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  • Advice You - The Power of a Pregnant Pause

    The busiest maternity hospital in the world is my client. They were once listed
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    in the Guinness Book of Records for ‘most babies delivered in one year’!

    Pregna
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    nt women appreciate the slow pace of elevator doors at the hospital, but visitor
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    s and guests complain, ‘The elevators close too slowly!’

    The slow doors are int
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    entionally programmed to give pregnant women and wheelchair-bound patients more
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    time to enter and exit. If the hospital were to speed up the program, you can im
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    agine the complaints: ‘The elevator doors close too fast!’

    What would you do in
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    this situation? Go faster? Stay slow? Endure the ongoing complaints? This hospi
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    tal tried a more creative and cooperative approach.

    Attractive signs were poste
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    d in the lobby and inside each elevator car saying: ‘Thank you for assisting pat
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ents who may require extra time to reach the elevator. Your kindness is apprecia
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ted.’

    Suddenly, slow elevator doors become a gesture of care and concern for ot
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    hers, while visitors ‘in a hurry’ are just as quickly included in a gracious soc
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ial effort.


    Key Learning Point
    -------------------------------------
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    -------------------------------------------

    Sometimes the facts of th
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    e matter don't need changing at all - only the way we look at them needs to shif
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    t.


    Action Steps
    ---------------------------------------------------
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    -----------------------------

    If something is bothering you or your s
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    taff, your visitors, guests or customers, see if you can shift the language and
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    change the point of view. It's one powerful, effective way to change a situation


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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