New uses for old drugs

BMJ

26 June 2018 - Low cost generics are an untapped source of therapeutic innovation.

Cost constraint is a major concern for health systems globally. High unmet needs, increased demand because of demographic change, and the rising prices of new drugs conspire to exacerbate financial strains. Of these three factors, only drug pricing is amenable to influence in the short to medium term. Drug repurposing—the use of existing licensed drugs for new medical indications—has the potential to help reduce costs.

Many candidates for repurposing are widely used low cost generics. For example, the Repurposing Drugs in Oncology project (http://www.redo-project.org) has identified more than 230 licensed non-cancer drugs with data supporting anti-cancer activity, of which over 75% are off-patent. As the drugs are already in routine clinical use for other purposes early phase clinical trials can be bypassed, saving time and money.

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Michael Wonder

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Michael Wonder