Characteristics and availability of medicine early access programs and donations in Slovenia

Knez, Lea (avtor), Jazbar, Janja (avtor), Kos, Mitja (avtor)

Background. Early access programs (EAPs) and medicine donation programs (MDPs) enable patients to have access to new medicines prior to regulatory approval or national reimbursement, respectively. The objective of this study was to evaluate the characteristics and timeliness of EAPs and MDPs in Slovenia. Methods. Originator medicines approved by the EMA through a centralized procedure from 2010 to 2019 were included in the study. Data on the EAPs and MDPs were obtained from the Agency for Medicinal Products and Medical Devices of Slovenia. Results. The EMA approved 458 new indications for 324 medicines during the study period. In Slovenia, a total of 58 medicine indications (12.7%) became available before national reimbursement, including 35 (7.6%) by EAPs and 26 (5.7%) by MDPs (3 through both programs). Among these, 35 (60.3%) medicine indications were associated with oncology. EAPs facilitated access to medicines a median of 21.0 months before reimbursement (24.7 months for oncology medicines). Initiating EAPs at the time of the marketing authorization application could potentially improve the time of early access by an additional 5.5 months (5.2 months for oncology). MDPs enabled access to medicines 9.5 months prior to reimbursement (9.4 months for oncology), with potential further improvement by 7.9 months with the initiation of access at the time of marketing authorization (5.7 months for oncology). Conclusion. Our findings highlight Slovenia’s successful implementation of EAPs and MDPs, with oncology emerging as the predominant focal area. The potential exists for improvements in the scope, timeliness, and transparency of information on EAPs and MDPs accessible to patients in Slovenia.

• Jezik: Angleški jezik
• Ključne besede: early access programs, compassionate use programs, antineoplastic and immunomodulating agents, oncology, access time
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: FFA - Fakulteta za farmacijo
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2025
• Št. strani: 8 str.
• Številčenje: Vol. 30, iss. 7, oyaf092
• PID: 20.500.12556/RUL-171413
• UDK: 615.375:616-006
• ISSN pri članku: 1549-490X
• DOI: 10.1093/oncolo/oyaf092
• COBISS.SI-ID: 244806659
• Datum objave v RUL: 26.08.2025

Gradivo je del revije

• Naslov: The oncologist
• Skrajšan naslov: Oncologist
• Založnik: AlphaMed Press
• ISSN: 1549-490X
• COBISS.SI-ID: 521539609

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: programi zgodnjega dostopa, programi sočutne uporabe, antineoplastična in imunomodulatorna zdravila, čas dostopa, onkologija, imunomodulatorji

Projekti

• Financer: ARIS - Javna agencija za znanstvenoraziskovalno in inovacijsko dejavnost Republike Slovenije
• Številka projekta: P1-0189
• Naslov: Farmacevtska tehnologija: od dostavnih sistemov učinkovin do terapijskih izidov zdravil pri otrocih in starostnikih

• Financer: ARIS - Javna agencija za znanstvenoraziskovalno in inovacijsko dejavnost Republike Slovenije
• Številka projekta: P3-0360
• Naslov: Celostna obravnava alergijskih bolezni in astme v Sloveniji: od epidemiologije do genetike