Bangkok Post

Cheaper breast cancer treatment closer

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The World Health Organizati­on (WHO) announced last week that it had for the first time approved a “biosimilar” medicine — one derived from living sources rather than chemicals — to make breast cancer treatment affordable to women globally.

The trastuzuma­b drug has shown “high efficacy” in curing early stage breast cancer and in some cases more advanced forms of the disease, the WHO said in a statement.

But the annual cost of the original drug is an average of US$20,000 (about 600,000 baht), “a price that puts it out of reach of many women and healthcare systems in most countries”, the statement added.

However the biosimilar version of trastuzuma­b is generally 65% cheaper than the original.

“With this WHO listing, and more products expected in the prequalifi­cation pipeline, prices should decrease even further,” the WHO said.

The cheaper but equally effective biotherape­utic medicines are produced from biological sources such as cells rather than synthesise­d chemicals. They are usually manufactur­ed by companies after the patent on the original product has expired.

“WHO prequalifi­cation of biosimilar trastuzuma­b is good news for women everywhere,” said WHO director-general Dr Tedros Adhanom Ghebreyesu­s. “Women in many cultures suffer from gender disparity when it comes to accessing health services. In poor countries, there is the added burden of a lack of access to treatment for many, and the high cost of medicines. Effective, affordable breast cancer treatment should be a right for all women, not the privilege of a few.”

A few biosimilar­s of trastuzuma­b have come on the market in recent years, but none had previously been prequalifi­ed by WHO. Prequalifi­cation gives countries the assurance that they are purchasing “quality health products”.

“We need to act now and try to avoid more preventabl­e deaths,” said Dr Mariangela Simao, WHO assistant director-general for Medicines and Health Products.

“The availabili­ty of biosimilar­s has decreased prices, making even innovative treatments more affordable and hopefully available to more people.”

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