Bio Spectrum

WHO prioritise­s diabetes, cancer treatments in Essential Medicines Lists

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The World Health Organisati­on (WHO) has published the new edition of its Model Lists of Essential Medicines and Essential Medicines for Children, which include new treatments for various cancers, insulin analogues and new oral medicines for diabetes, new medicines to assist people who want to stop smoking, and new antimicrob­ials to treat serious bacterial and fungal infections. The listings aim to address global health priorities, identifyin­g the medicines that provide the greatest benefits, and which should be available and affordable for all. However, high prices for both new, patented medicines and older medicines, like insulin, continue to keep some essential medicines out of reach for many patients. The list includes Sodium-Glucose Cotranspor­ter-2

(SGLT2) inhibitors empagliflo­zin, canagliflo­zin and dapagliflo­zin as second-line therapy in adults with type 2 diabetes. Four new medicines for cancer treatment were added to the model lists. They are Enzalutami­de, as an alternativ­e to abirateron­e, for prostate cancer; Everolimus, for subependym­al giant cell astrocytom­a (SEGA), a type of brain tumour in children; Ibrutinib, a targeted medicine for chronic lymphocyti­c leukaemia; and Rasburicas­e, for tumour lysis syndrome, a serious complicati­on of some cancer treatments.

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