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Strategic approaches for selecting regulatory pathways in drug-device combination products: A comprehensive review

Kotha Arun Kumar, Penjuri Subhash Chandra Bose, Muddukrishna Badamane Sathyanarayana, Surenehalli Gowdra Vasantharaju, Virendra Ligade, Sreedevi Amatha, Riyaz Ali Osmani, Roshan Barwa, Sachin Dattram Pawar, Gundawar Ravi.



Abstract
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The pharmaceutical industry is witnessing a significant shift from traditional dosage forms toward drug-device combination products (DDCPs), driven by the need for enhanced patient compliance, targeted drug delivery, and improved therapeutic outcomes. DDCPs integrate drugs with medical devices, offering novel delivery mechanisms that transcend the capabilities of conventional formulations. This article reviews the intellectual property landscape protecting DDCPs, highlighting the strategic importance of securing both drug and device patents to safeguard innovation. Regulatory considerations, with a focus on the U.S. Food and Drug Administration (USFDA) and the European Medicines Agency, are examined, including key guidance documents, approval pathways, and compliance requirements. An overview of USFDA-approved devices used in DDCPs provides insights into current market trends and therapeutic applications. The article also outlines critical aspects of the design and development process for DDCPs, including material selection, device engineering, drug-device integration, and testing protocols. Finally, a business model framework is proposed for the successful design, development, and commercialization of DDCPs, emphasizing cross-functional collaboration, strategic partnerships, and early regulatory engagement. This comprehensive review aims to provide a foundational understanding for stakeholders interested in the evolving landscape of DDCPs.

Key words: Drug device combination product (DDCP), United States Food and Drug Administration (USFDA), European Medicines Agency (EMA), Primary mode of action (PMOA), Intellectual property.







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09101112010203040506
20252026

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