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  • Advice You - The Few & the Many: Free Trade, Outsourcing, & Communication

    Have you noticed that some sound ideas get bad publicity? Two I have in mind are outsourcing and free trade.

    No doubt you could name others, but looking at t
    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
    hese two initiatives helps us understand a communication challenge for many companies and not-for-profit organizations.

    Free trade and outsourcing both pr
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    oduce a few (well, relatively few) big losers, and many (very many) small winners.

    More specifically, free trade leads to big losses for a relatively small
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    number of companies and their employees. Companies can go out of business or be forced to drastically restructure; employees can lose their jobs. The adjus
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    tment pains they suffer are very real and very significant.

    On the other hand, all consumers in a country that adopts free trade are winners. In other word
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    s, just about everybody. The gains for each person are small, yet, taken together those gains far outweigh the losses suffered by the losers. And the gains
    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
    keep paying dividends year after year.

    The story is much the same for outsourcing. A few employees take a very big hit, losing their jobs. At the same time
    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
    , though, a lot of other employees get to keep their jobs because their companies become stronger. A few suffer for the many.

    Which do you hear more about
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ? You hear far more about the losers, of course. Why? Well, as a former news writer and announcer I can tell you that losers holler louder and longer. They
    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
    actively seek media coverage. And that's not all: stories about layoffs have an inherent drama that stories about the preservation of jobs just can't mat
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ch.

    In addition, small-scale winners often don't know they've won, how they've won, or what they've won, so they don't march in protest or call news confer
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ences. Add to that the general principle that good news isn't big news.

    What do you do if you face a decision leading to many small winners and a few big
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    osers? First, hammer away at the context, at the circumstances that drive the decision. For example, don't announce to employees that a new piece of equipm
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ent that does the work of three people will make you more efficient. Rather, explain the competitive pressures that force greater efficiency, and the con
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    sequences of failing to meet those pressures.

    Don't assume everyone shares your knowledge. Few stakeholders understand the broader picture, and even if they
    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
    could, the pressure of day-to-day events may keep them focused on just one piece of it. It's essential to start with as few assumptions as possible.

    Com
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    municate frequently: in advance, during, and afterward. Explain the problem, outline the options, list the decision criteria, announce the solution, and re
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    port on how well the solution has worked. Or not worked, which becomes the new problem.

    You won't convince everyone your decision is the right one, but
    .

    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
    ou might convince enough people to make further progress possible.

    In summary, when a few people suffer big losses and many others make small gains, you c
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    an expect the losers to complain very loudly, and the winners to say little or nothing. To deal with these situations, communicate frequently and carefully


    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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