Indian Council of Medical Research (ICMR) is planning to assess safety
and efficacy of indigenous drug eluting latest generation stents and US
FDA-approved drug eluting stent for a comparative study that may give a
push to local manufacturers in the domestic stent market that is now
dominated by foreign players now.ICMR will evaluate two latest
generation Indian stents against one FDA-approved stent through
sponsored trial with a view to give fillip to the development of
indigenous technologies, products and gather data about safety and
efficacy.Technologies have to reach the people at an affordable
cost without a compromise on safety and efficacy. It is very important
in the era of evidence based medicine to generate good scientific
evidence so that it can be stated that indigenous products are not only
cost effective but also efficacious and are of equally good standards,
according to ICMR sources.ICMR is planning to sponsor a
randomized controlled, non-inferiority multi-centric clinical trial
comparing the identified indigenous stents with a standard US FDA
approved stent with the best outcomes data. The results of this study
will allow clinicians practicing in India to make informed decisions
while choosing between the indigenous and standard FDA approved drug
eluting stents.ICMR has already asked the manufacturers to send
expression of interest to take part in this sponsored trial. Besides
supplying the stents free of the cost to the participating centres, the
manufacturers would also support the implementation of the trial.Drug
eluting stents are now categorized as drugs as per the existing
regulatory framework. But the new Drugs and Cosmetics (Amendment) Bill,
2013 which is under the consideration of the Parliament, has a separate
chapter to put such medical devices into a new category with separate
rules.The domestic market of stents has been dominated by
international device manufacturers like Abbott (Abbott Park, Illinois),
Boston Scientific (Nattick, Massachusetts) and Medtronic (Minneapolis).
These companies produce most of the three million stents used in India
every year. Only few local manufacturers are into the sector.There
is also huge different in prices between the indigenous and foreign
stents. Indian companies like Translumina Therapeutics produce stents
and sell them at prices about 50 per cent lower than those made by
international device manufacturers.
Source:Pharmabiz
Source:Pharmabiz
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