A South African family who has been struggling to access life-saving cystic fibrosis treatment due to its high cost has reason to be hopeful after a generic version of the medication became available last month. Grant Leitch, seven, and his brother Brett, five, are among millions worldwide affected by the genetic disorder, which can cause a buildup of mucus in the lungs and digestive system.
The family's plight is a stark reminder of the profound global disparities in diagnosis and treatment access for cystic fibrosis patients. Despite new drugs becoming available over the past decade, allowing a normal life expectancy, many are priced out of reach due to high patent costs.
However, a Bangladeshi company called Beximco has made a generic version of ETI, the combination therapy being used by Grant and Brett's family. The annual cost of Triko, as it is known in Bangladesh, could fall to $2,000 using a reduced dosing protocol, which would be a significant reduction from the original price tag.
Beximco's decision has been hailed as a game-changer for families like Grant and Brett, who are fighting for access to life-saving medication. The company will make the drug available in spring, and the family is already planning to buy it when it becomes available. "We were sitting there with our calculator, working out the exchange rate, and we were like β 'We can afford that. We could afford that!'" says Carmen Leitch, Grant's mother.
The launch of the generic version has been a result of years of parent-led campaigning by families who are determined to make treatment affordable for their children. The CF Buyers' Club, formed in response to the high cost of Orkambi in 2019, has now grown into a global effort to get generic drugs into families' hands.
Dr Marco Zampoli, a South African doctor who has been using a dose-sparing strategy with donated medication, says that making treatment affordable is a moral obligation. "I have about 10 patients, kids, on this dose, and they do great," he says. "So where there's no regulatory or legal restriction on doing it, I think it's an effective strategy that people should use."
The launch of the generic version has sparked hope for families around the world who are struggling to access life-saving medication due to high patent costs. As one mother, Gayle Pledger, puts it, "It feels inhumane that it is unaffordable for Brett in Africa."
The family's plight is a stark reminder of the profound global disparities in diagnosis and treatment access for cystic fibrosis patients. Despite new drugs becoming available over the past decade, allowing a normal life expectancy, many are priced out of reach due to high patent costs.
However, a Bangladeshi company called Beximco has made a generic version of ETI, the combination therapy being used by Grant and Brett's family. The annual cost of Triko, as it is known in Bangladesh, could fall to $2,000 using a reduced dosing protocol, which would be a significant reduction from the original price tag.
Beximco's decision has been hailed as a game-changer for families like Grant and Brett, who are fighting for access to life-saving medication. The company will make the drug available in spring, and the family is already planning to buy it when it becomes available. "We were sitting there with our calculator, working out the exchange rate, and we were like β 'We can afford that. We could afford that!'" says Carmen Leitch, Grant's mother.
The launch of the generic version has been a result of years of parent-led campaigning by families who are determined to make treatment affordable for their children. The CF Buyers' Club, formed in response to the high cost of Orkambi in 2019, has now grown into a global effort to get generic drugs into families' hands.
Dr Marco Zampoli, a South African doctor who has been using a dose-sparing strategy with donated medication, says that making treatment affordable is a moral obligation. "I have about 10 patients, kids, on this dose, and they do great," he says. "So where there's no regulatory or legal restriction on doing it, I think it's an effective strategy that people should use."
The launch of the generic version has sparked hope for families around the world who are struggling to access life-saving medication due to high patent costs. As one mother, Gayle Pledger, puts it, "It feels inhumane that it is unaffordable for Brett in Africa."