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I would like to comment on the “A Beautiful Mind” movie and the book, which was actually much better. I just finished reading another book on the similar side of John Nashs’ assertion of working t

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

ogether rather than competing against. That book was “Co-opetition.” By Adam M. Brandenburger (Havard guy)and Barry J. Nalebuff (Yale Dude). Many have been aware of such theory for quite a while a

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

Examples of combination products may in

d practice such occasionally for the betterment of an industry or through the art of diplomacy, sometimes through misdirection and other times as an experiment (nothing more, nothing less) especia

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

lly when it really does not matter and it is not really core to our direction and market domination strategy for any given region. I would have to differ from the movie version in that if you trie

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

to run your business in the fashion that Jim Nash discussed in theory you might do well for a while, but would eventually get hammered in the market place, whether or not you actually were able t

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

Combination pro

sleep with a brunette when you wanted the blond with the big bust (go see the movie, you will understand that comment). In theory it sounded wonderful in the movie yet would not take you very far

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

in the cut throat world of business, even though the regulators always want to level the playing field, more often then not they are manipulated agents for the competition as indicated by Adam Sm

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

th, Carl Marx and Rodney Dangerfield in “Back to School.” The fact is that even the referees of business, namely the regulating bodies who want to see the playing field leveled usually tip it in t

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

e favor of a politically powerful and well connected companies which fund the campaigns of the over see’ers (politicians). Once the regulatory bodies find they have been duped rather than bring it

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

up with the politicians, they want to punish all the players in the industry and kick them out of the game, of course this hurts the fans (consumers) and then the game (industry) and then the ref

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

rees and fans are not needed (read; “When Atlas Shrugged” By Ayn Rand).

Unless a perfect and fair playing field exists John Nash’s dream of a perfect system and economic structure cannot exist an

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

Following aspects would a

that is pretty straight forward with the study of human psychology, Machiavelli, Maslow’s hierarchy of needs, the prisoners, dilemma or a multitude of truisms surrounding human nature. The world

dd to the challenges in developing combination products:

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

does not work that way, it is not a perfect world and therefore such theories are not worthy of attempt although obviously interesting from an academia standpoint or discussion at the geological s

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

cieties random coffee house dialogues.

The win-lose scenario keeps forcing someone to lose, if we were to really see the true picture here we would find that what John Nash was saying is that you

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

need to take into consideration giving someone else what they want so you can get what you want. I say Obviously John is right. Too bad regulators condemn the greatest contributors of mankind, whi

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

le the competitors cheat, the playing field is not leveled and the true voter of the monetary unit of trade called a dollar cannot see thru the clutter and scatter of the advertising and behind th

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

Professional from academic institutions, pharmaceutical industries, health care indust

scenes truisms of a system which is not all it seems.

When looking at the true methodology of John Nash’s achievements it is fair to say that being able to put simple concepts into mathematical

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

ormulas will significantly help the future of computers capable of fuzzy logic calculate the answers to game theory, war efforts, strategic thinking and competition exposure in business. That will

.

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

be one of the great achievements of his work, which will be in the future. However one who is at the helm of a business has other responsibilities such as the survival and profitability of the co

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

Companies that provide selfless information through particip

pany and using John Nash’s strict modeling in an imperfect world is dangerous to the ongoing vitality of a once going concern. Be careful to prematurely adopt perfect systems in an imperfect world

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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