Preview

Lex Genetica

Advanced search

Legal Regime for Circulation of High-Tech Medicinal Products: Experience of Interstate Integration Associations

https://doi.org/10.17803/lexgen-2025-4-2-28-46

Abstract

The article analyses the experience of key interstate integration associations in relation to regulating the circulation of high-tech (innovative) medicinal products. Trends in the development of supranational regulation in the area under consideration are identified in order to assess its completeness. The relevance of the study is due to the problems faced by both patients and manufacturers of high-tech (innovative) medicinal products: from the patient community’s perspective, there is a problem of access to such expensive drugs, while from the manufacturers’ side, it is necessary to simplify the process of bringing such products to market and ensuring their cross-border circulation. In order to identify trends that may contribute to solving the problems identified by patients and manufacturers, the international legal and supranational framework for regulating the circulation of high-tech drugs is analyzed. The experience of international organizations (in particular, the World Health Organization), as well as key interstate integration associations (the European Union, the African Union, the Eurasian Economic Union (EAEU)), is considered in terms of regulating the circulation of high-tech drugs. The fragmentary and sporadic regulation of the circulation of high-tech drugs at the global level is largely due to the significant differentiation of economic, organizational, and infrastructural capabilities of individual states in relation to the production of such products. The most detailed legal regulation of the circulation of high-tech medical products is implemented within the framework of the European Union, which serves as a benchmark for other interstate integration associations (in particular, the African Union and Eurasian Economic Union). While lacking a formal partnership arrangement with EU structures, the Eurasian Economic Union is de facto implementing its approaches. However, the harmonization and unification of approaches in the area of high-tech drug circulation is hampered by the transfer of a significant number of issues within the EAEU to the national level.

About the Author

D. V. Ponomareva
Kutafin Moscow State Law University (MSAL)
Russian Federation

Daria V. Ponomareva, Candidate of Science (Law), Associate Professor, Deputy Head of the Department of Legal Practice

Moscow



References

1. Abashidze, A.Kh., Malichenko, V.S (2020). Orphan drug regulation in various regions of the world. Courier of Kutafin Moscow State Law University (MSAL), (5), 26–41. (In Russ.). https://doi.org/10.17803/2311-5998.2020.69.5.026-041

2. Anagnostou, T., Riaz, I.B., Hashmi, S.K., Murad, M.H., Kenderian, S.S. (2020). Anti-CD19 chimeric antigen receptor T-cell therapy in acute lymphocytic leukaemia: a systematic review and meta-analysis. The Lancet Haematology, 7(11), e816–e826. https://doi.org/10.1016/S2352-3026(20)30277-5

3. Carvalho, M., Martins, A.P., Sepodes, B. (2019). Hurdles in gene therapy regulatory approval: a retrospective analysis of European Marketing Authorization Applications. Drug Discovery Today, 24(3), 823–828. https://doi.org/10.1016/j.drudis.2018.12.007

4. Fermaglich, L.J., Miller, K.L. (2023). A comprehensive study of the rare diseases and conditions targeted by orphan drug designations and approvals over the forty years of the Orphan Drug Act. Orphanet Journal of Rare Diseases, 18(1), 163–169. https://doi.org/10.1186/s13023-023-02790-7

5. Gildeeva, G.N., Kartavtsova T.V. (2014). Legal regulation of the life cycle of orphan drugs. Problems of Social Hygiene, Public Health and History of Medicine, 22(3), 37–42. (In Russ.).

6. Gusev, A.B., Yurevich, M.A. (2023). The sovereignty of Russia in the area of pharmaceuticals: сhallenges and opportunities. Terra Economicus, 21(3), 17–31. (In Russ.). https://doi.org/10.18522/2073-6606-2023-21-3-17-31

7. Malichenko, V.S. (2022). International legal regulation of access to health technologies in the activities of specialized UN agencies. Issues of Russian and International Law, 12(5A), 400–407. (In Russ.).

8. Marks, P., Gottlieb, S. (2018). Balancing safety and innovation for cell-based regenerative medicine. New England Journal of Medicine, 378(10), 954–959. https://doi.org/10.1056/NEJMsr1715626

9. Ncube, B.M., Dube, A., Ward, K. (2021). Establishment of the African Medicines Agency: progress, challenges and regulatory readiness. Journal of Pharmaceutical Policy and Practice, 14(1), 29–33. https://doi.org/10.1186/s40545-020-00281-9

10. Nikolaeva, A.V. (2021). The single market of medicines of the EAEU: problems and prospects. International Journal of Humanities and Natural Sciences, 2-2(53), 183–185. (In Russ.).

11. Ponomareva, D.V., Nekoteneva, M.V. (2024). Medicine in the Digital Era: Legal Aspects of the Use of Cell and Gene Therapy in Foreign Countries. Actual Problems of Russian Law, 19(7), 122–137. (In Russ.). https://doi.org/10.17803/1994-1471.2024.164.7.122-137

12. Van Dijke, I., Bosch, L., Bredenoord, A. L., Cornel, M., Repping, S., Hendriks, S. (2018). The ethics of clinical applications of germline genome modification: a systematic review of reasons. Human Reproduction, 33(9), 1777–1796. https://doi.org/10.1093/humrep/dey257

13. Vilgonenko, I.M., Slepenok, Yu.N., Stankevich, G.V. (2022). State regulation of circulation of medicines in the consumer market of the Russian Federation. Moscow Juridical Journal, (4), 83–93. (In Russ.). https://doi.org/10.18384/2310-6794-2022-4-83-93

14. Volkov, A.K., Ryzhkov, A.A. (2013). The influence of European Union law on the regulation of national pharmaceutical markets of Member States. Law. Journal of the Higher School of Economics, (2), 116–133. (In Russ.).

15. Vorona, A.A., Gubina, M.A. (2022). Pharmaceutical market of the EAEU: trends and development prospects. Eurasian Integration: Economics, Law, Politics, (4), 43–54. (In Russ.). https://doi.org/10.22394/2073-2929-2022-04-43-54

16. Zaremba, A.G., Rychikhina, E.M. (2023). Analysis of the Provisions of National and EAEU Legislation Regulating Pharmaceuticals before and after 1 January 2026. Bulletin of the Scientific Center for Expertise of Medical Products. Regulatory Research and Medicine Evaluation, (4), 586–600. (In Russ.). https://doi.org/10.30895/1991-2919-2023-13-4-586-600


Review

For citations:


Ponomareva D.V. Legal Regime for Circulation of High-Tech Medicinal Products: Experience of Interstate Integration Associations. Lex Genetica. 2025;4(2):28-46. (In Russ.) https://doi.org/10.17803/lexgen-2025-4-2-28-46

Views: 24


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 3034-1639 (Print)
ISSN 3034-1647 (Online)