The Benefits and Costs of Compassionate Use Programs (CUPs)
Despite billions of Euros being spent each year in the pharmaceutical industry on research, development and gaining approval for licensed use of ethical medicines, there are still broad areas of clinical needs not being met. Patients who are challenged by relapsed cancer states, a rare genetic disorder or has a life threatening disease yet the preferred drug candidate has not yet been approved by regulatory authorities are just some of the cases where CUPs have potential use. In particular for the latter case, early access for such a cohort of patients who fail to meet clinical trial inclusion criteria and are faced with few other treatment options, may benefit from the CUP. It stipulates in Article 83.2 of European Union Regulation (EC) No 726/2004 that drug sponsors are permitted to conduct a CUP on a patient only if that patient is faced with a “life-threatening, long-lasting or seriously disabling illnesses” who has not responded successfully to licensed medica...