LONDON, Sept 5 (Reuters) - The World Health Organization
has added GLP-1 drugs to treat diabetes to its essential
medicines list alongside treatments for cystic fibrosis and
cancer, and said it hopes this will help improve global access
to the costly drugs.
The list, consisting of 523 medicines for adults and 374 for
children, is a catalogue of the drugs the WHO believes should be
available in all functioning health systems. In the past
including a drug has helped boost access for people in poorer
countries, such as for HIV treatments in the early 2000s.
"Rather than letting price be a disqualifying factor, the
committee views inclusion in the essential medicines list as a
potential catalyst for access," Dr Lorenzo Moja, head of the WHO
secretariat overseeing the list, told Reuters.
The expert committee added the active ingredients in Novo
Nordisk's Ozempic and Eli Lilly's ( LLY ) Mounjaro to
the list, to treat type 2 diabetes in conjunction with
established cardiovascular disease, chronic kidney disease or
obesity.
The drugs were initially developed for diabetes but have
become wildly popular weight-loss drugs too, under different
brand names, but the WHO stopped short of adding them to treat
obesity alone, as it also did in 2023.
The committee said this decision provided clear guidance on
which patients would most benefit from the therapies.
"High prices of medicines like semaglutide and tirzepatide
are limiting access to these medicines," the WHO statement
added, saying that encouraging generic drugmakers to produce the
product would also help when patents begin to expire on the
drugs next year.
A spokesperson for Novo Nordisk said the company was
committed to supporting broader access to its treatments.
Several companies are already working on generic copies.
Globally, there were more than 800 million people worldwide
living with diabetes in 2022, the WHO said. There are also more
than 1 billion people with obesity. Earlier this year, a WHO
memo said it would recommend the use of the drugs for obesity, a
separate step to adding them to the essential list.
The list also includes Vertex Pharmaceuticals' ( VRTX ) combination
therapy for cystic fibrosis, Trikafta or Kaftrio. Activists have
criticised its high price and lack of accessibility for years.
It also includes Merck's ( MRK ) top-selling cancer immunotherapy
drug, Keytruda, for the treatment of cervical cancers,
colorectal cancers, and non-small cell lung cancers that have
spread, or metastasized and recommended strategies to increase
access.
The WHO also added rapid-acting insulin analogues, also made
by Novo Nordisk and Eli Lilly ( LLY ), among others, to the list for
treating type 1, type 2 and gestational diabetes.