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    I was staying at a dive resort in Papua New Guinea recently. It was quite pleasa
    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
    nt, with friendly staff, comfortable accommodation and good food.

    I enjoyed a n
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    ght dive with hungry starfish, scurrying crabs and parrot fish asleep amidst the
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    coral. After the dive, however, I realized someone had slipped into my cabin and
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    scurried off with a pair of pants and a matching canvas belt.

    I did not sleep w
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    ll and next morning reported the loss to the resort manager. ‘Oh dear, we do hav
    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
    e that problem,’ she said. ‘Are you sure you locked your door?’ I assured her th
    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
    t I had, to which she replied, ‘I guess we need to change the lock on that cabin
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically


    And that was it. From my point of view, someone had entered my room and helpe
    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
    themselves to my clothing. From her point of view, ‘We need to change the lock.
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi


    No apology. No offer to replace the lost clothing. No complimentary waiver of
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    fees.

    I did no more diving at that resort (who knows what else might scurry off
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ) and left a few days early.


    Key Learning Point
    -------------------
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ------------------------------------------------------------
    When something
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    goes wrong for your customer, you may know right away what needs to be done. But
    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
    before you fix or change the system, set your precious customer at ease. Remembe
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    r, there is a personal side to every breakdown. It's the side your customer feel
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    first.


    Action Steps
    ----------------------------------------------
    .

    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
    ---------------------------------
    Be sure your service recovery plan takes
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    are of your customer's feelings and emotions first, and fixes your system second


    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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