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Clinical and Translational Science
Article . 2025 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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PubMed Central
Other literature type . 2025
License: CC BY NC ND
Data sources: PubMed Central
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Predictive Analysis for First Submission of Generic Drug Application for Orphan Drug Products Using Random Survival Forest

Authors: Robert Hopefl; Jing Wang; Abhinav Ram Mohan; Wei‐Jhe Sun; Myong‐Jin Kim; Meng Hu; Lanyan Fang;

Predictive Analysis for First Submission of Generic Drug Application for Orphan Drug Products Using Random Survival Forest

Abstract

ABSTRACT Rare diseases affect a small population of patients, resulting in low incentives for developing orphan drug products (ODPs). The United States Congress passed the Orphan Drug Act of 1983 to incentivize pharmaceutical manufacturers to develop drugs to treat rare diseases. However, ODPs generally have higher treatment costs than non‐ODP treatments. Developing generic ODPs can benefit patients by increasing market competition and providing alternate treatment options. This research aims to identify factors influencing the first submission of abbreviated new drug applications (ANDAs) for generic orphan drugs. Data were collected from the U.S. Food and Drug Administration (FDA) databases (including but not limited to the FDA Orphan Drug Designations and Approvals database, Orange Book, and the internal drug product complexity designation) and the IQVIA sales database to inform the drug product information, regulatory factors, and pharmacoeconomic factors. The Random Survival Forest (RSF) machine learning method was employed to conduct the analysis for New Chemical Entities (NCEs) and non‐NCEs. The modeling analysis was adequately assessed through both internal and external validations. For NCEs and non‐NCEs, the RSF was able to predict ANDA submission with a repeated cross‐validation C‐index of 0.675 ± 0.0261 (C‐index of full training dataset: 0.915) and 0.754 ± 0.0441 (C‐index of full training dataset: 0.838), respectively. The variables with the highest importance in the RSF model to predict ANDA submission of NCE ODPs were sales data, while for non‐NCEs, regulatory data was the most important (i.e., availability of product‐specific guidances (PSGs)). As more data becomes available in the future, the RSF methodology will likely be able to predict ANDA submissions of ODPs more effectively. The model‐informed results may be utilized in future intervention strategies to promote ANDA submissions for orphan drugs and to increase the availability of generic ODPs.

Keywords

Machine Learning, Rare Diseases, Orphan Drug Production, Databases, Factual, United States Food and Drug Administration, Drugs, Generic, Humans, Drug Approval, Article, United States

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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