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I gave this list to a class of children who were struggling at school. They were easily distracted, their personal confidence level throughout the class was low and

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

their self-belief hovered around zero.

I also gave it to a class of high achieving children, who across the board were opposite to the first group.

And then of c

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

urse I gave it to a mainstream group, who had their share of both and everyone else in-between.

It is to do with creative writing, the imagination, lateral and log

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

cal thinking. And there are no hard and fast rules on how to complete the tasks. There are no right or wrong answers either, so everyone succeeds, whatever they do

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

or don’t do.

There is no marking to be done either. Nothing to worry about for anyone. Discuss the answers with them yes, but don’t judge the responses unless it i

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

with a positive.

Some kids will go off and finish it in a couple of minutes, others may take hours, days, even weeks and one or two will do extraordinary things i

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

their response. There will be a few who get so confronted by not having any constraints or rules to work by they will do nothing at all. Just let them be, and mayb

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

e discuss why this is so afterwards.

Sketch, take photo’s, collect, sculpt, draw, paint, think, dream your thoughts. Anything goes. Just respond to what’s written

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

elow. Take the first idea that comes into your mind with each task in your Quest. Look at all the ideas you have, do not dismiss anything.

Use a note pad if you li

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

e to write down your thoughts, or just think about them. Remember, YOU CANNOT GET THIS WRONG.

SPRING QUEST

• Quarter Past Three

• A nearly new pair of wellies

•

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

What does your seventh sense tell you today

• What will your pen write next

• What will your pencil draw next

• Pendulum – what does pendulum mean – what SHOULD

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

endulum mean

• 20 times a day

• What do you love being told

• Fairy breath

• You have one minute to find something that is most like a raspberry sponge pudding

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

nd custard, and bring it back to me

• Under the bed

• Found in a haystack

• Old and grey

• New but dusty

• Now but Never

• A visit to Now Now Land

• Found un

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

er a park bench

• Lost on a slide

• Who will you sit next to next year at school

• Inside the cuckoo clock

• What are you going to invent today

• Find somet

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

hing someone has lost

• Look in the newspaper for someone who needs a kind word – not completed

• Be happy

• What goes ‘zzub zzub’

• Empty but full

• Lost and

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

found

• Time Slip

• Do something kind for someone you don’t like

• Petal-Cake

• Stuffed Pillow

• A can of worms

• Who goes to Pandooka Land and why?

• If you

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

feel off the world as it was spinning, where would you land?

• Cats that talk

• Icon

• Kevin

• Lucy

• Personal treasure

• Sweet Tooth

• What does Jupiter and

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

ice-cream have in common

• What’s Next?

Take as long as it takes for students to describe and explain what they have done. Do the exercise yourself as well, to ga

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

n in insight into what’s going on for them as well.

There are infinite possibilities in everything we do, and the exercise demonstrates there are no right or wrong

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ways to do things. There may be what works, and what doesn’t work, what is and isn’t appropriate, and if they begin to get that, then what a gift we have given them

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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It doesn't matter if you use a VHS camera, DV cam or film camera – a tripod is one of the MOST IMPORTANT pieces of equipment that is used during the taping of a wedding.

There is an alternative for people who choose to go the natural route. Natural bath and body products, including skin care products for men and children have become increasingly popular as the population demands better products and more options.

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