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STAT+: Pharma is a ‘mixed bag’ when providing drug access to low- and middle-income countries, analysis finds

By · Via STAT Health · Published by Everything Blog

In short

The pharmaceutical industry has substantially increased access planning for late-stage therapies compared to 2018 levels, with oncology products seeing particularly notable gains. Nonprofit partnerships serve as a primary catalyst, drastically raising the likelihood that an experimental candidate includes an explicit distribution strategy. Even so, many strategies for non-communicable diseases remain limited in scope. Specifically, 43% of access plans for conditions such as mental health, diabetes, and sickle cell disease focus solely on regulatory registrations in wealthy nations.

Key points

  • Pharmaceutical manufacturers are increasingly planning global distribution strategies pri…: Pharmaceutical manufacturers are increasingly planning global distribution strategies prior to the commercial launch of new treatments.
  • Alliance with nonprofit organizations significantly increases the likelihood that a late-…: Alliance with nonprofit organizations significantly increases the likelihood that a late-stage drug candidate will feature an access plan.
  • Access initiatives for non-communicable diseases remain insufficient because many plans f…: Access initiatives for non-communicable diseases remain insufficient because many plans focus exclusively on regulatory filings in wealthy nations.

Sources checked by our analysis pipeline: 1

Many large pharmaceutical companies are taking steps to improve access to their medicines in low- and middle-income countries, but progress has been mixed and more action is needed to ensure wide availability, a new analysis found.

Notably, more drugmakers are planning to reach patients before a product launch — access plans now cover 69% of late-stage pipeline candidates compared with 18% in 2018. And across the pipeline, 95% of late-stage experimental drugs developed with a nonprofit partner have an access plan in place, versus 67% without such a partner.

Another bright spot involves cancer treatments. Access plans now cover 65% of cancer drugs in product pipelines, up from 5% in 2018. But 43% of access plans for non-communicable diseases — specifically, sickle cell disease, diabetes, and mental health — focus solely on regulatory registrations and primarily in wealthy countries.

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