We are aware that some countries may be experiencing a shortage in the supply of Pegasys Interferon and would like to reassure you various UK Health Bodies and MPN experts have this under review and that it is not an immediate problem in the UK.
We will update further once we have more information.
Written by
Mazcd
Partner
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“Paris – France is currently experiencing a shortage of Pegasys (peginterferon-alpha-2a), a drug indicated for certain chronic viral hepatitis and malignant hematological diseases.
Access to healthcare has not yet become a major issue in the current very short electoral campaign, which will result in a new Assembly on July 7. However, health is one of the main concerns of the French. They are worried about difficulties in accessing their medications, as French pharmacies have been facing recurring shortages and supply tensions for several years.
In 2023, the National Agency for the Safety of Medicines (ANSM) issued nearly 5,000 reports of stock shortages, an increase of 31% year-on-year. It is partly to protest against these repeated incidents that pharmacists went on strike on May 30.
These shortages regularly make headlines in the mainstream media when they concern very common drugs, such as pediatric amoxicillin, paracetamol, or more recently salbutamol. But some much less known but equally essential drugs are also experiencing supply difficulties. This is the case with Pegasys, a drug prescribed, among other things, for certain hematological cancers.
**Patient Associations Are Worried**
On June 14, the French laboratory Cheplapharm, which markets peginterferon-alpha-2a, warned the ANSM that Pegasys was facing severe supply tensions and that no return to normal would be possible before March 2025. This situation is particularly worrying for specialist doctors and patients.
"Pegasys helps prevent sometimes fatal complications of these diseases, such as thrombosis," explains Professor Jean-Jacques Kiladjian, a hematologist at Saint-Louis Hospital in Paris, to Le Parisien. "For some patients who are resistant to other treatments, there is really no alternative." The specialist says he receives "several messages from worried patients every day."
Cheplapharm explains these supply difficulties by the significant increase in global demand and its difficulties in keeping up. To remedy these difficulties in the long term, the company will invest 140 million euros in the factory that produces the molecule.
For the patient associations "LMC France" and "Living with an MPN," the shortage is also explained, as with other drugs, by the price: Pegasys is said to be sold cheaper in France than in other European countries, and Cheplapharm would therefore prioritize our neighbors in the supply of the drug. This information is denied by the company, which explains that these supply difficulties "are not specific to France."
**Case-by-Case Solutions but No Long-Term Solutions**
In a joint statement, the two patient associations also point to the existence of a "monopoly on alpha interferon" as the cause of this shortage. Indeed, since 2020, Pegasys has been the only alpha interferon marketed in France. Many other European countries (Germany, Italy, Netherlands...) have also marketed Besremi (ropeginterferon alpha-2b), indicated in the treatment of polycythemia vera.
The patient associations are asking the authorities to take measures to allow the importation of Besremi and authorize it to be prescribed and reimbursed in the treatment of hematological cancers.
The ANSM is reportedly studying "importation alternatives not available in France, such as Besremi." The drug watchdog has also banned the export of Pegasys and assures that "current stocks can cover needs for 3 to 5 months depending on dosages."
For now, it is these kinds of case-by-case solutions that manage, more or less, to ensure access to medications for the French. But long-term solutions are lacking. In recent years, the government has opened a few avenues, such as price increases, the relocation of the pharmaceutical industry to France, or the establishment of mandatory strategic stocks, but none have yet truly borne fruit. So here is another thorny issue that the next government, regardless of its political color, will have to tackle”
Hello Mazd. A couple of weeks ago, I didn't receive the usual full complement of Peg interferon from the NHS hospital pharmacy. What I was given was 2 out of 6. When I rang the pharmacy a week later to ascertain if the balance was available for collection, I was told that the pharmacy was experiencing problems as interferon was in short supply. I was given no indication as to when the remainder would be available.
hi gilded, sorry to hear this, it may be worth contacting your clinical nurse specialist to ask if she/he knows what is happening with the supply. Best wishes, Maz
Hi Mazcd.Good news! Just rang the hospital pharmacy and am told that the balance of the supply has now become available and may be collected from it later today.
Pharmacy has just advised me cost of Pegasys has just gone up over 25% here in New Zealand. Maybe the supply shortage is the cause of that. It's not subsidized for MPNs here, so it will cost me another $1,000/year at current dose. Now I'm worried the supply problem might get worse before it gets better.
We may be affected by this shortage in the UK, as I got a call from my London hospital yesterday to check how much supplies of Pegasys I had. They changed my dose and frequency as I only had two left.
Although this is not a worry for me as yet, I am concerned about what will happen after two months if the supplies are still short? It is apparently a global issue.
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