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Gaucher Community News - National Gaucher Foundation

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Bringing Hope to People with <strong>Gaucher</strong> isease<br />

Submitted by Genzyme<br />

When it comes to helping patients with rare genetic<br />

diseases, discovering and developing effective treatment<br />

is just the beginning. Once a treatment is fully developed<br />

and the necessary clinical trials have been completed,<br />

regulatory agencies such as the Food and Drug<br />

Administration (FDA) must review all of the information<br />

about the safety and efficacy of the drug and approve it<br />

for use. Then, depending on the health care system in the<br />

country, an agreement to pay for the cost of the medicine<br />

must be reached, usually through either a governmentsponsored<br />

healthcare plan or private insurers. The more<br />

uncommon a disease is, the higher the treatment cost for<br />

a single patient usually is, which means that patients with<br />

rare diseases may not be able to afford treatment on their<br />

own.<br />

In countries with an advanced healthcare infrastructure,<br />

a means is usually found to pay for most drugs that have<br />

been shown to be safe and effective. However in socalled<br />

“emerging markets” – nations whose economy or<br />

healthcare infrastructure are still developing – it may be<br />

that no one can afford to pay for the cost of treatment or it<br />

is difficult to get the necessary insurance.<br />

Genzyme introduced the first treatment approved for<br />

<strong>Gaucher</strong> disease in 1991. From the beginning, Genzyme<br />

leaders knew that just developing ground-breaking<br />

therapies would not be enough to treat the people in the<br />

world affected by <strong>Gaucher</strong> disease. And that was exactly<br />

what our goal was – to help all people with <strong>Gaucher</strong> have<br />

access to safe and effective treatment.<br />

In the early days, treatments were available only in the<br />

United States and some European countries. Eventually<br />

we opened offices in more than 40 countries around the<br />

world. In each country, we work closely with regulators,<br />

health administrators, insurers, clinical experts and patient<br />

organizations to gain approval and pay for the cost of<br />

therapy.<br />

From the early days, we knew there would be <strong>Gaucher</strong><br />

patients who could not afford treatment, and we looked<br />

for ways to make sure these patients could be treated.<br />

Eventually it became clear that we needed a large-scale,<br />

global program to improve patients’ access. In answer<br />

to this need we developed the Genzyme Humanitarian<br />

Program. This program provides patients with <strong>Gaucher</strong>,<br />

Fabry, Pompe, and MPS I diseases with Genzyme products<br />

free of charge. Genzyme distributes the product through a<br />

large international infrastructure.<br />

The Humanitarian Program is guided by an expert<br />

medical committee who makes patient treatment<br />

decisions, monitors and reviews patient progress, and<br />

advises local treating physicians regarding patient care<br />

as well as a board that recommends and approves those<br />

requests.<br />

In designing the Humanitarian Program, Genzyme<br />

knew that we needed to create something that we<br />

could support for the long term. We knew we could not<br />

provide free drug to every patient and still keep our<br />

business going. Therefore we have worked carefully<br />

to set limits and priorities for the Program that allow<br />

us to help patients over the long term. To do this, the<br />

Genzyme Humanitarian Program does more than<br />

provide free drug to patients. It works with physicians,<br />

patient advocates, and government organizations to<br />

increase understanding of rare genetic diseases and<br />

to build sustainable healthcare systems in developing<br />

countries. Currently more than 700 patients in countries<br />

across the globe benefit from the program.<br />

Genzyme’s commitment to our Humanitarian Program<br />

has always been unwavering. During the supply shortage<br />

one of the first decisions that we made was to disregard<br />

charitable status when allocating drug. This means that<br />

patients who receive treatment through our charitable<br />

access programs were allocated drug in the same way as<br />

other patients.<br />

We still have a long way to go in our mission to make<br />

sure that all people with <strong>Gaucher</strong> have access to a safe<br />

and effective treatment. Our supply problems interrupted<br />

access to treatment for patients around the world. And<br />

there are still people with <strong>Gaucher</strong> disease whose illness<br />

goes undiagnosed, who don’t even know that treatment<br />

is possible.<br />

We are working hard to overcome these challenges.<br />

We have new manufacturing facilities coming online<br />

that will greatly expand our capacity to make protein<br />

therapies. We work with the <strong>Gaucher</strong> Registry to<br />

expand awareness of <strong>Gaucher</strong> disease so that more<br />

physicians can recognize the symptoms of <strong>Gaucher</strong>.<br />

And we continue to expand our operations into more<br />

countries, working in each one to develop a healthcare<br />

infrastructure that will allow full and sustainable access<br />

to treatment for all.<br />

For more information, consult your physician. You can<br />

also contact Genzyme at 1-800-745-4447 (option 2).<br />

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