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Making Advanced Therapies Affordable and Accessible

Two Strategic Approaches

Bibliographic Data

ID19516451
AuthorsUbaka Ogbogu (0000-0001-7764-6799, Faculty of Law University of Alberta Edmonton Alberta Canada, corresponding author), Lauren Albrecht (0000-0002-6088-291X, Faculty of Law University of Alberta Edmonton Alberta Canada)
Year2026
Volume26
Issue1
Pages66-78
Publication date2026-03-01
Open AccessYes
TypeARTICLE
VenueDeveloping World Bioethics (JOURNAL)
Journal identifiersISSN: 1471-8731 • E-ISSN: 1471-8847
PublisherWiley (PUBLISHER • GB)
DOI10.1111/dewb.70004
PMID40928580
OpenAlexW4414085393
LanguageEN
Citations received1
References cited78

This article explores two complementary strategies for addressing the affordability and access challenges facing advanced therapies. As high development costs and limited market access have led to the withdrawal of several therapies, the article examines how these barriers create ‘valleys of death’ that prevent innovation from reaching patients. Through the case of Glybera and other examples, it outlines a rehabilitative approach focused on reforming current systems through improved reimbursement schemes, regulatory streamlining, and more efficient manufacturing. It also presents a transformative approach that embeds affordability and access from the beginning of the research and development process, encouraging local innovation, equitable intellectual property practices, and adaptive regulatory frameworks. Lessons from the COVID‐19 vaccine experience demonstrate the real‐world potential of these strategies to ensure that promising therapies are not only developed, but also equitably delivered worldwide

Access to medicines · Expanded access · Intellectual property · Market access · Reimbursement · Transformative learning · Biomedical Ethics and Regulation · Health Systems, Economic Evaluations, Quality of Life · Pharmaceutical Economics and Policy

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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