes Res 15 (2015), 171–179.
    • (2015) Expert Rev Pharmacoecon Outcomes Res , vol.15 , pp. 171-179
    • Schlander, M.1    Adarkwah, C.C.2    Gandjour, A.3
  • 108
    • 84896704935 scopus 로고    scopus 로고
    • Estimating the budget impact of orphan drugs in Sweden and France 2013–2020
    • Hutchings, A., Schey, C., Dutton, R., et al. Estimating the budget impact of orphan drugs in Sweden and France 2013–2020. Orphanet J Rare Dis, 9, 2014, 22.
    • (2014) Orphanet J Rare Dis , vol.9 , pp. 22
    • Hutchings, A.1    Schey, C.2    Dutton, R.3
  • 109
    • 80053379101 scopus 로고    scopus 로고
    • Estimating the budget impact of orphan medicines in Europe: 2010–2020
    • Schey, C., Milanova, T., Hutchings, A., Estimating the budget impact of orphan medicines in Europe: 2010–2020. Orphanet J Rare Dis, 6, 2011, 62.
    • (2011) Orphanet J Rare Dis , vol.6 , pp. 62
    • Schey, C.1    Milanova, T.2    Hutchings, A.3
  • 110
    • 85046570124 scopus 로고    scopus 로고
    • Rapport d'activité 2015. 2016. Available from: [Accessed February 17].
    • Comité économique des produits de santé (CEPS). Rapport d'activité 2015. 2016. Available from: http://solidarites-sante.gouv.fr/IMG/pdf/rapport_d_activite_2015_.pdf. [Accessed February 17, 2017].
    • (2017)
  • 111
    • 85046564836 scopus 로고    scopus 로고
    • EvaluatePharma. Orphan Drug Report 2013. Available from: [Accessed April 27].
    • EvaluatePharma. Orphan Drug Report 2013. Available from: http://info.evaluategroup.com/rs/evaluatepharmaltd/images/EP_OrphanDrugReport2013.pdf. [Accessed April 27, 2017].
    • (2017)
  • 112
    • 84907940929 scopus 로고    scopus 로고
    • Orphan drugs expenditure in the Netherlands in the period 2006–2012
    • Kanters, T.A., Steenhoek, A., Hakkaart, L., Orphan drugs expenditure in the Netherlands in the period 2006–2012. Orphanet J Rare Dis, 9, 2014, 154.
    • (2014) Orphanet J Rare Dis , vol.9 , pp. 154
    • Kanters, T.A.1    Steenhoek, A.2    Hakkaart, L.3
  • 113
    • 85046564941 scopus 로고    scopus 로고
    • Managed Access Agreement: Ataluren for treating nonsense mutation Duchenne muscular dystrophy (nmDMD). Available from: [Accessed February 18, 2018].
    • National Institute for Health and Care Excellence (NICE). Managed Access Agreement: Ataluren for treating nonsense mutation Duchenne muscular dystrophy (nmDMD). Available from: https://www.nice.org.uk/guidance/hst3/resources/managed-access-agreement-july-2016-pdf-2553024061. [Accessed February 18, 2018].


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