OnCo
ideasIdea

A public index of how the same cancer drug's label differs between countries

Nobody keeps track of how differently the same drug is approved and dosed around the world. A public scoreboard would make the differences visible and push regulators to converge.

For many oncology drugs the approved indications, biomarker requirements, dosing and line of therapy differ between FDA, EMA, PMDA, NMPA and others, and the reasons are rarely documented. The proposal is an open, machine-readable dataset that parses approved labels for every oncology drug across at least ten regulators, scores divergence per indication, and publishes the reasons where regulators have stated them. Regulators and sponsors would receive an annual divergence report.

Hypothesis
Publishing a divergence index is followed within three years by a measurable reduction in the divergence score for new approvals and an increase in the number of harmonising label variations.
Rationale
Measurement changes behaviour; the W.A.I.T. indicator changed the conversation on European access delays. Divergence that is visible must be justified, and much of it has no scientific justification.
What would test it
Build the index for 50 oncology drugs across ten regulators, publish it, and track divergence scores and harmonising variations annually.
Maturity
speculative
Who has to act
data
Cost to try
Small (under $1M)
Years to first evidence
2
Bottlenecks it attacks

Connected

3top

Pages like this

not linked directly; found by shared links