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    One week after the recent announcement of heightened airport security I had to take a flight. I heard a
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    bout long waits going through security so I arrived at the airport two hours before my flight. Naturall
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    y, when one arrives with plenty of time, there is no one in line but if you arrive late it seems as if e
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    veryone in the world is going somewhere that day. I whisked through security and had plenty of time to
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    sit and observe. As much as everyone likes to complain about air travel I’m always in wonder that somet
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    hing as complex as an airport let alone the entire air travel industry, actually works as well as it doe
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    s.

    So there I was, observing a microcosm of the air travel industry. A little while after I arrived, t
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    o crewmembers arrived. Little by little, other crew arrived. They introduced themselves to each other.
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    It was apparent that none of the crew had met each other before. Yet, as I boarded the plane, I was a
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    ware of how well they worked together as a practiced, coordinated team. Each knew what they were to do
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    and did their jobs as professionals.

    While watching the teamwork in the cabin, I thought of how this co
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ntrasted with some businesses I see where delivery of service is somewhere between adequate and chaotic.
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    Realizing that these people work together all the time, the equation just doesn’t compute. Then I tho
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ught, perhaps it does compute.

    In the airline scenario, management knows they are putting together a cr
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    w of people who, in all probability, never or rarely work together. In order to insure that passengers
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    on every flight receive a high level of standardized service they must have systems and processes in pla
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    ce that a well-trained crew can fit into or chaos ensues.

    In a less structured business, systems and pr
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    ocesses are often verbal, not documented. Training is sloppy or non-existent. The business gets by bec
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    ause teamwork and standardized delivery of service is far less critical… until they start losing custome
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    rs to a better organized, more structured competitor. In this case, it is wise to think like an airline


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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