Table 2.
Association of characteristics of EML applications leading to negative recommendations between 2002 and 2023 (univariate and multivariate logistic regression).
| Applications submitted (N = 359) | Negative recommendations (N = 148) | Negative/total | Univariate OR (95% CI) | Multivariate OR (95% CI) | |
|---|---|---|---|---|---|
| List | |||||
| EML | 222 | 95 | 0.43 | 1.00 | 1.00 |
| EML&EMLc | 106 | 36 | 0.34 | 0.69 (0.42–1.11) | 0.62 (0.35–1.04) |
| EMLc | 31 | 17 | 0.55 | 1.62 (0.76–3.46) | 1.88 (0.81–4.35) |
| Listing | |||||
| Core | 216 | 81 | 0.38 | 1.00 | 1.00 |
| Complementary | 134 | 62 | 0.46 | 1.43 (0.93–2.22) | 1.93 (1.11–3.36) |
| Core & Complementary | 9 | 5 | 0.56 | 2.08 (0.54–8.00) | 3.28 (0.75–14.29) |
| Therapeutic group | |||||
| Communicable | 134 | 46 | 0.34 | 1.00 | 1.00 |
| Noncommunicable | 225 | 102 | 0. < 45 | 0.63 (0.40–0.98) | 0.70 (0.37–1.30) |
| Active substance | |||||
| Chemical | 308 | 120 | 0.39 | 1.00 | 1.00 |
| Biological | 51 | 28 | 0.55 | 1.91 (1.05–3.46) | 1.94 (0.94–3.98) |
| Orphan designation | |||||
| No | 291 | 129 | 0.44 | 1.00 | 1.00 |
| Yes | 68 | 19 | 0.28 | 0.49 (0.27–0.87) | 0.28 (0.14–0.55) |
| Single applicant | |||||
| WHO | 77 | 21 | 0.27 | 1.00 | 1.00 |
| Non-profit organization | 99 | 37 | 0.37 | 1.59 (0.83–3.04) | 1.13 (0.52–2.45) |
| Pharmaceutical company | 62 | 36 | 0.58 | 3.69 (1.81–7.52) | 4.00 (1.88–8.55) |
| Academia | 36 | 19 | 0.53 | 2.98 (1.31–6.80) | 2.31 (0.89–6.06) |
| Healthcare institution | 10 | 3 | 0.30 | 1.14 (0.27–4.83) | 0.90 (0.19–4.35) |
| WHO Collaborating Center | 17 | 4 | 0.24 | 0.82 (0.24–2.80) | 0.54 (0.14–2.16) |
| Individual | 19 | 12 | 0.63 | 4.57 (1.59–13.16) | 3.37 (1.02–11.11) |
| Multiple applicants | 33 | 14 | 0.42 | 1.96 (0.84–4.61) | 2.05 (0.78–5.38) |
| NA | 6 | 2 | 0.33 | 1.33 (0.23–7.81) | 0.81 (0.12–5.41) |
Bold values indicates statistical significance.