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Pharma squeezed across the Western world

The ideas and innovators shaping health care
Aug 11, 2023 View in browser
 
Future Pulse

By Evan Peng, Daniel Payne and Erin Schumaker

WEEKEND READ

Prescription pills are pictured here. | AP Photo

Drug companies say new price controls in the U.S. and Europe will mean fewer new medicines. | Rick Bowmer/AP Photo

The pharmaceutical industry is trying to fend off regulators on both sides of the Atlantic.

By Sept. 1, the Biden administration is expected to announce the first 10 drugs for which it will seek price reductions for Medicare under a provision in last year’s Inflation Reduction Act.

That’s prompted lawsuits from drugmakers — Johnson & Johnson, Merck, Bristol Myers Squibb and Astellas Pharma — plus the U.S. Chamber of Commerce and the industry’s Washington lobby, the Pharmaceutical Research and Manufacturers of America.

Across the pond: In Europe, the industry faces major regulatory changes aimed at driving down prices as well, POLITICO’s Helen Collis reports.

The EU’s proposed overhaul of its rules around medicines will fundamentally change the European pharma market’s competitiveness, drugmakers say.

Planned changes announced in April will squeeze pharma’s market protections for new drugs unless they’re breakthrough treatments quickly made available to all EU citizens.

Measures include cutting from eight to six years the period that data underpinning new drugs will be protected from competitors, affecting about a third of innovative drugs where their data-protection period outlasts their intellectual property protections.

An extra six months’ market protection will be awarded to drugs that meet a high unmet medical need, with another six months if the company carries out comparative clinical trials, and an extra two years if companies make their products available in all EU countries within two years.

China bound? Pharma executives say it’s impossible to meet those conditions as they stand and have threatened to move their European research abroad.

“Science is fluid, and it moves away from Europe,” said Lars Fruergaard Jørgensen, CEO of Novo Nordisk and president of the European Federation of Pharmaceutical Industries and Associations. “Innovation then moves to the U.S., China,” he said at a June event held by the federation.

 

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THE NEXT CURES

CAMBRIDGE, UNITED KINGDOM - DECEMBER 09:  A Scientist looks at cells through a fluorescent microscope at the laboratories at Cancer Research UK Cambridge Institute on December 9, 2014 in Cambridge, England. Cancer Research UK is the world's leading cancer charity dedicated to saving lives through research. Its vision is to bring forward the day when all cancers are cured. They   have saved millions of lives by discovering new ways to prevent, diagnose and treat cancer, and as such the survival rate in the UK has doubled in the last 40 years. Cancer Research UK funds over 4,000 scientists, doctors and nurses across the UK, more than 33,000 patients who join clinical trials each year and a further 40,000 volunteers that give their time to support the work. (Photo by Dan Kitwood/Getty Images/Cancer Research UK)

The collaboration between Caltech and an artificial intelligence company is aiming for an HIV breakthrough. | Getty Images

A potentially useful HIV treatment is getting an AI boost, courtesy of a grant from the Bill & Melinda Gates Foundation.

Researchers at the California Institute of Technology are using a $1.1 million Gates Foundation grant to partner with Absci, a company using artificial intelligence to create new drugs. They hope to collaborate on affordable HIV therapeutic vaccinations.

The vaccines are meant to be given to people who already have HIV to improve their bodies’ immune response to the virus.

Why it matters: HIV still has no vaccine or cure, and while antiretroviral therapies have vastly improved outcomes for patients — or at least those who can access and afford them — the drugs don’t eliminate the virus and must be taken for life.

The Caltech researchers, led by Drs. Pamela Bjorkman and Stephen Mayo, hope to develop a novel HIV therapy exploiting antibody binding sites that stay constant across virus strains.

Absci offers generative AI that it says can speed up the synthetic antibody designing process.

The goal is to create a vaccine that can potentially both treat and prevent infection while ensuring its affordability, scalability and accessibility.

 

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DATA DIVE

A woman cools off with water from a hydrant in Los Angeles.

HHS wants to know when medical personnel respond to heat-related emergencies. | Jae C. Hong/AP Photo

Heat-related illness will be tracked in a new way in the U.S., HHS said Wednesday, releasing a dashboard to track responses related to high temperatures from local emergency medical services.

The tracker comes from the agency’s Office of Climate Change and Health Equity, in conjunction with the National Highway Traffic Safety Administration.

Updated weekly, it shows that Arkansas, Nevada and Kansas have the highest rate of heat-related EMS responses. The data also shows that the national rate of heat-related responses has risen significantly — more than 40 percent — since 2018.

Why it matters: The enhanced tracker’s introduction comes at a time when hospitals are reporting more heat-related illnesses, including burns from pavement or other hot surfaces.

What’s next? The data will help direct resources to where they’re most needed and inform strategies to build resilience to rising temperatures — from planting more trees near pavement to opening cooling centers.

 

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