In 1982, when the Orphan Drug Act was passed as an amendmentto the Federal Food, Drug, and Cosmetic Act,1 few suspectedthe extent to which this law would alleviate the plight of patientswith rare diseases. The law defines an orphan drug as one withefficacy against a disease affecting fewer than 200,000 peoplein the United States or one that scientists and economists atthe Food and Drug Administration (FDA) determine will not beprofitable for seven years after FDA approval.2 In the 24 yearssince this law was passed, 282 such drugs and biologic products,providing treatment . . . [Full Text of this Article]
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Dr. Haffner is the director of the Office of Orphan Products Development at the Food and Drug Administration, Rockville, Md.
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