Therapeutic licensing agencies the world over are becoming ever more demanding of
safety and efficacy evidence prior to licensing of treatment and we would agree that
this has been a very good thing for the population at large.
Standards have continued to be raised and made ever stricter in the push for quality.
Unfortunately this has a negative aspect in which the timescale's and other inherent
costs associated with following and enforcing these standards can very well mean
that the availability of treatments are substantially delayed to the very serious
detriment of some of those who could / should be benefiting.
New regulations imposed in the EU certainly raise the bar for the production of new
medications but just how far should this process go?
In the case of small Pharmaceutical Companies trying to retain the ability to develop
newer treatments, the burden of cost (both in terms of the requirement for clinical
data and the higher costs of production) may actually mean that some treatments may
never get to market at all.
Even for larger corporations these burdens will lead to delay and higher cost which
ultimately will impact the end-user directly.
As a healthy individual with a healthy family, one could easily be swayed by the
logic of greater protection and safeguards being given to the public at large but
when viewed from the other side things start to take a very different perspective
Those suffering from progressive and debilitating conditions often spend years under
increasing stress and depression as they wait in hope for a solution of some sort.
New drugs are being developed all the time and they stand ready to help many thousands
of those in dire straits - they may also turn out to be a serious risk for some!
Our greatest concern in this sphere is that holding treatments back because they
have not yet jumped over the highest hurdles so far devised may end up harming and
even killing more those from lack of prompt care than would actually have been at
risk in the first place!
Thalidomide was undoubtedly a big mistake when viewed from one simple perspective
- it had no effective trialling in the area of reproductive medicine and it was also
being prescribed for a comparatively minor ailment, morning sickness.
Whilst this can be extremely unpleasant, it is not by and large a life-threatening
or severely debilitating complaint. Even so, Thalidomide has now come back into use
- for treating leprosy - having undergone further research and testing and is now
accepted as a worthwhile and valid therapy.