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PRIORITY REVIEW VOUCHER WATCH

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History

2006

A “priority review voucher” program for neglected diseases was first proposed in a research article by economists David B. Ridley, Henry G. Grabowski, and Jeffrey L. Moe.

2007

The Food and Drug Administration Amendments Act (FDAAA) of 2007 enacted the tropical disease priority review voucher program.

Eligibility: Tropical disease priority review voucher program

The term "tropical disease" means any of the following:
Tuberculosis
Malaria.
Blinding trachoma.
Buruli Ulcer.
Cholera.
Dengue/dengue haemorrhagic fever.
Dracunculiasis (guinea-worm disease).
Fascioliasis.
Human African trypanosomiasis.
Leishmaniasis.
Leprosy.
Lymphatic filariasis.
Onchocerciasis.
Schistosomiasis.
Soil transmitted helmithiasis.
Yaws.
Filovirus [Ebola] Diseases (added December 2014).
Zika Virus Disease (added April 2016).
Any other infectious disease for which there is no significant market in developed nations and that disproportionately affects poor and marginalized populations, designated by order of the Secretary.
Chagas disease (added August 2015)
Neurocysticercosis (added August 2015)
Chikungunya Virus Disease (added August 2018)
Lassa Fever (added August 2018)
Rabies (added August 2018)
Cryptococcal Meningitis (added August 2018)
Brucellosis (added July 2020)
Opisthorchiasis (added July 2020)
Paragonimiasis (added July 2020)
The term "tropical disease product application" means a human drug application for prevention or treatment of a tropical disease, that is eligible for priority review and has no active ingredient of which has been approved in any other application.
The priority review voucher will be awarded to the sponsor of a tropical disease product application upon approval of such tropical disease product application.
The sponsor of a priority review voucher may transfer (including by sale) the entitlement to such voucher. There is no limit on the number of times a priority review voucher may be transferred before such voucher is used.

2008

2009

The first tropical disease priority review voucher was awarded to Novartis in April 2009 for Coartem tablets (artemether and lumefantrine) which was approved for uncomplicated malaria infections due to Plasmodium falciparum in patients of 5 kg bodyweight and above.

2010

2011

The first tropical disease priority review voucher redemption was by Novartis for Ilaris (canakinumab) the treatment of gouty arthritis attacks in patients who cannot obtain adequate response with NSAIDS or colchicine. This application received a complete response letter from the FDA.

2012

The Food and Drug Administration Safety and Innovation Act of 2012 enacted the rare pediatric disease priority review voucher program.

Eligibility: Rare pediatric disease priority review voucher program

The term "rare pediatric disease" means a disease that is:
a serious or life-threatening disease in which the serious or life-threatening manifestations primarily affect individuals aged from birth to 18 years.
a rare disease or condition that affects less than 200,000 persons in the United States, or affects more than 200,000 in the United States and for which there is no reasonable expectation that the cost of developing and making available in the United States a drug for such disease or condition will be recovered from sales in the United States.
The term "rare pediatric disease product application" means a human drug application, for prevention or treatment of a rare pediatric disease, that is eligible for priority review and has no active ingredient of which has been approved in any other application. The application must not seek approval for an adult indication.
The priority review voucher will be awarded to the sponsor of a rare pediatric disease product application upon approval of such rare pediatric disease product application.
The sponsor of a priority review voucher may transfer (including by sale) the entitlement to such voucher. There is no limit on the number of times a priority review voucher may be transferred before such voucher is used.
Termination of the rare pediatric disease priority review voucher program
The original 2012 Act stated that the program would end 1-year from the date that the third rare pediatric disease priority voucher was awarded.
December 18, 2015 this wording was amended to state the program would end on September 30, 2016.
September 30, 2016 the program was extended to December 31, 2016.
December 13, 2016, the Act was amended to state priority review vouchers may not be awarded after September 30, 2020, unless the drug is designated as a drug for a rare pediatric disease by September 30, 2020; and is, approved not later than September 30, 2022.
October 1, 2020, the Act was amended to state priority review vouchers may not be awarded after December 11, 2020, unless the drug is designated as a drug for a rare pediatric disease by December 11, 2020; and is, approved not later than December 11, 2022.
December 11, 2020, the Act was amended to state priority review vouchers may not be awarded after December 18 2020, unless the drug is designated as a drug for a rare pediatric disease by December 18, 2020; and is, approved not later than December 18, 2022.
December 27, 2020, the Act was amended to state priority review vouchers may not be awarded after September 30 2024, unless the drug is designated as a drug for a rare pediatric disease by September 30, 2024; and is, approved not later than September 30, 2026.
September 26 2024, the Act was amended to state priority review vouchers may not be awarded after December 20, 2024, unless the drug is designated as a drug for a rare pediatric disease by December 20, 2024; and is, approved not later than September 30, 2026.

2013

2014

The first rare pediatric disease priority review voucher was awarded to BioMarin Pharmaceutical Inc. which was subsequently sold in the first reported priority review voucher sale to Regeneron Pharmaceuticals, Inc. for $67.5 million.
Ebola was added to the tropical disease priority review voucher program.

2015

United Therapeutics Corporation sold a rare pediatric disease priority review voucher to Abbvie Inc. for $350 million, the highest publicly reported sale ever.
Chagas disease and neurocysticercosis were designated as tropical diseases and added to the tropical disease priority review voucher program.

2016

The rare pediatric disease priority review voucher program was extended to September 30, 2020.
The 21st Century Cures Act enacted the material threat medical countermeasure priority review voucher program.
Zika virus was added to the tropical disease priority review voucher program.

Eligibility: Material threat medical countermeasure priority review voucher program

The term "material threat medical countermeasure application" means a human drug application that is eligible for priority review and has no active ingredient of which has been approved in any other application and is for a drug intended for use:
to prevent, or treat harm from a biological, chemical, radiological, or nuclear agent identified as a material threat or
to mitigate, prevent, or treat harm from a condition that may result in adverse health consequences or death and may be caused by administering a drug, or biological product against such agent; and
is eligible for priority review.
The priority review voucher will be awarded to the sponsor of a material threat medical countermeasure product application upon approval of such material threat medical countermeasure application. Priority review vouchers may not be awarded after October 1, 2023.
The sponsor of a priority review voucher may transfer (including by sale) the entitlement to such voucher. There is no limit on the number of times a priority review voucher may be transferred before such voucher is used.

2017

2018

The first material threat medical countermeasure priority review voucher was awarded to SIGA Technologies, Inc. in July 2018 for TPOXX (tecovirimat) which was approved for the treatment of human smallpox disease caused by variola virus in adults and pediatric patients weighing at least 13 kg.
Chikungunya virus, Lassa fever, rabies and cryptococcal meningitis were designated as tropical diseases and added to the tropical disease priority review voucher program.

2019

2020

The rare pediatric disease priority review voucher program was extended to September 30, 2024.
Brucellosis, opisthorchiasis and paragonimiasis were designated as tropical diseases and added to the tropical disease priority review voucher program.

2021

2022

2023

The material threat medical countermeasure priority review voucher program ended on October 1, 2023.

2024

The Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act that was introduced December 17th included amendments to extend the material threat medical countermeasure priority review voucher program to December 2026 and the rare pediatric disease priority review voucher program to September 2029. The bill did not get passed in its original form and neither program was extended.
Rare pediatric disease priority review vouchers can still be awarded until September 30 2026 if the drug was designated as a drug for a rare pediatric disease before December 20, 2024; and is, approved not later than September 30, 2026.

2025

On February 12th, the Give Kids a Chance Act was reintroduced, seeking to extend the FDA rare pediatric disease priority review voucher program to September 2029.

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