eprintid: 48146 rev_number: 8 eprint_status: archive userid: 1482 importid: 105 dir: disk0/00/04/81/46 datestamp: 2023-08-23 05:48:19 lastmod: 2023-08-31 07:34:48 status_changed: 2023-08-23 05:48:19 type: monograph metadata_visibility: show creators_name: Dubois, Pierre creators_name: Gentry, Elissa creators_name: Tunçel, Tuba creators_idrefppn: 172637546 creators_idrefppn: 221735526 creators_affiliation: Florida State University creators_affiliation: Florida State University creators_halaffid: 1002422 title: Strategic Submissions : A Cross-Country Analysis of Supplemental Drug Approvals ispublished: pub subjects: subjects_ECO abstract: Off-label use regulation has the potential to change pharmaceutical rms' behavior and|consequently|affect patient welfare. We investigate the impact of two changes in off-label regulation on pharmaceutical rms' behavior in seeking formal marketing approval for supplementary uses. In 2012, a US court decision protected truthful o-label promotion, providing pharmaceutical companies more leeway to promote o- label uses of their drug. Similarly, in 2011, France passed a new system for monitoring o-label uses in anticipation of formal approval. Using a unique data set of pharma- ceutical rms' research and development projects, we exploit these regulatory changes to understand how rms react to government policies. Results demonstrate that rms esponded to the US policy providing lower incentives to submit supplemental uses for formal approval. The results do not evince any reaction to France's stringent|but poorly enforced|regulation. These results have implications not only for innovation policy but for the creation of high-quality data for certain indications. date: 2023-07 date_type: published publisher: TSE Working Paper official_url: http://tse-fr.eu/pub/128335 faculty: tse divisions: tse language: en has_fulltext: TRUE view_date_year: 2023 full_text_status: public monograph_type: working_paper series: TSE Working Paper volume: 23-1459 place_of_pub: Toulouse pages: 45 institution: Université Toulouse Capitole department: Toulouse School of Economics book_title: TSE Working Paper oai_identifier: oai:tse-fr.eu:128335 harvester_local_overwrite: department harvester_local_overwrite: pending harvester_local_overwrite: creators_idrefppn harvester_local_overwrite: title harvester_local_overwrite: creators_halaffid harvester_local_overwrite: abstract harvester_local_overwrite: place_of_pub harvester_local_overwrite: institution harvester_local_overwrite: pages harvester_local_overwrite: creators_name oai_lastmod: 2023-08-01T01:30:42Z oai_set: tse site: ut1 citation: Dubois, Pierre , Gentry, Elissa and Tunçel, Tuba (2023) Strategic Submissions : A Cross-Country Analysis of Supplemental Drug Approvals. TSE Working Paper, n. 23-1459, Toulouse document_url: https://publications.ut-capitole.fr/id/eprint/48146/1/wp_tse_1459.pdf