The price of drugs is a problem for everyone. I attended the CFF volunteer leadership conference in the Spring, not long after the initial VX-770 announcement from Vertex. Although VX-770 impacts a small percentage of the CF population, it looks promising that it will help a much larger percentage. The Vertex VX-770 technology is needed for the Df508 drug to work properly. My simple understanding is that the VX-770 drug allows the opens the door at the top of the cell. The follow-up drug(s) allow the chlorides to get to the top of the cell and then VX-770 gets it out. Even though VX-770 only impacts a small portion of the population, it is critical to combination drugs working.
The venture money for development provided from CFF allowed/encouraged Vertex to take the risk on the drug development. Without CFF's funding the orphan-drug development would not have happened. From a business ROI perspective, there is hope that the same genetic cell technology developed for VX-770 can be used on other CF mutations as well as other genetic diseases, which will provide a gateway to profit for the pharmaceutical company and help lower the drug price.
CFF is not involved in setting the price of the drug; however, they are greatly responsible for getting the drug and the new technology developed. Hopefully the technology developed will have wide application, help a lot of people and help lower the cost of treatment for everyone. Once the drug is developed then a strategy to make it more affordable can come into play.
Congratulations to CFF on getting the drug and pipeline produced. Let's hope it is a huge breakthrough adn then we'll figure out how to pay for it.