An update on management of rare diseases in India

Authors

  • Vivek Srivastava Department of Pharmacology, Amity Institute of Pharmacy, Amity University, Lucknow Campus, Uttar Pradesh, India
  • Ishika Mohan Department of Pharmacology, Amity Institute of Pharmacy, Amity University, Lucknow Campus, Uttar Pradesh, India
  • Bushra Khatoon Department of Pharmacology, Amity Institute of Pharmacy, Amity University, Lucknow Campus, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241214

Keywords:

Rare disease, Orphan drugs, Genetic disorder, National policy

Abstract

Rare diseases, characterized by their prevalence in smaller segments of the population, pose significant challenges globally. While definitions may vary across nations based on prevalence rates, these conditions are often life-threatening despite affecting fewer individuals. Genetics play a prominent role, contributing to approximately 80% of rare disorders, with treatments often categorized as ‘orphan drugs’. Regardless of a country's economic status or development level, rare diseases impose substantial burdens on healthcare systems and national economies. In India, rare diseases represent a pressing public health concern, yet they often receive inadequate attention and resources. Factors such as insufficient diagnosis, limited awareness, sparse epidemiological data, high treatment costs, and scant research and development exacerbate the challenges faced by patients and healthcare providers. Despite their significant impact, rare diseases remain a neglected area within the healthcare landscape. The aim of this review was to shed light on the rare disease landscape in India by examining available secondary data from published sources. By comprehensively assessing the existing literature, researchers seek to gain insights into the prevalence, management, and challenges surrounding rare diseases in the Indian context. This endeavor is crucial for informing policymakers, healthcare professionals, and stakeholders about the urgent need for improved strategies and resources to address the complex issues associated with rare diseases in India.

Metrics

Metrics Loading ...

References

Richter T, Nestler-Parr S, Babela R, Khan ZM, Tesoro T, Molsen E, et al. Rare Disease Terminology and Definitions-A Systematic Global Review: Report of the ISPOR Rare Disease Special Interest Group. Value Health. 2015;18(6):906-14.

Bali RK, Bos L, Gibbons MC, Ibell S. Rare Diseases in the Age of Health 2.0. Springer: Berlin; 2014: 2191-3811.

Gainotti S, Torreri P, Wang CM, Reihs R, Mueller H, Heslop E, et al. The RD-Connect Registry & Biobank Finder: a tool for sharing aggregated data and metadata among rare disease researchers. Eur J Hum Genet. 2018;26(5):631-43.

Giannuzzi V, Conte R, Landi A, Ottomano SA, Bonifazi D, Baiardi P, et al. Orphan medicinal products in Europe and United States to cover needs of patients with rare diseases: an increased common effort is to be foreseen. Orphanet J Rare Dis. 2017;12(1):64.

Šimerka P, Eur-LEX A. Council recommendation of 8 June 2009 on an action in the field of rare diseases. Off J Eur Union. 2019;2009:7-10.

India Health. Rare diseases: All about treatment, challenges, and why should India take them seriously, 2021. Available at: https://www.india. com/health/rarediseasesallabouttreatment-challenges-and-why-should-indiatakethem-seriously-4547527/2021. Accessed on 27 October 2022.

CPHI. Rare diseases care pathway: A major challenge to harmonize patient management, 2021. Available at: https://www.cphi-online.com/ rarediseasescarepathwayamajorchallenge-tonews114462.html. Accessed on 27 October 2022.

Bhattacharya SU, Katoch VM, Majumdar P, Bhattacharya A. Rare diseases in India: current knowledge and new possibilities. Proc Indian Natl Sci Acad. 2016;82(4):1183-7.

Agrawal R, Rao MA, Chowdary GKB, Gayatri K, Rao KM, Rao SP, et al. Baseline knowledge of rare diseases in India- a survey. Int J Rare Dis Disord. 2019;2(1):4-11.

Mohanty R, Barick U, Gowda A, Nair A, Mital S, Patil A. Scope for Patient Registries in India. IJMRHS. 2016;5(4):58-61.

The Quint. An ordinary life with a rare disease: battle for drug discovery, 2018. Available at: https://www.thequint.com/fit/gnemyopathybattlewith-rare-disease. Accessed on 01 March 2024.

Shire H. Rare disease impact report: Insights from patients and the medical community. J Rare Disord. 2013;26:10.

Schulenburg GJM, Frank M. Rare is frequent and frequent is costly: rare diseases as a challenge for health care systems. Eur J Health Econ. 2015;16(2):113-8.

Taneja A, Shashidhara LS, Bhattacharya A. Rare diseases in India: Time for cure-driven policy initiatives and action. Curr Sci. 2020;118(1500):1500-6.

Choudhury MC, Saberwal G. The role of patient organizations in the rare disease ecosystem in India: an interview based study. Orphanet J Rare Dis. 2019;14(1):117.

Schieppati A, Henter JI, Daina E, Aperia A. Why rare diseases are an important medical and social issue. Lancet. 2008;371(9629):2039-41.

EURORDIS. Rare Diseases Europe. About Rare Diseases, 2016. Available at: https://www.eurordis.org/information-support/what-is-a-rare-disease/. Accessed on 08 March 2024.

Hughes DA, Poletti-Hughes J. Profitability and Market Value of Orphan Drug Companies: A Retrospective, Propensity-Matched Case-Control Study. PLoS One. 2016;11(10):e0164681.

Merkel PA, Manion M, Gopal-Srivastava R, Groft S, Jinnah HA, Robertson D, et al. The partnership of patient advocacy groups and clinical investigators in the rare diseases clinical research network. Orphanet J Rare Dis. 2016;11(1):66.

Choudhury MC, Saberwal G. The role of patient organizations in the rare disease ecosystem in India: an interview based study. Orphanet J Rare Dis. 2019;14(1):117.

Song P, Gao J, Inagaki Y, Kokudo N, Tang W. Rare diseases, orphan drugs, and their regulation in Asia: Current status and future perspectives. Intractable Rare Dis Res. 2012;1(1):3-9.

Bhattacharya Y, Iyer G, Kamireddy AP, Poornima S, Juturu KK, Hasan Q. Rare disease advocacy groups and their significance in diagnosis, management, treatment, and prevention of rare diseases. Intech Open. 2019.

Tamang R, Singh L, Thangaraj K. Complex genetic origin of Indian populations and its implications. J Biosci. 2012;37(5):911-9.

Colah R, Italia K, Gorakshakar A. Burden of thalassemia in India: the road map for control. Pediatr Hematol Oncol. 2017;2(4):79-84.

Murugan S, Chandramohan A, Lakshmi BR. Use of multiplex ligation-dependent probe amplification (MLPA) for Duchenne muscular dystrophy (DMD) gene mutation analysis. Indian J Med Res. 2010;132:303-11.

Khosla N, Valdez R. A compilation of national plans, policies and government actions for rare diseases in 23 countries. Intractable Rare Dis Res. 2018;7(4):213-22.

Taneja A, Shashidhara LS, Bhattacharya A. Rare diseases in India: Time for cure-driven policy initiatives and action. Curr Sci. 2020;118(1500):1500-6.

Sivasubbu S, Scaria V. Genomics of rare genetic diseases- experiences from India. Hum Genom. 2019;13(1):1-18.

MOH. National Policy for rare diseases, 2021. Available at: https://main.mohfw.gov.in/ sites/default/files/Final%20NPRD,%1. Accessed on 28 January 2022.

Kar AS, Dalal A. Rare genetic diseases in India: Steps toward a nationwide mission program. J Biosci. 2024;49:34.

Patel N, Pandya H, Sangle G, Choudhury MC. Enhancing access to treatment for Gaucher disease in India: The need for indigenous manufacturing. J Biosci. 2024;49:38.

Patel N, Pandya H, Sangle G, Choudhury MC. Enhancing access to treatment for Gaucher disease in India: The need for indigenous manufacturing. J Biosci. 2024;49:38.

Anguela XM, High KA. Entering the Modern Era of Gene Therapy. Annu Rev Med. 2019;70:273-88.

Raghu P, Sharma Y, Suseela Devi ABN, Krishnan H. Challenges and opportunities for discovering the biology of rare genetic diseases of the brain. J Biosci. 2024;49:26.

Selot R, Ghosh A. Recent developments in gene therapy research in India. J Biosci. 2024;49:37.

Iyer VR, Kaduskar BD, Moharir SC, Mishra RK. mRNA biotherapeutics landscape for rare genetic disorders. J Biosci. 2024;49:33.

Rao D, Ganguli M. Non-viral delivery of nucleic acid for treatment of rare diseases of the muscle. J Biosci. 2024;49:27.

Bhattacharyya P, Mehndiratta K, Maiti S, Chakraborty D. Rare genetic disorders in India: Current status, challenges, and CRISPR-based therapy. J Biosci. 2024;49:28.

Chirmule N, Feng H, Cyril E, Ghalsasi VV, Choudhury MC. Orphan drug development: Challenges, regulation, and success stories. J Biosci. 2024;49:30.

Bhattacharya A, Bhattacharya S, Mishra R. Current status of research in rare genetic disorders and drug discovery in India. J Biosci. 2024;49:39.

Downloads

Published

2024-04-30

How to Cite

Srivastava, V., Mohan, I., & Khatoon, B. (2024). An update on management of rare diseases in India. International Journal Of Community Medicine And Public Health, 11(5), 2107–2115. https://doi.org/10.18203/2394-6040.ijcmph20241214

Issue

Section

Review Articles